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Journal of Bacteriology, December 2002, p . 6499-6507, Vol . 184, No . 23 Chimeric Analysis of the Multicomponent Multidrug Efflux Transporters from Gram-Negative Bacteria
Elena B . Tikhonova, Quiju Wang, Department of Chemistry and Biochemistry, University of Oklahoma, Norman, Oklahoma 73019 Received 20 June 2002/ Accepted 5 September 2002
The amino acid sequences of AcrB and MexB are 70% identical . However, despite the high degree of structural and functional similarity, these transporters appear to possess structure variations responsible for several unique features . AcrB and MexB provide a different degree of drug resistance in E . coli and P . aeruginosa cells, respectively, and also vary in substrate specificities (8, 10) . In addition, these transporters interact in a highly specific manner with at least two additional proteins: the periplasmic membrane fusion proteins (MFPs) (AcrA and MexA) and the outer membrane channels (OMFs) (TolC and OprM) . These accessory proteins together with a unique RND transporter, AcrB or MexB, form complexes that span both the inner and the outer membranes of gram-negative bacteria and provide an efflux of drugs across two-membrane envelopes directly into the external medium . In P . aeruginosa all three components of multidrug pumps are usually expressed from a single operon, for example, mexAB-oprM or mexCD-oprJ, providing the coordinated expression of each component . Genetic analysis has indicated that the periplasmic MFPs are specific for each RND transporter and cannot be interchanged between homologous pumps (23) . This result implied that, despite the high degree of homology, RND transporters possess structure variations responsible for the specificity of interaction with MFPs . In contrast, a single OMF can support the function of several homologous pumps . The OprM channel encoded in the mexAB-oprM operon can also function together with MexCD (23) or MexXY (1) . The versatility of OMFs is also supported by the fact that the enterobacterial MDR operons do not contain genes for these proteins . In contrast, a single protein, multifunctional channel TolC, encoded elsewhere on the chromosome is capable of supporting the transport needs of several MDRs (4) and also the export of such proteins as hemolysin and colicin V (2, 7) . Interestingly TolC also supports the activity of the Pseudomonas multidrug transporters MexD and MexY when they are expressed in E . coli cells in the absence of their native OMFs (11) . Based on these and other data, it was proposed that MFPs play a major role in the formation of tripartite complexes and that the inner membrane transporters (IM transporters) do not interact directly with OMFs (21) . In this study, we have taken advantage of functional differences between AcrB and MexB to search for the region(s) involved in drug transport and/or interaction with accessory proteins . Our approach is based on the construction of chimeric AcrB/MexB proteins and assaying their activity in the complexes with AcrA-TolC or MexA-OprM proteins .
Construction of expression plasmids for AcrB/MexB hybrid proteins. To construct expression plasmids for AcrB/MexB hybrid proteins, we designed PCR primers complementary to the acrB and mexB regions indicated in Fig . 1 (the sequences of primers are available upon request) . Primers contained added restriction sites, if required . For amplification of mexB regions, the chromosomal P . aeruginosa DNA or pPV20 was used as a template . For amplification of acrB regions, pUC151A or pBP was used as a template . All plasmids for the expression of chimeric genes downstream of acrA are derivatives of pUC151A . Plasmid pAcrAB377 was constructed by replacement of a PpuMI-NsiI fragment of pUC151A with a PCR-amplified 2,019-bp fragment of mexB . To construct pAcrAB518, pAcrAB569, and pAcrAB612, the corresponding chimeric genes were assembled by PCR . In the expression plasmids, the chimeric genes replaced