A small-molecule inhibitor of BamA impervious to efflux and the outer membrane permeability barrier. Author Elizabeth Hart, Angela Mitchell, Anna Konovalova, Marcin Grabowicz, Jessica Sheng, Xiaoqing Han, Frances Rodriguez-Rivera, Adam Schwaid, Juliana Malinverni, Carl Balibar, Smaranda Bodea, Qian Si, Hao Wang, Michelle Homsher, Ronald Painter, Anthony Ogawa, Holly Sutterlin, Terry Roemer, Todd Black, Deborah Rothman, Scott Walker, Thomas Silhavy Publication Year 2019 Type Journal Article Abstract The development of new antimicrobial drugs is a priority to combat the increasing spread of multidrug-resistant bacteria. This development is especially problematic in gram-negative bacteria due to the outer membrane (OM) permeability barrier and multidrug efflux pumps. Therefore, we screened for compounds that target essential, nonredundant, surface-exposed processes in gram-negative bacteria. We identified a compound, MRL-494, that inhibits assembly of OM proteins (OMPs) by the β-barrel assembly machine (BAM complex). The BAM complex contains one essential surface-exposed protein, BamA. We constructed a mutagenesis library, screened for resistance to MRL-494, and identified the mutation BamA restores OMP biogenesis in the presence of MRL-494. The mutant protein has both altered conformation and activity, suggesting it could either inhibit MRL-494 binding or allow BamA to function in the presence of MRL-494. By cellular thermal shift assay (CETSA), we determined that MRL-494 stabilizes BamA and BamA from thermally induced aggregation, indicating direct or proximal binding to both BamA and BamA Thus, it is the altered activity of BamA responsible for resistance to MRL-494. Strikingly, MRL-494 possesses a second mechanism of action that kills gram-positive organisms. In microbes lacking an OM, MRL-494 lethally disrupts the cytoplasmic membrane. We suggest that the compound cannot disrupt the cytoplasmic membrane of gram-negative bacteria because it cannot penetrate the OM. Instead, MRL-494 inhibits OMP biogenesis from outside the OM by targeting BamA. The identification of a small molecule that inhibits OMP biogenesis at the cell surface represents a distinct class of antibacterial agents. Keywords Escherichia coli, Biological Transport, Anti-Bacterial Agents, Microbial Sensitivity Tests, Escherichia coli Proteins, Cell Membrane, Bacterial Outer Membrane Proteins, Protein Multimerization, Drug Resistance, Bacterial, Drug Evaluation, Preclinical, Cell Membrane Permeability, Triazines Journal Proc Natl Acad Sci U S A Volume 116 Issue 43 Pages 21748-21757 Date Published 2019 Oct 22 ISSN Number 1091-6490 DOI 10.1073/pnas.1912345116 Alternate Journal Proc Natl Acad Sci U S A PMCID PMC6815139 PMID 31591200 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML