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The Whole Is Bigger than the Sum of Its Parts: Drug Transport in the Context of Two Membranes with Active Efflux

期刊

CHEMICAL REVIEWS
卷 121, 期 9, 页码 5597-5631

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AMER CHEMICAL SOC
DOI: 10.1021/acs.chemrev.0c01137

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  1. National Institutes of Health/National Institute of Allergy and Infectious Diseases [AI136795, AI132836, AI136799]

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The cell envelope of bacteria serves a dual role in protecting from harmful substances and facilitating beneficial molecules, mainly through the cellular membrane and efflux transporters. Recent focus on the kinetic properties of the cell envelope has led to the development of a formalism integrating transport behavior and diffusion for the analysis of bioactive compound penetration. Key experimental and computational approaches have been used to study transport by individual translocators and whole cells, with a special emphasis on the unique structure and benefits of Gram-negative bacteria.
Cell envelope plays a dual role in the life of bacteria by simultaneously protecting it from a hostile environment and facilitating access to beneficial molecules. At the heart of this ability lie the restrictive properties of the cellular membrane augmented by efflux transporters, which preclude intracellular penetration of most molecules except with the help of specialized uptake mediators. Recently, kinetic properties of the cell envelope came into focus driven on one hand by the urgent need in new antibiotics and, on the other hand, by experimental and theoretical advances in studies of transmembrane transport. A notable result from these studies is the development of a kinetic formalism that integrates the Michaelis-Menten behavior of individual transporters with transmembrane diffusion and offers a quantitative basis for the analysis of intracellular penetration of bioactive compounds. This review surveys key experimental and computational approaches to the investigation of transport by individual translocators and in whole cells, summarizes key findings from these studies and outlines implications for antibiotic discovery. Special emphasis is placed on Gram-negative bacteria, whose envelope contains two separate membranes. This feature sets these organisms apart from Gram-positive bacteria and eukaryotic cells by providing them with full benefits of the synergy between slow transmembrane diffusion and active efflux.

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