the DraIII-NsiI fragment of pUC151A . pAcrAB589 and pAcrAB849 were constructed by replacement of the PpuMI-HindIII fragment of pUC151A with acrB589/mexB and acrB849/mexB chimeric genes . acrB589/mexB and acrB849/mexB were assembled by cloning of corresponding mexB fragments into HincII-PstI sites of pUC18 to produce pBSpe and pBMfe, respectively, and subsequent subcloning of acrB fragments into XmaI-SpeI-treated pBSpe and XmaI-MfeI-treated pBMfe . All plasmids for the expression of chimeric AcrB/MexB genes in a single operon with MexA and OprM are derivatives of pMAO plasmid . The chimeric acrB612/mexB and acrB849/mexB genes were PCR amplified using pAcrAB612 and pAcrAB849 as templates . The obtained DNA fragments were subcloned into a XbaI-SpeI-treated pMAO plasmid to yield pMexAB612 and pMexAB849 . Expression plasmid pMexAB377 was constructed by the replacement of the PpuMI- SpeI fragment of pMexAB849 with the PpuMI-SpeI fragment of pMABO . To construct pMexAB60 and pMexAB182, the corresponding DNA fragments of the acrB gene were PCR amplified using pBA plasmid as a template with forward primer containing an XbaI site and the reverse primer containing sequences complementary to both acrB and mexB . The PCR products were then used as forward primers to amplify the mexB gene, with pPV20 as a template . After treatment with XbaI and SpeI, the obtained 3,150-bp DNA fragments were subcloned into the pMAO plasmid to yield pMexAB182 and pMexAB60 . When PCR was used in the construction of a plasmid, the final structure was verified by DNA sequencing . PCRs were performed with a Peltier PTC-200 thermal cycler (MJ Research) with Biolase DNA polymerase (Bioline) . Restriction endonucleases, alkaline phosphatase, and T4 DNA ligase were obtained from New England BioLabs Inc . or Gibco BRL . MIC determinations. For the determination of MICs of various antimicrobial agents, exponentially growing cultures (optical density at 600 nm of 1.0) were inoculated at a density of 104 cells per ml into Luria-Bertani medium in the presence of twofold-increasing concentrations of the drug under investigation . Cell growth was determined after overnight incubation at 37°C . Cross-linking, preparation of membrane fractions, and immunoblotting analysis. Membrane fractions of the dithiobis(succinimidylpropionate) (DSP)-treated and nontreated AG100AX E . coli cells expressing different hybrids or wild-type proteins were prepared as described previously (26) . Protein concentrations were determined using the Bio-Rad protein assay with bovine serum albumin as a standard . Equal protein amounts of membrane fractions containing different hybrids were loaded onto sodium dodecyl sulfate (SDS)-polyacrylamide gels . Membrane fractions containing wild-type AcrB and AcrB849/MexB were loaded onto gels in concentrations 5 to 10 times lower than other samples because of the higher reactivity of anti-AcrB antibody with these two proteins . SDS-polyacrylamide gel electrophoresis was performed by standard methods through 5% stacking and 8 or 10% separating gels . For immunoblotting, proteins were transferred electrophoretically to polyvinylidine difluoride membrane (Millipore) in 3-(cyclohexylamino)-1-propanesulfonic acid-NaOH (10 mM; pH 11) and methanol (10%) . Protein visualization was performed according to standard protocols with anti-AcrA (24), anti-AcrB (25), and anti-OprM (a kind gift of K . Poole) antibodies and alkaline phosphatase-conjugated anti-rabbit antibodies (Sigma) .
The high degree of homology between the inner membrane components enabled us to detect the expression of MexA and MexB proteins by immunoblotting analysis with polyclonal antibody raised against AcrA and AcrB proteins . In agreement with previously reported data (19), we found that the MexAB-OprM complex is expressed in E . coli cells (Fig . 2) and is functionally active, as judged by the restoration of the drug-resistant phenotype of the AG100AX strain, which is deficient in the AcrAB and AcrEF pumps (Table 2) .
