TCID | Name | Domain | Kingdom/Phylum | Protein(s) |
---|---|---|---|---|
2.A.6.1: The Heavy Metal Efflux (HME) Family | ||||
2.A.6.1.1 | Heavy metal (Ni2+ and Co2+) efflux pump, CnrA. Functions with CnrB (TC# 8.A.1.2.1) and CnrC (TC# 1.B.17.2.1) (Grass et al. 2000; Tibazarwa et al. 2000). | Bacteria |
Pseudomonadota | CnrA of Cupriavidus (Ralstonia; Alcaligenes) metallidurans (eutrophus or eutropha) (P37972) |
2.A.6.1.2 | Bacteria |
Pseudomonadota | CzcA/CzcB of Cupriavidus (Ralstonia; Alcaligenes) metallidurans (eutriphus or eutropha) CzcA (P13511) CzcB (P13510) | |
2.A.6.1.3 | Silver ion (Ag+)-specific efflux pump | Bacteria |
Pseudomonadota | SilA of Salmonella typhimurium |
2.A.6.1.4 | Cu+ /Ag+ efflux pump, CusABCF (may pump ions from the periplasm to the external medium); CusF is a periplasmic Cu+ /Ag+ binding receptor essential for full resistance (Franke et al., 2003). Bagai et al. (2007) reported that CusB (MFP) binds one molecule of Ag+ or Cu+ via four conserved methionines and induces a substrate-linked conformational change (Bagai et al., 2007). The crystal structures of CusB are available (Su et al., 2009). The crystal structure of the CusAB complex has been solved (PDB# 3K07) (Su et al., 2011a). CusC is listed under TC# 1.B.17.3.5. The metal-binding methionines play a role in restricting the substrates to monovalent heavy metals (Conroy et al., 2010). It has been reported to export L-cysteine (Yamada et al., 2006). Crystal structures of the CusA efflux pump suggested that methionine residues in a 3-methionine cluster, bind the metal as a transport intermediate (Long et al., 2010). Four methionine pairs in the transmembrane region, and one in the periplasmic domain may comprise the channel. Cu+ is exported from the cytoplasm to the periplasmic chaparone, CusF in the extracellular space (Padilla-Benavides et al. 2014). The Cus efflux system removes Cu+ and Ag+ from both the cell cytoplasm and the periplasm (Su et al., 2011b; Delmar et al. 2014). Metal-bound CusB is required for activation of Cu+ transfer from CusF directly to a site in the CusA antiporter (Chacón et al. 2014). Metal transfer occurs between CusF and apo-CusB, and when metal-loaded, CusB plays a role in the regulation of metal ion transfer from CusF to CusA in the periplasm. The ratio of CusA (RND):CusB (MFP):CusC (OMF) is 3:6:3 (Delmar et al. 2013). Intermediates in metal transfer reactions have been measured (Chacón et al. 2018). | Bacteria |
Pseudomonadota | CusCFBA of E. coli: CusA (RND) CusB (MFP) CusC (OMF) (see 1.B.17.3.5) CusF (BP) |
2.A.6.1.5 | The Zn2+, Cd2+, Pb2+ exporter, CzcCBA1 (induced by Zn2+, Cd2+, Pb2+, Ni2+, Co2+ and Hg2+ (Leedjarv et al., 2007)) | Bacteria |
Pseudomonadota | CzcCBA1 of Pseudomonas putida CzcA1 (RND) (Q88RT6) CzcB1 (MFP) (Q88RT5) CzcC1 (OMF) (Q88RT4) |
2.A.6.1.6 | The Zn2+-specific exporter, ZneABC. The ZneB MFP plays an active role in substrate efflux through metal binding and release. Its 2.8 Å structure is available (De Angelis et al., 2010). 3.0 Å intermediate conformational structures of ZneA have been determined, revealing two Zn2+ binding sites separated by a channel, and the protein has been shown to catalyze electrogenic Zn2+:H+ antiport (Pak et al. 2013). | Bacteria |
Pseudomonadota | ZneABC of Cupriavidus (Ralstonia) metallidurans (eutrophus or eutropha) ZneC (DMF) (Q1LCD9) ZneA (RND) (Q1LCD8) ZneB (MFP) (Q1LCD7) |
2.A.6.1.7 | Putative Zn2+ exporter, Cus1ABC (induced by Zn2+; Moraleda-Muñoz et al., 2010) | Bacteria |
Myxococcota | Cus1ABC of Myxococcus xanthus Cus1A (RND) (Q1DDM9) Cus1B (MFP) (Q1DDM8) Cus1C (OMF) (Q1DDM7) |
2.A.6.1.8 | Putative Cu2+ exporter, Cus2ABC (induced by Cu2+; Moraleda-Muñoz et al., 2010) | Bacteria |
Myxococcota | Cus2ABC of Myxococcus xanthus Cus2A (RND) (Q1DDM4) Cus2B (MFP) (Q1DDM3) Cus2C (OMF) (Q1DDM2) |
2.A.6.1.9 | Putative heavy metal (Me2+) exporter, Czc1ABC (induced by heavy metals, but not Cu2+; Moraleda-Muñoz et al., 2010) | Bacteria |
