Evidence map›Paper›PMID 40794867›Full record

ArticleNucleic acids research2025

MexR and NalD are pyocyanin-responsive transcriptional repressors of the efflux pump MexAB-OprM in Pseudomonas aeruginosa.

Cancan Wu, Maofeng Wang, Yumeng Xiao, Shubao Zhao, Xiaoqiong Jiang, Kundi Zhang, Hongwei Wang, Hongjie Dong, Sujuan Xu, Tiantian Su and 1 more

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Article in Nucleic acids research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Broadly Defined Antibiotic Adjuvants forThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Cancan WuState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Maofeng WangResearch Center of Translational Medicine, Central Hospital Affiliated to Shandong First Medical University, 56 Shanda South Road, Jinan 250013, China.
Yumeng XiaoState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Shubao ZhaoState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Xiaoqiong JiangState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Kundi ZhangState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Hongwei WangState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Hongjie DongNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China.
Sujuan XuState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Tiantian SuState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.
Lichuan GuState Key Laboratory of Microbial Technology, Shandong University, 72 Binhai Road, Qingdao 266237, China.ORCID 0000-0002-8201-403X

Funding

National Natural Science Foundation of China 32270042Shandong Provincial Natural Science Foundation ZR2024QC220
6 · The paper itself

Abstract

The secondary metabolite pyocyanin (PYO) significantly enhances the antibiotic resistance of Pseudomonas aeruginosa by inducing expression of the resistance-nodulation-cell division efflux systems. However, the mechanisms underlying the initial derepression and subsequent upregulation of MexAB-OprM, regulated by multiple transcriptional repressors, remain unclear. Here, we demonstrate that MexR and NalD, the transcriptional repressors of MexAB-OprM, function as PYO receptors, with dissociation constants of 5.17 and 7.03 μM, respectively. Electrophoretic mobility shift assays show that PYO binding to MexR and NalD induces their dissociation from the mexA promoter, leading to the derepression of mexAB-oprM expression. Structural simulations and mutagenesis assays identified residues F17, R21, and M61 in MexR, as well as R66, N129, and F132 in NalD, as critical for PYO binding. Additionally, PYO and the MexAB-OprM substrate novobiocin competitively bind to MexR and NalD, suggesting that PYO can attenuate the effectiveness of clinical antibiotics by triggering mexAB-oprM expression. Furthermore, PYO establishes a negative feedback regulatory mechanism through NalD, which also functions as a transcriptional activator of phenazine biosynthesis genes, thereby restricting PYO overproduction to maintain cellular homeostasis. This regulatory pathway provides an energy-efficient survival strategy for P. aeruginosa in hostile environments.

Indexed as

Bacterial Outer Membrane ProteinsBacterial ProteinsMembrane Transport ProteinsPseudomonas aeruginosaPyocyanineRepressor ProteinsGene Expression Regulation, BacterialMembrane ProteinsPromoter Regions, GeneticProtein BindingBacterial Outer Membrane ProteinsBacterial ProteinsMembrane ProteinsMembrane Transport ProteinsMexA protein, Pseudomonas aeruginosaMexB protein, Pseudomonas aeruginosaMexD protein, Pseudomonas aeruginosaMexR protein, Pseudomonas aeruginosaOprM protein, Pseudomonas aeruginosaPyocyanineRepressor Proteins

Identifiers

PMID40794867
PMCPMC12571440

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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.