TY - JOUR A1 - Tam, Heng Keat A1 - Foong, Wuen Ee A1 - Oswald, Christine A1 - Herrmann, Andrea A1 - Zeng, Hui A1 - Pos, Klaas Martinus T1 - Allosteric drug transport mechanism of multidrug transporter AcrB T2 - Nature Communications N2 - Gram-negative bacteria maintain an intrinsic resistance mechanism against entry of noxious compounds by utilizing highly efficient efflux pumps. The E. coli AcrAB-TolC drug efflux pump contains the inner membrane H+/drug antiporter AcrB comprising three functionally interdependent protomers, cycling consecutively through the loose (L), tight (T) and open (O) state during cooperative catalysis. Here, we present 13 X-ray structures of AcrB in intermediate states of the transport cycle. Structure-based mutational analysis combined with drug susceptibility assays indicate that drugs are guided through dedicated transport channels toward the drug binding pockets. A co-structure obtained in the combined presence of erythromycin, linezolid, oxacillin and fusidic acid shows binding of fusidic acid deeply inside the T protomer transmembrane domain. Thiol cross-link substrate protection assays indicate that this transmembrane domain-binding site can also accommodate oxacillin or novobiocin but not erythromycin or linezolid. AcrB-mediated drug transport is suggested to be allosterically modulated in presence of multiple drugs. KW - Antimicrobial resistance KW - Bacterial structural biology KW - Enzyme mechanisms KW - X-ray crystallography Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63613 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-636134 SN - 2041-1723 N1 - This work was supported by the German Research Foundation (SFB 807, Transport and Communication across Biological Membranes), the DFG-EXC115 (Cluster of Excellence Frankfurt—Macromolecular Complexes), and the German-Israeli Foundation (Grant No. I-1202-248.9/2012). The research leading to these results was conducted as part of the Translocation consortium (www.translocation.eu) and has received support from the Innovative Medicines Joint Undertaking under Grant Agreement n°115525, resources which are composed of financial contribution from the European Union seventh framework program (FP7/2007-2013). The synchrotron trips to SOLEIL were partly supported by iNEXT, under PID: 7108, funded by the Horizon 2020 programme of the European Union. Open Access funding enabled and organized by Projekt DEAL. VL - 12 IS - art. 3889 SP - 1 EP - 10 PB - Nature Publishing Group UK CY - [London] ER -