Evidence map›Paper›PMID 36443574›Full record

ArticleNature chemical biology2023

Deep mutational scan of a drug efflux pump reveals its structure-function landscape.

Gianmarco Meier, Sujani Thavarasah, Kai Ehrenbolger, Cedric A J Hutter, Lea M Hürlimann, Jonas Barandun, Markus A Seeger

Open access · greenAbstract read
In one paragraph

Article in Nature chemical biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Determinants of metal import and specificity in a bacterial transporter.bioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Energetic and structural control of polyspecificity in a multidrug transporter.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Review
  9. Review
  10. Structural and functional analysis of theProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Peripheral positions encode transport specificity in the small multidrug resistance exporters.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
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

7 authors at 2 institutions in 2 countries.

Gianmarco Meier *Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland.
Sujani Thavarasah *Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-3957-2298
Kai EhrenbolgerLaboratory for Molecular Infection Medicine Sweden (MIMS), Department of Molecular Biology, Umeå Centre for Microbial Research, Umeå University, Umeå, Sweden.
Cedric A J HutterInstitute of Medical Microbiology, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-8920-3343
Lea M HürlimannInstitute of Medical Microbiology, University of Zurich, Zurich, Switzerland.ORCID 0000-0001-9907-7830
Jonas BarandunLaboratory for Molecular Infection Medicine Sweden (MIMS), Department of Molecular Biology, Umeå Centre for Microbial Research, Umeå University, Umeå, Sweden.ORCID 0000-0003-2971-8190
Markus A SeegerInstitute of Medical Microbiology, University of Zurich, Zurich, Switzerland. m.seeger@imm.uzh.ch.ORCID 0000-0003-1761-8571
University of Zurich · CHScience for Life Laboratory · SE

Funding

Swiss National Science Foundation 144823
6 · The paper itself

Abstract

Drug efflux is a common resistance mechanism found in bacteria and cancer cells, but studies providing comprehensive functional insights are scarce. In this study, we performed deep mutational scanning (DMS) on the bacterial ABC transporter EfrCD to determine the drug efflux activity profile of more than 1,430 single variants. These systematic measurements revealed that the introduction of negative charges at different locations within the large substrate binding pocket results in strongly increased efflux activity toward positively charged ethidium, whereas additional aromatic residues did not display the same effect. Data analysis in the context of an inward-facing cryogenic electron microscopy structure of EfrCD uncovered a high-affinity binding site, which releases bound drugs through a peristaltic transport mechanism as the transporter transits to its outward-facing conformation. Finally, we identified substitutions resulting in rapid Hoechst influx without affecting the efflux activity for ethidium and daunorubicin. Hence, single mutations can convert EfrCD into a drug-specific ABC importer.

Indexed as

ATP-Binding Cassette TransportersBacterial ProteinsEthidiumMembrane Transport ProteinsMutationATP-Binding Cassette TransportersBacterial ProteinsEthidiumMembrane Transport Proteins

Identifiers

PMID36443574
PMCPMC7615509
OpenAlexW4310157248

What OpenQuestion holds

Textmetadata
LicenceTDM
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.