Myxococcota | Czc1ABC of Myxococcus xanthus Czc1A (RND) (Q1D6S7) Czc1B (MFP) (Q1D6S8) Czc1C (OMF) (Q1D6S9) |
2.A.6.1.10 | Putative Cu2+ exporter, Czc2ABC. (induced by Cu2+ and other heavy metal ions; Moraleda-Muñoz et al., 2010) | Bacteria |
Myxococcota | Czc2AB of Myxococcus xanthus Czc2A (RND) (Q1D665) Czc2B (MFP) (Q1D664) |
2.A.6.1.11 | Putative metal ion exporter (induced by starvation; Moraleda-Muñoz et al., 2010) | Bacteria |
Myxococcota | Czc3ABC of Myxococcus xanthus Czc3A (RND) (Q1CVN2) Czc3B (MFP) (Q1CVN1) Czc3C (OMF) (Q1CVN0) |
2.A.6.1.12 | Bacteria |
Pseudomonadota | NccABC of Alcaligenes xylosoxidans NccA (RND) (Q44586) NccB (MFP) (Q44585) NccC (OMF) (Q44584) | |
2.A.6.1.13 | CzrABC Cd2+, Zn2+ resistance efflux pump (Hassan et al., 1999). | Bacteria |
Pseudomonadota | CzrABC of Pseudomonas aeruginosa CzrA (RND) (Q9RLI8) CzrB (MFP) (Q9RLI9) CzrC (OMF) (Q9RLJ0) |
2.A.6.1.14 | CznABC Cd2+, Zn2+, Ni2+ resistance efflux pump. Required for urea modulation and gastric colonization (Stähler et al., 2006). | Bacteria |
Campylobacterota | CznABC of Helicobacter pylori CznA (RND) (O25622) CznB (MFP) (O25623) CznC (OMF) (O25624) |
2.A.6.1.15 | The CzrCBA operon is induced by Cd2+ and Zn2+. CzrCBA transports Cd2+, Zn2+, and Co2+ but not Ni2+ (Valencia et al., 2013, in press). | Bacteria |
Pseudomonadota | CzrCBA of Caulobacter crescentus NA1000 CzrA (RND) (B8H146) CzrB (MFP) (B8H144) CzrC (OMF) (B8H143) |
2.A.6.1.16 | The nczCBA operon (also called the czc operon) is induced maximally by Ni2+ and Co2+, moderately by Zn2+ but not by Cd2+. NczCBA transports Ni2+ Co2+and probably Zn2+ and Cd2+(Valencia et al. 2013). | Bacteria |
Pseudomonadota | NczCBA of Caulobacter crescentus NA1000 NczA (RND) (B8GZE9) NczB (MFP) (B8GZE8) NczC (OMF) (B8GZE7) |
2.A.6.1.17 | Bacteria |
Pseudomonadota | ZniA of Cupriavidus metallidurans | |
2.A.6.1.18 | Bacteria |
Pseudomonadota | NimA of Cupriavidus metallidurans | |
2.A.6.2: The (Largely Gram-negative Bacterial) Hydrophobe/Amphiphile Efflux-1 (HAE1) Family | ||||
2.A.6.2.1 | Multidrug (acriflavin, doxorubicin, ethidium, rhodamine 6G, SDS, deoxycholate) resistance pump [required for normal chromosomal condensation and segregation as well as cell division] (Lau and Zgurskaya, 2005). Exports L-cysteine (Yamada et al., 2006). | Bacteria |
Pseudomonadota | AcrEF (EnvCD) of E. coli AcrE (MFP) (P24180) AcrF (EnvD) (RND) (P24181) |
2.A.6.2.2 | Multidrug/dye/detergent/bile salt/organic solvent resistance pump (substrates include: chloramphenicol, tetracycline, erythromycin, nalidixic acid, fusidic acid, fluoroquinolones, lipophilic β-lactams, norfloxacin, doxorubicin, novobiocin, rifampin, trimethoprim, acriflavin, crystal violet, ethidium, disinfectants, rhodamine-6G, TPP, benzalkonium, SDS, Triton X-100, deoxycholate/bile salts/organic solvents (alkanes), growth inhibitory steroid hormones (estradiola and progesterone), and phospholipids) (Elkins and Mullis, 2006). Lateral entry of substrates from the lipid bilayer into AcrB and its homologues has been proposed (Yu et al., 2003a; 2003b). [An asymmetric trimeric structure is established with AcrA having a hexameric structure, and TolC having a trimeric structure (Seeger et al., 2006]. A structure of a complex with YajC is also known (Törnroth-Horsefield et al., 2007). A covalently linked trimer of AcrB provides evidence for a peristaltic pump, alternative access, rotation mechanism (Takatsuka and Nikaido, 2009;Nikaido and Takatsuka, 2009; Pos, 2009) Further evidence for a rotatory mechanisms stems from kinetic analyses for cephalosporin efflux which can exhibit positive cooperativity (Nagano and Nikaido, 2009). May also export signaling molecules for cell-cell communication (Yang et al., 2006). The substrates may be captured in the lower cleft region of AcrB, then transported through the binding