The AcrAB pump needs, for its efficient action, the presence of the multifunctional outer membrane channel TolC (4) . Although TolC- and AcrAB-deficient phenotypes are very similar, they are not identical, presumably because TolC provides the route for drugs across the outer membrane for other multidrug transporters of E . coli (20) . Despite the high homology between AcrAB and MexAB, the TolC protein does not seem to interact with and support the function of MexAB . When we introduced mexAB into E . coli cells in the absence of the OprM channel, the cells remained highly susceptible to different drugs, demonstrating that all three components, MexA, MexB, and OprM, must be present to protect E . coli from multiple drugs (data not shown) . Consistent with this result is the finding that the OprM protein, when produced in TolC-deficient cells, does not rescue the drug-sensitive phenotype of these cells . Thus, all three components of the Pseudomonas efflux transporter MexAB-OprM must be present in E . coli cells to provide protection against multiple drugs . Construction and expression of chimeric AcrB/MexB molecules. Comparative sequence analyses have indicated that the N- and C-terminal halves of RND proteins share sequence similarities, suggesting that they may have evolved via tandem gene duplication events (17) . Using deletion analysis we found that neither N- nor C-terminal halves of the AcrB transporter can act autonomously (data not shown) . This result suggested that both halves of multidrug transporters are required for multidrug transport or interaction with accessory proteins . To identify regions of the RND transporters responsible for the interactions with accessory proteins and/or for the transport activities, we generated a series of hybrid AcrB/MexB molecules (Fig . 1 and 3) . The hybrid acrB/mexB genes were cloned either immediately downstream of the acrA gene to assay their functionality with this protein (AcrA-AcrB/MexB) or between the mexA and oprM genes, in a manner to preserve the chromosomal arrangement of these genes in a single operon (MexA-AcrB/MexB-OprM) (Fig . 1) . In these arrangements, the role of N-terminal residues in the function and assembly of multicomponent drug transporters can be evaluated by assessment of the functional activity of the AcrB/MexB hybrids in combination with AcrA and TolC, whereas the role of the C-terminal residues can be assessed in combination with MexA and OprM proteins . The native acrA promoter has provided the efficient expression of the acrA-acrB/mexB operon, but the expression of the mexA-acrB/mexB-oprM operon was dependent on the Plac promoter of the pUC18 vector .
The specificity of interaction with accessory proteins is encoded within the T60-V612 region of AcrB and MexB transporters. Previous chemical cross-linking studies have shown that the periplasmic lipoprotein AcrA interacts specifically with the inner-membrane-associated AcrB transporter and that this complex is assembled even in the absence of the outer membrane component TolC (26) . We used the same approach to determine which hybrid AcrB/MexB molecules can form complexes with AcrA or MexA proteins . To stabilize protein complexes, intact E . coli cells expressing different constructs were treated with cross-linker DSP (26) . As previously reported, the AcrA and AcrB proteins form a stable complex in the inner membrane of E . coli (Fig . 4) . Under the same conditions, MexA and MexB form complexes with molecular masses similar to those of AcrAB . In our assay we did not detect high-molecular-weight species that could indicate the presence of the tripartite MexA-MexB-OprM complex .
Of five hybrids expressed with MexA and OprM, only AcrB60/MexB restored the drug-resistant phenotype to E . coli cells, suggesting that only the first 60 N-terminal amino acid residues of MexB can be substituted by corresponding regions of the AcrB transporter . Taken together, these results suggested that the specificity of interaction with the periplasmic MFPs is encoded in the T60-V612 region of the IM transporter . We could not detect reproducibly the complexes between the periplasmic proteins and hybrid pumps for other constructs . The expression of AcrB182/MexB and AcrB589/MexB hybrids was substantially lower than that of the wild-type AcrB or MexB proteins . One explanation for the absence of detectable complexes is the low