1. Lipid A Phosphoethanolamine Transferase: Regulation, Structure and Immune Response
- Author
-
Ariela Samantha and Alice Vrielink
- Subjects
Models, Molecular ,Lipopolysaccharide ,Protein Conformation ,medicine.drug_class ,Polymyxin ,medicine.disease_cause ,Lipid A ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Immune system ,Structural Biology ,Drug Resistance, Bacterial ,medicine ,Humans ,Polymyxins ,Molecular Biology ,Escherichia coli ,030304 developmental biology ,0303 health sciences ,Bacteria ,biology ,Pathogenic bacteria ,Alkaline Phosphatase ,Ethanolaminephosphotransferase ,biology.organism_classification ,Biochemistry ,chemistry ,Mutation ,Bacterial outer membrane ,030217 neurology & neurosurgery - Abstract
A wide variety of antibiotics are targeted to the bacterial membrane due to its unique arrangement and composition relative to the host mammalian membranes. By modification of their membranes, some gram-negative pathogens resist the action of antibiotics. Lipid A phosphoethanolamine transferase (EptA) is an intramembrane enzyme that modifies the lipid A portion of lipopolysaccharide/lipooligosaccharide by the addition of phosphoethanolamine. This modification reduces the overall net-negative charge of the outer membrane of some gram-negative bacteria, conferring resistance to polymyxin. This resistance mechanism has resulted in a global public health issue due to the increased use of polymyxin as last-resort antibiotic treatments against multi-drug-resistant pathogens. Studies show that, without EptA, pathogenic bacteria become more sensitive to polymyxin and to clearance by the host immune system, suggesting the importance of this target enzyme for the development of novel therapeutic agents. In this review, EptA will be discussed comprehensively. Specifically, this review will cover the regulation of eptA expression by the two component systems PmrA/PmrB and PhoP/PhoQ, the site of modification on lipid A, the structure and catalytic mechanism of EptA in comparison to MCR-1 and Escherichia coli alkaline phosphatase, and the host immune system's response to lipid A modification by EptA. The overarching aim of this review is to provide a comprehensive overview of polymyxin resistance mediated by EptA.
- Published
- 2020