pocket, the gate, and finally to the AcrA funnel that connects AcrB to TolC (Husain & Nikaido et al., 2010). AcrB has been converted into a light-driven proton pump using delta-rhodopsin (dR) linked to AcrB via a glycophorin A transmembrane domain. This created a solar powered protein capable of selectively capturing antibiotics from bulk solutions (Kapoor and Wendell 2013). The trimeric structure is essential for activity (Ye et al. 2014). Association with AcrZ (TC# 8.A.50), a small 1 TMS protein (49 aas) that modifies the substrate specificity of AcrAB, has been demonstrated (Hobbs et al. 2012). In a similar way, the binding of YajC to AcrB stimulates the export of ampicillin (Törnroth-Horsefield et al. 2007). AcrZ binds to AcrB in a concave surface of the transmembrane domain (Du et al. 2015). Substrate binding accelerates conformational transitions and substrate dissociation, demonstrating cooperativity (Wang et al. 2015). The overall structure of AcrAB-TolC exemplifies the adaptor bridging model, wherein the funnel-like AcrA hexamer forms an intermeshing cogwheel interaction with the alpha-barrel tip region of TolC. Direct interaction between AcrB and TolC is not allowed (Kim et al. 2015). TMS2 in AcrB is required for lipophilic carboxylate binding. A groove shaped by the interface between TMS1 and TMS2 specifically binds fusidic acid and other lipophilic carboxylated drugs (Oswald et al. 2016). After ligand binding, a proton may bind to an acidic residue(s) in the transmembrane domain, i.e., Asp407 or Asp408, within the putative network of electrostatically interacting residues, which also include Lys940 and Thr978, and this may initiate a series of conformational changes that result in drug expulsion (Su et al. 2006). His978 is probably on the H+ pathway (Takatsuka and Nikaido 2006). AcrAB-TolC segregates to the old pole following cell division, causing the two daughter cells to exhibit different drug resistances (Bergmiller et al. 2017). The hoisting-loop is a highly flexible hinge that enables conformational energy transmission (Zwama et al. 2017). AcrB exhibits three distinct conformational states in the transport cycle, substrate access, binding, and extrusion, or loose (L), tight (T), and open (O) states, respectively (Yue et al. 2017). Simulations show that both Asp407 and Asp408 are deprotonated in the L/T states, while only Asp408 is protonated in the O state. Release of a proton from Asp408 in the O state results in large conformational changes. Simulations offer dynamic details of how proton release drives the O-to-L transition in AcrB (Yue et al. 2017). The three-dimensional structures of the homo-trimer complexes of AcrB-like transporters, and a three-step functional rotation helps to explain the mechanism of transport, but a more comprehensive model has been proposed (Zhang et al. 2017). Preparation of the trimeric complex (AcrAB/TolC) for cryo EM has been described (Du et al. 2018). The structural and energetic basis behind coupling functional rotation to proton translocation has been presented (Matsunaga et al. 2018). Protonation of transmembrane Asp408 in the drug-bound protomer drives rotation. The conformational pathway identifies vertical shear motions among several transmembrane helices, which regulate alternate access of water as well as peristaltic motions that pump drugs into the periplasm (Matsunaga et al. 2018). CryoEM of detergent-free AcrB preserves lipid-protein interactions for visualization and reveals how the lipids pack against the protein (Qiu et al. 2018). In the presence of translation-inhibiting antibiotics, resistance acquisition depends on the AcrAB-TolC multidrug efflux pump, because it reduces tetracycline concentrations in the cell. Protein synthesis can thus persist and TetA expression can be initiated immediately after plasmid acquisition. AcrAB-TolC efflux activity can also