sensitivity of the in vivo chemical cross-linking technique . Also, the low amount of hybrid proteins in the membrane fractions could be an indication that these proteins are not properly folded within the membrane and, as a result, are vulnerable to the action of proteases . Drug specificity of chimeric AcrB and MexB efflux transporters. Cells expressing AcrA-AcrB612/MexB, AcrA-AcrB849/MexB, and MexA-AcrB60/MexB-OprM displayed increased resistance to a number of tested compounds compared with cells transformed with the vector alone (Table 2) . However, the transport activity of these hybrid pumps differed substantially from the wild-type AcrB and MexB transporters . Since the complex formation appears to be unaffected in AcrA-AcrB612/MexB, AcrA-AcrB849/MexB, and MexA-AcrB60/MexB-OprM (see above and Fig . 4), the observed differences in substrate specificities or efficiencies of efflux among these hybrids arise most probably from the structural variations in the IM transporters that affect the multidrug recognition or multidrug transport mechanisms . All three functional chimeras recognized and expelled the detergents SDS and cholic acid (CA) and novobiocin (NOV) with efficiencies comparable to that of the wild-type AcrAB or MexAB pumps (Table 2) . This result shows that the 60 amino acid residues of the N terminus and the C-terminal amino acid residues of AcrB and MexB are interchangeable with respect to efflux of these substrates . The wild-type AcrB and MexB transporters differ from each other in the specificity to several compounds (Table 2) . Surprisingly, the chimeric AcrA-AcrB849/MexB pump, which contains only the last 200 C-terminal residues from MexB, showed the substrate specificities characteristic of both wild-type transporters . E . coli cells expressing this pump were indistinguishable from those with the wild-type AcrB transporter in susceptibility to the majority of tested compounds (Table 2) . On the other hand, the specificity of the AcrA-AcrB849/MexB pump to EtB, lincomycin (LIN), and CIN was similar to that of the wild-type MexB transporter . This result suggested that the structure variations responsible for differences in transport of the latter compounds reside in the C-terminal 200 amino acid residues of the AcrB and MexB transporters . For other substrates, these residues are not sufficient to convert the specificity of the AcrB849/MexB hybrid to a MexB-like one . The AcrA-AcrB612/MexB pump contains an additional 235 C-terminal amino acid residues from MexB . All these residues are located entirely in the extracytoplasmic domain ED2 . This chimeric transporter showed, distinct from other constructs, substrate specificity . AcrB612/MexB transported LIN, EtB, ERY, OLE, and puromycin (PUR) with the efficiency of the wild-type MexB . This result suggested that the region V612-S/K849 of RND transporters might contribute to the specificity toward these drugs . The AcrB612/MexB hybrid, however, lost the ability to expel other substrates, including CIN, nalidixic acid (NAL), or proflavine (PRO), which are efficiently expelled by the wild-type pumps and AcrB849/MexB hybrid . Perhaps the binding of these compounds occurs in different site of transporter . The presence of the V612-S/K849 region from MexB could disrupt this site in the AcrB transporter . The N-terminal 60 amino acid residues of AcrB, which are present in AcrB60/MexB, dramatically reduced the spectrum of substrates of the wild-type MexB transporter . Although AcrB60/MexB conferred resistance to PUR, CIN, SDS, CA, and NOV, this hybrid had only partial or no activity against the rest of the tested drugs . Taken together our results suggest that such substrates as SDS, CA, and NOV differ from others in terms of recognition and transport efficiency by AcrB/MexB transporters . The partial replacements of N-terminal or C-terminal residues in AcrB/MexB transporters did not change the ability of hybrids to expel these compounds from cells . The 200 C-terminal amino acid residues of MexB are sufficient to convert the specificity of AcrB/MexB hybrids to a MexB-like specificity to EtB, OLE, and CIN . In addition, two other regions of AcrB/MexB appear to be essential for transport of various substrates . The N-terminal residues M1-T60 and amino acid residues located in the V612-S/K849 region of ED2 strongly affect the substrate specificities of hybrid transporters .
