Abstract

MdfA is a prototypical H+-coupled multidrug transporter that is characterized by extraordinarily broad substrate specificity. The involvement of specific H-bonds in MdfA-drug interactions and the simplicity of altering the substrate specificity of MdfA contradict the promiscuous nature of multidrug recognition, presenting a baffling conundrum. Here we show the X-ray structures of MdfA variant I239T/G354E in complexes with three electrically different ligands, determined at resolutions up to 2.2 Å. Our structures reveal that I239T/G354E interacts with these compounds differently from MdfA and that I239T/G354E possesses two discrete, non-overlapping substrate-binding sites. Our results shed new light on the molecular design of multidrug-binding and protonation sites and highlight the importance of often-neglected, long-range charge-charge interactions in multidrug recognition. Beyond helping to solve the ostensible conundrum of multidrug recognition, our findings suggest the mechanistic difference between substrate and inhibitor for any H+-dependent multidrug transporter, which may open new vistas on curtailing efflux-mediated multidrug resistance.

Highlights

  • MdfA is a prototypical H+-coupled multidrug transporter that is characterized by extraordinarily broad substrate specificity

  • The best diffracting crystals of I239T/G354E were obtained in the presence of LDAO at pH 8

  • We found that the mutations of Y30, N33, D34, M58, L62, Y127, M146, L236, Q357, and F361 markedly reduced the ability of I239T/G354E to confer resistance against methyl viologen (MV), whereas the mutations of A150, S232, I239T, V335, L339, S350, and M353, most of which bind LDAO2, had little deleterious effect

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Summary

Introduction

MdfA is a prototypical H+-coupled multidrug transporter that is characterized by extraordinarily broad substrate specificity. Our structures reveal that I239T/ G354E interacts with these compounds differently from MdfA and that I239T/G354E possesses two discrete, non-overlapping substrate-binding sites. Our results shed new light on the molecular design of multidrug-binding and protonation sites and highlight the importance of often-neglected, long-range charge-charge interactions in multidrug recognition. Beyond helping to solve the ostensible conundrum of multidrug recognition, our findings suggest the mechanistic difference between substrate and inhibitor for any H+-dependent multidrug transporter, which may open new vistas on curtailing efflux-mediated multidrug resistance. A principal mechanism underpinning the unabated multidrug resistance is mediated by integral membrane proteins known as multidrug transporters[1,3]. MdfA exhibits an extremely broad spectrum of drug recognition and can couple the export of cationic, neutral, and zwitterionic compounds to the import of H+, with a drug/H+ stoichiometry of 1:1 MdfA can interact with two substrates simultaneously, one inhibits the transport of the other[20]

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