AdeJ近端结合位点和F环中的突变赋予对流出泵抑制剂的抗性。

Mutations in the proximal binding site and F-loop of AdeJ confer resistance to efflux pump inhibitors.

作者信息

Saral Sariyer Aysegul, Leus Inga V, Tambat Rushikesh, Farjana Mithila, Olvera Marcela, Rukmani Shalini J, Sariyer Emrah, Smith Jeremy C, Parks Jerry M, Walker John K, Zgurskaya Helen I

机构信息

Department of Chemistry and Biochemistry, University of Oklahoma, Norman, Oklahoma, USA.

Department of Nutrition and Dietetics, Faculty of Health Sciences, Artvin Coruh University, Artvin, Turkey.

出版信息

Antimicrob Agents Chemother. 2025 Aug 6;69(8):e0009025. doi: 10.1128/aac.00090-25. Epub 2025 Jul 8.

Abstract

Multidrug efflux is one of the major mechanisms of antibiotic resistance in gram-negative bacteria. Inhibitors of efflux pumps potentiate the activities of antibiotics, and their discovery could lead to new therapeutic options. The AdeIJK pump in is a promising target for efflux pump inhibitors (EPIs) due to its high clinical importance and conservation, and several classes of EPIs targeting this and other efflux transporters have been recently reported. However, the mechanisms of action of these EPIs and their resistance liability remain underexplored. Here, we analyzed the impact of site-specific substitutions in the substrate/EPI translocation path of the inner membrane transporter AdeJ on efflux of substrate antibiotics and fluorescent probes and activities of substituted 4,6-diaminoquinoline EPIs. We found that substitutions in amino acid residues located in the entrance cleft (R701) and the flexible loop (E675) of AdeJ lead to resistance specifically against biphenyl-substituted EPIs, whereas the substitution of F178 in the distal binding pocket increased AdeJ sensitivity to certain naphthyl- and biphenyl-substituted EPIs. No major differences in docking scores and poses of substrates and EPIs were observed between the wild type and corresponding AdeJ variants for any of the mutations considered. This study concludes that substrates and EPIs bound along the translocation path of AdeJ participate in its conformational transitions and can either increase or decrease the rate of transport and therefore the efficiency of EPIs.

摘要

多药外排是革兰氏阴性菌抗生素耐药性的主要机制之一。外排泵抑制剂可增强抗生素的活性,其发现可能带来新的治疗选择。由于其具有高度的临床重要性和保守性,AdeIJK泵是外排泵抑制剂(EPI)的一个有前景的靶点,最近已有几类针对该泵及其他外排转运蛋白的EPI被报道。然而,这些EPI的作用机制及其耐药性仍未得到充分研究。在此,我们分析了内膜转运蛋白AdeJ底物/EPI转运途径中位点特异性取代对底物抗生素和荧光探针外排以及取代的4,6-二氨基喹啉EPI活性的影响。我们发现,AdeJ入口裂隙(R701)和柔性环(E675)中氨基酸残基的取代导致对联苯取代的EPI产生特异性耐药,而远端结合口袋中F178的取代增加了AdeJ对某些萘基和联苯取代的EPI的敏感性。对于所考虑的任何突变,野生型和相应的AdeJ变体之间在底物和EPI的对接分数和构象方面未观察到主要差异。本研究得出结论,沿着AdeJ转运途径结合的底物和EPI参与其构象转变,并且可以增加或降低转运速率,从而影响EPI的效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d0/12326959/f422f375d604/aac.00090-25.f001.jpg

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