Besides structural determinants responsible for the specificity of interaction, the RND transporters may possess variations defining differences in substrate specificities . The efficiency and substrate specificities of AcrAB-TolC and MexAB-OprM are difficult to compare when they are expressed in their native environments because of the well-established difference in the permeability properties of the outer membrane of E . coli and P . aeruginosa (14) . However, when both pumps are expressed in E . coli their functional differences can be assessed . AcrB and MexB appeared to have very similar substrate specificities; however, they provided different levels of resistance to some compounds (Table 2) . In particular, MexAB-OprM provides higher levels of resistance against CIN . On the other hand, AcrAB-TolC is more efficient in pumping out positively charged compounds such as EtB and OLE . Thus, despite the high degree of primary sequence homology between the components, these pumps do not efflux all substrates with equal efficiency . We have taken advantage of the differences described above between AcrAB-TolC and MexAB-OprM to identify the regions of the RND transporters involved in specific interactions with the other two components of complexes and/or for regions defining substrate specificities . Among 11 hybrid pumps, only AcrA-AcrB612/MexB, AcrA-AcrB849/MexB, and MexA-AcrB60/MexB-OprM were capable of multidrug efflux, demonstrating that the complexes are assembled and that the IM hybrid transporters retained their function . We have verified the complex assembly by using an in vivo cross-linking technique (26) . Although we cannot detect the tripartite complexes by using this assay, the complexes between the periplasmic components and the IM transporters were found for all functional hybrid pumps (Fig . 4) . Thus, the structural determinants defining the specificity of interaction with the periplasmic components of complexes are encoded within the T60-V612 region of the IM transporters . This region spans the most of ED1, TMS 2 through TMS 7, and the 75 amino acid residues of ED2 .
Since neither AcrA nor MexA proteins possess transmembrane segments, it is unlikely that TMS 2 through TMS 7 contain structure variations defining the specificity of interaction with MFPs . Thus, amino acid residues of ED1 and ED2 presumably interact with accessory MFPs . Interestingly, the hybrid transporters AcrB589/MexB and AcrB612/MexB differ by only 22 amino acid residues . However, in contrast to AcrB612/MexB, AcrB589/MexB is deficient in the complex assembly . Similarly, AcrB182/MexB, which contains an extra 122 amino acids of AcrB compared to AcrB60/MexB, is a nonfunctional construct . Both these regions are entirely located in the moderately conserved regions of ED1 or ED2 . Figure 5 shows the alignment of the V590-V612 regions of RND-type multidrug transporters from bacteria belonging to the
The AcrA-AcrB849/MexB chimeric pump displayed a MexB-like specificity to the substrates CIN, EtB, OLE, and LIN (Table 2) . In this hybrid, only the C-terminal 200 amino acid residues are from MexB . Thus, the structural variations responsible for differences in substrate specificities of AcrB and MexB to these substrates appear to localize in the C-terminal domains of RND transporters . Alignment of these regions in AcrB and MexB indicated that these domains are highly conserved (data not shown) . The only variable regions in this domain, which might be responsible for the observed differences between AcrB and MexB, are the cytoplasmic loop connecting TMS 10 and TMS 11 and the C-terminal cytoplasmic tail . On the other hand, AcrA-AcrB849/MexB was similar to the wild-type AcrB in recognition of ERY and PUR, suggesting that other regions of AcrB are also involved in interactions with substrates . AcrA-AcrB612/MexB, containing an additional 235 C-terminal residues from MexB, transported these substrates with an efficiency comparable to that of the wild-type MexB transporter . This result suggested that the residues V612-S/K849 located in the extracytoplasmic domain ED2 play an important role in transport of these substrates . The alignment of the V612-S/K849 regions in AcrB and MexB is shown in Fig . 6 . These regions appear to differ substantially in the distribution of charged amino acids, with the obviously high density of negative charges in the MexB protein . On the contrary, AcrB contains an extra number of positively charged amino acids . The reverse distribution of charges in AcrB612/MexB and AcrB849/MexB could explain the inability of AcrB612/MexB to pump out quinolones (CIN and NAL) and other substrates (chloramphenicol [CF], PRO, and tetracycline [TET]) . The important role of extracytoplasmic domains in the drug specificities of RND transporters has also been demonstrated in domain replacement studies of the AcrB and AcrD transporters (3) .
This study was begun in the lab of H . Nikaido . We are indebted to Hiroshi Nikaido for his continuing support and critical reading of the manuscript . We thank K . Poole for providing polyclonal anti-OprM antibody .
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