preserve resistance acquisition by plasmid transfer in the presence of antibiotics with other modes of action (Nolivos et al. 2019). Multiple transport pathways within AcrB are tuned to substrate physicochemical properties related to the polyspecificity of the pump (Tam et al. 2019). The cryoEM structure of AcrB in an artificial membrane at 3.9 Å resolution has been solved (Yao et al. 2020). The indole-dependent transport mechanism has been examined (Jewel et al. 2020). AcrB subunits rimerize to form the minimal functional unit, stabilized noncovalently by helix-helix interactions between TMS 1 and TMS 8. Peptides resembling these two TMSs inhibit subunit associations and drug export activity (Jesin et al. 2020). AcrB cycles between three functionally interdependent protomers through the loose (L), tight (T) and open (O) states during cooperative catalysis. Tam et al. 2021 presented 13 X-ray structures of AcrB in intermediate states of the transport cycle. Structure-based mutational analysis combined with drug susceptibility assays indicated that drugs are guided through dedicated transport channels toward the drug binding pockets. A co-structure obtained in the combined presence of erythromycin, linezolid, oxacillin and fusidic acid showed binding of fusidic acid deeply inside the T protomer transmembrane domain. Thiol cross-link substrate protection assays indicated that this transmembrane domain-binding site can also accommodate oxacillin or novobiocin but not erythromycin or linezolid. AcrB-mediated drug transport is suggested to be allosterically modulated in the presence of multiple drugs (Tam et al. 2021). Phenylalanine-arginine β-naphthylamide (PAβN) is an inhibitor of efflux pumps, including AcrAB, in Gram-negative bacteria (Al-Marzooq et al. 2023). Acacia senegal budmunchiamines are adjuvants for rejuvenating phenicol activities towards Escherichia coli-AcrAB-mediated drug resistant strains (Dofini Magnini et al. 2023). Pyridylpiperazine-based inhibitors of AcrAB have been characterized (Plé et al. 2022). Comparative reassessment of AcrB efflux inhibitors revealed differential impacts of specific pump mutations on the activities of potent compounds (Schuster et al. 2024). | Bacteria |
Pseudomonadota | AcrABZ of E. coli AcrA (MFP) (P31223) AcrB (RND) (P31224) AcrZ of 49 aas (P0AAW9) |
2.A.6.2.3 | Isoflavonoid efflux pump, IfeB, of 1046 aas and 12 TMSs in a 1 + 5 + 1 + 5 TMS arrangement (Palumbo et al. 1998). | Bacteria |
Pseudomonadota | IfeB of Agrobacterium tumefaciens |
2.A.6.2.4 | The multidrug resistance pump, AdeDE (exports amikacin, ceftazidime, chloramphenicol, ciprofloxacin, erythromycin, ethidium bromide, meropenem, rifampin, and tetracycline) (Chau et al., 2004). | Bacteria |
Pseudomonadota | AdeDE of Acinetobacter sp. 4356
AdeD (Q67GM1) AdeE (Q8GKU1) |
2.A.6.2.5 | Fatty acid, bile salt, gonadal steroid, antibacterial peptide efflux pump, MtrCDE (Kamal et al., 2007). Opening of the outer membrane protein channel, MtrE, in the tripartite efflux pump, MtrCDE, is induced by interaction with the membrane fusion partner, MtrC (Janganan et al., 2011). The crystal structure of the trimeric MtrE forms a vertical tunnel extending down contiguously from the outer membrane surface to the periplasmic end in the open conformational state of this channel (Lei et al. 2014). Coordination of substrate binding and protonation in MtrD controls the functionally rotating transport mechanism (Fairweather et al. 2021). The amino acyl sequence, N917-P927, plays a key role in modulating substrate access to the binding cleft and influences the overall orientation of the protein within the inner membrane necessary for optimal functioning (Chitsaz et al. 2021). | Bacteria |
Pseudomonadota | MtrCDE of Neisseria gonorrhoeae: MtrC (MFP) (P43505) MtrD (RND) (Q51073) MtrE (OMF) (Q51006) |
