Serum carotenoids, vitamin E, and selenium as predictors of cancer death: John E. Connett, Ph.D.,∗ Marcus Kjelsberg, Ph.D.,† Lewis Kuller, Ph.D., D.Ph.,† and Gary Collins,† ∗Division of Biometry, University of Minnesota, Minneapolis, Minnesota 55414, and †Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261

Abstract

Multidrug resistance (MDR) in bacterial pathogens has become a severe threat to public health. Membrane transporters of the multidrug and toxic compound extrusion (MATE) family contribute critically to MDR, making them promising drug targets. Despite recent advances, structures in different conformations and the mechanistic details of their antiport cycle are still elusive. Here we studied NorM_PS, a representative MATE transporter from Pseudomonas stutzeri, using biochemical assays in combination with hydrogen/deuterium exchange-mass spectrometry. Our results confirm that the antiport is proton dependent and electroneutral with a stoichiometry of two protons per one doubly positively charged substrate. We investigated the conformational dynamics upon substrate binding, and our hydrogen/deuterium exchange-mass spectrometry analysis revealed an occlusion in the proposed binding site as well as a closure of the cytoplasmic cavity and formation of a periplasmic cavity. Together with the results of selected variants (D38N, D373N and Q376A), we propose a six-step rocker-switch model for NorM_PS, which also increases our understanding of related MATE transporters and may help to fight the burden of MDR.