Evidence map›Paper›PMID 24085846›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2013

How allosteric control of Staphylococcus aureus penicillin binding protein 2a enables methicillin resistance and physiological function.

Lisandro H Otero, Alzoray Rojas-Altuve, Leticia I Llarrull, Cesar Carrasco-López, Malika Kumarasiri, Elena Lastochkin, Jennifer Fishovitz, Matthew Dawley, Dusan Hesek, Mijoon Lee and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed
12.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

140 citing papers in PubMed, 260 citations in OpenAlex.

  1. Review
  2. Article
  3. An Achilles' heel for methicillin-resistantAntimicrobial agents and chemotherapy · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Resistance to Allosteric Inhibitors.Journal of molecular biology · 2025
    Review
  15. Article
  16. Journal of bacteriology · 2025
    Review
  17. Structural insights into full-length human fascin1: a target for cancer treatment.Acta crystallographica. Section F, Structural biology communications · 2025
    Article
  18. Article
  19. Article
  20. Article

80 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 2 countries.

Lisandro H OteroDepartamento de Cristalografía y Biología Estructural, Instituto de Química-Física "Rocasolano," Consejo Superior de Investigaciones Cientificas, 28006 Madrid, Spain.
Alzoray Rojas-Altuve
Leticia I Llarrull
Cesar Carrasco-López
Malika Kumarasiri
Elena Lastochkin
Jennifer Fishovitz
Matthew Dawley
Dusan Hesek
Mijoon Lee
Jarrod W Johnson
Jed F Fisher
Mayland Chang
Shahriar Mobashery
Juan A Hermoso
University of Notre Dame · USConsejo Superior de Investigaciones Científicas · ESInstituto de Química Física Blas Cabrera · ES

Funding

Inducible Antibiotic Resistance in Methicillin-Resistant Staphylococcus AureusR01AI104987 · NIAID · UNIVERSITY OF NOTRE DAME · PI Shahriar Mobashery · 2013 to 2026
$7.3M
Novel oxadiazols for the treatment of drug-resistant gram-positive bacteriaR01AI090818 · NIAID · UNIVERSITY OF NOTRE DAME · PI CHANG, MAYLAND F, MOBASHERY, SHAHRIAR · 2010 to 2014
$5.0M
NIAID NIH HHS AI090818NIAID NIH HHS AI104987NIAID NIH HHS R01 AI090818NIAID NIH HHS R01 AI104987
6 · The paper itself

Abstract

The expression of penicillin binding protein 2a (PBP2a) is the basis for the broad clinical resistance to the β-lactam antibiotics by methicillin-resistant Staphylococcus aureus (MRSA). The high-molecular mass penicillin binding proteins of bacteria catalyze in separate domains the transglycosylase and transpeptidase activities required for the biosynthesis of the peptidoglycan polymer that comprises the bacterial cell wall. In bacteria susceptible to β-lactam antibiotics, the transpeptidase activity of their penicillin binding proteins (PBPs) is lost as a result of irreversible acylation of an active site serine by the β-lactam antibiotics. In contrast, the PBP2a of MRSA is resistant to β-lactam acylation and successfully catalyzes the DD-transpeptidation reaction necessary to complete the cell wall. The inability to contain MRSA infection with β-lactam antibiotics is a continuing public health concern. We report herein the identification of an allosteric binding domain--a remarkable 60 Å distant from the DD-transpeptidase active site--discovered by crystallographic analysis of a soluble construct of PBP2a. When this allosteric site is occupied, a multiresidue conformational change culminates in the opening of the active site to permit substrate entry. This same crystallographic analysis also reveals the identity of three allosteric ligands: muramic acid (a saccharide component of the peptidoglycan), the cell wall peptidoglycan, and ceftaroline, a recently approved anti-MRSA β-lactam antibiotic. The ability of an anti-MRSA β-lactam antibiotic to stimulate allosteric opening of the active site, thus predisposing PBP2a to inactivation by a second β-lactam molecule, opens an unprecedented realm for β-lactam antibiotic structure-based design.

Indexed as

AcylationAllosteric RegulationCatalytic DomainCeftarolineCephalosporinsCrystallography, X-RayMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusMuramic AcidsPenicillin-Binding ProteinsPeptidoglycanSubstrate SpecificityCeftarolineCephalosporinsMuramic AcidsPenicillin-Binding ProteinsPeptidoglycanallosteric mechanismantibiotic resistanceX-ray crystallography

Identifiers

PMID24085846
PMCPMC3800995
OpenAlexW2119877522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.