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Updated: Jul 19, 2025

Nanomechanics of Drug-target Interactions and Antibacterial Resistance Detection
Published on: October 25, 2013
Molecular Basis of Cell Membrane Adaptation in Daptomycin-Resistant Enterococcus faecalis
Abstract:
Daptomycin is a last-resort lipopeptide antibiotic that disrupts cell membrane (CM) and peptidoglycan homeostasis. Enterococcus faecalis has developed a sophisticated mechanism to avoid daptomycin killing by re-distributing CM anionic phospholipids away from the septum. The CM changes are orchestrated by a three-component regulatory system, designated LiaFSR, with a possible contribution of cardiolipin synthase (Cls). However, the mechanism by which LiaFSR controls the CM response and the role of Cls are unknown. Here, we show that cardiolipin synthase activity is essential for anionic phospholipid redistribution and daptomycin resistance since deletion of the two genes ( cls1 and cls2 ) encoding Cls abolished CM remodeling. We identified LiaY, a transmembrane protein regulated by LiaFSR, as an important mediator of CM remodeling required for re-distribution of anionic phospholipid microdomains via interactions with Cls1. Together, our insights provide a mechanistic framework on the enterococcal response to cell envelope antibiotics that could be exploited therapeutically.
Insights
Enterococcus faecalis resists the antibiotic daptomycin by altering its cell membrane. Cardiolipin synthase activity is crucial for this resistance mechanism, involving phospholipid redistribution.
Area of Science:
- Microbiology
- Molecular Biology
- Biochemistry
Background:
- Daptomycin is a critical antibiotic for treating Gram-positive bacterial infections.
- Enterococcus faecalis exhibits resistance to daptomycin through cell membrane (CM) remodeling.
- The LiaFSR system and cardiolipin synthase (Cls) are implicated in this resistance, but their roles are unclear.
Approach:
- Investigated the role of cardiolipin synthase (Cls) in daptomycin resistance.
- Examined the function of the LiaFSR regulatory system and LiaY protein in CM remodeling.
- Utilized gene deletion strategies to assess the necessity of Cls activity and LiaY.
Key Points:
- Cardiolipin synthase activity is essential for anionic phospholipid redistribution and daptomycin resistance in E. faecalis.
- Deletion of cardiolipin synthase genes (cls1 and cls2) abrogated CM remodeling.
- LiaY, a LiaFSR-regulated transmembrane protein, mediates CM remodeling through interaction with Cls1.
Conclusions:
- Cardiolipin synthase activity is indispensable for the enterococcal daptomycin resistance mechanism.
- LiaY acts as a key mediator in the LiaFSR-controlled CM response.
- This study elucidates a mechanistic framework for enterococcal antibiotic resistance, offering potential therapeutic targets.
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