Evidence map›Paper›PMID 39994240›Full record

ArticleNature communications2025

Structural basis of siderophore export and drug efflux by Mycobacterium tuberculosis.

Jennifer C Earp, Alisa A Garaeva, Virginia Meikle, Michael Niederweis, Markus A Seeger

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. A copper uptake ABC transport system is essential forEmerging microbes & infections · 2026
    Article
  2. Review
  3. Structural elucidation of the hexameric MmpS4-MmpL4 complex frombioRxiv : the preprint server for biology · 2026
    Article
  4. Review
  5. Review
  6. International journal of nanomedicine · 2026
    Article
  7. Article
  8. Protein-Mediated Virulence in Mycobacterium tuberculosis.Advances in experimental medicine and biology · 2026
    Review
  9. Cryo-EM structures of mycobacteria MmpL5-AcpM complex.Science China. Life sciences · 2025
    Article
  10. Article
  11. Structural and functional analysis of theProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  12. Article
  13. Article
  14. 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

5 authors.

Jennifer C Earp *Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland.
Alisa A Garaeva *Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-7394-8981
Virginia Meikle *Department of Microbiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Michael NiederweisDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, USA. mnieder@uab.edu.ORCID http://orcid.org/0000-0003-4068-8092
Markus A SeegerInstitute of Medical Microbiology, University of Zurich, Zurich, Switzerland. m.seeger@imm.uzh.ch.ORCID http://orcid.org/0000-0003-1761-8571

Funding

Heme and hemoglobin utilization by Mycobacterium tuberculosisR01AI137338 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI NIEDERWEIS, MICHAEL · 2019 to 2023
$3.3M
Siderophore secretion by Mycobacterium tuberculosisR21AI151239 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI NIEDERWEIS, MICHAEL · 2021 to 2022
$431k
NIAID NIH HHS R01 AI137338NIAID NIH HHS R21 AI151239
6 · The paper itself

Abstract

To replicate and cause disease, Mycobacterium tuberculosis secretes siderophores called mycobactins to scavenge iron from the human host. Two closely related transporters, MmpL4 and MmpL5, are required for mycobactin secretion and drug efflux. In clinical strains, overproduction of MmpL5 confers resistance towards bedaquiline and clofazimine, key drugs to combat multidrug resistant tuberculosis. Here, we present cryogenic-electron microscopy structures of MmpL4 and identify a mycobactin binding site, which is accessible from the cytosol and also required for bedaquiline efflux. An unusual coiled-coil domain predicted to extend 130 Å into the periplasm is essential for mycobactin and bedaquiline efflux by MmpL4 and MmpL5. The mycobacterial acyl carrier protein MbtL forms a complex with MmpL4, indicating that mycobactin synthesis and export are coupled. Thus, MmpL4 and MmpL5 constitute the core components of a unique multi-subunit machinery required for iron acquisition and drug efflux by M. tuberculosis.

Indexed as

Bacterial ProteinsMembrane Transport ProteinsMycobacterium tuberculosisOxazolesSiderophoresAntitubercular AgentsBinding SitesBiological TransportClofazimineCryoelectron MicroscopyDiarylquinolinesHumansModels, MolecularAntitubercular AgentsBacterial ProteinsbedaquilineClofazimineDiarylquinolinesMembrane Transport ProteinsmycobactinsOxazolesSiderophores

Identifiers

PMID39994240
PMCPMC11850643

What OpenQuestion holds

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Registered trials

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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.