1. Cryo-EM structure and resistance landscape of M. tuberculosis MmpL3: An emergent therapeutic target.
- Author
-
Adams O, Deme JC, Parker JL, Fowler PW, Lea SM, and Newstead S
- Subjects
- Bacterial Proteins genetics, Bacterial Proteins metabolism, Cryoelectron Microscopy, Membrane Transport Proteins genetics, Membrane Transport Proteins metabolism, Mutation, Bacterial Proteins chemistry, Drug Resistance, Bacterial, Membrane Transport Proteins chemistry
- Abstract
Tuberculosis (TB) is the leading cause of death from a single infectious agent and in 2019 an estimated 10 million people worldwide contracted the disease. Although treatments for TB exist, continual emergence of drug-resistant variants necessitates urgent development of novel antituberculars. An important new target is the lipid transporter MmpL3, which is required for construction of the unique cell envelope that shields Mycobacterium tuberculosis (Mtb) from the immune system. However, a structural understanding of the mutations in Mtb MmpL3 that confer resistance to the many preclinical leads is lacking, hampering efforts to circumvent resistance mechanisms. Here, we present the cryoelectron microscopy structure of Mtb MmpL3 and use it to comprehensively analyze the mutational landscape of drug resistance. Our data provide a rational explanation for resistance variants local to the central drug binding site, and also highlight a potential alternative route to resistance operating within the periplasmic domain., Competing Interests: Declarations of interests The authors declare no competing interests., (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2021
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