2.A.6.2.6 | Multiple drug; N-(3-oxododecanoyl)-L-homoserine lactone autoinducer efflux pump, MexB (functions with MexA (an MFP, 8.A.1) and OprM (an OMF, 1.B.17; see 2.A.6.2.21). All three interact with each other. MexA promotes assembly and stability of the complex (Nehme and Poole, 2007)). Exports β-lactams, fluoroquinolones, tetracycline, macrolides, chloramphenicol, biocides, and a toxic indole compound, CBR-4830, that targets the MreB actin (Robertson et al., 2007). Confers tolerance to tea tree oil and its monoterpene components Terpinen-4-ol, 1,8-cineole and α-terpineol (Papadopoulos et al., 2008) as well as the antimicrobial peptide, colistin (Pamp et al., 2008) (Mao et al., 2002; Poole, 2008). The crystal structure has been solved at 3.0 Å resolution (Sennhauser et al., 2009). The MexA-OprM complex has an elongated cylindrical appearance (Trépout et al., 2010). Mutations affecting export of antibiotics with cytoplasmic targets have been identified (Ohene-Agyei et al. 2012). RND-type xenobiotic transporters recognize hydrophobic substrates such as organic solvents by their periplasmic domains and expel them to the external milieu (Li et al. 2006). Differential impacts of MexB mutations on substrate selectivity of the MexAB-OprM multidrug efflux pump have been reported (Middlemiss and Poole 2004). MexAB-OprM is one of four primary drug exporters in P. aeruginosa (Lorusso et al. 2022). | Bacteria |
Pseudomonadota | MexAB of Pseudomonas aeruginosa MexA (P52477) MexB (P52002) |
2.A.6.2.7 | Multidrug efflux pump, AcrD (exports aminoglycosides (amikacin, gentamycin, neomycin, kanamycin and tobramycin) as well as anionic detergents (SDS and deoxycholate) and growth inhibitory steroid hormones (estradiol and progesterone)(Elkins and Mullis, 2006)) (exports aminoglycosides from the periplasm as well as the cytoplasm) (Aires and Nikaido, 2005). (Also contributes to copper and zinc resistance; regulation is mediated by BaeSR, and indole, Cu2+ and Zn2+ induce (Nishino et al., 2007)). Exports L-cysteine (Yamada et al., 2006). | Bacteria |
Pseudomonadota | AcrD of E. coli (P24177) |
2.A.6.2.8 | Multidrug efflux pump, ArpB (exports tetracycline, chloramphenicol, carbenicillin, streptomycin, erythromycin, novobiocin, etc.) | Bacteria |
Pseudomonadota | ArpB of Pseudomonas putida |
2.A.6.2.9 | Solvent efflux pump, TtgABC (extrudes toluene, styrene, m-xylene, ethylbenzene, acetate, α-pinene and propylbenzene) (Teran et al., 2007; Dunlop et al. 2011Dunlop et al. 2011). | Bacteria |
Pseudomonadota | TtgABC of Pseudomonas putida: TtgA (Q9WWZ9) TtgB (O52248) TtgC (Q9WWZ8) |
2.A.6.2.10 | Solvent efflux pump, TtgDEF (extrudes only toluene and styrene) (Teran et al., 2007). | Bacteria |
Pseudomonadota | TtgDEF of Pseudomonas putida: TtgD (Q9KWV5) TtgE (Q9KWV4) TtgF (Q9KWV3) |
2.A.6.2.11 | Solvent and antibiotic efflux pump, TtgGHI (SrpABC) (Kieboom et al. 1998; Terán et al., 2007) (solvents extruded include toluene, styrene, m-xylene, ethylbenzene and propylbenzene) (Teran et al., 2007). TtgGHI is the same as SrpABC (Kieboom et al., 1998) | Bacteria |
Pseudomonadota | TtgGHI of Pseudomonas putida TtgG (Q93PU5) TtgH (Q93PU4) TtgI (Q93PU3) |
2.A.6.2.12 | Heteromeric multidrug/detergent resistance protein YegM/YegN/YegO (MdtA/MdtB/MdtC) (Nishino and Yamaguchi 2001). Exports nalidixic acid, norfloxacin, cloxicillin, enoxacin, kanamycin, benzalkonium, bile salts, SDS and deoxycholate. It forms a complex with MdtA (YegM) (an MFP, TC# 8.A.1.6.2). Drug resistance depends on the simultaneous presence of all three proteins (Baranova and Nikaido, 2002). (Also contributes to copper and zinc resistance; regulation is mediated by BaeSR, and indole, Cu2+ and Zn2+ induce (Nishino et al., 2007)). MdtB:C stoichiometry = 2:1; MdtB and MdtC may play different roles (Kim et al., 2010), MdtB transporting the proton and MdtC transporting the drug (Kim and Nikaido 2012). MdtBC is reported to export bile salts without MdtA (Nagakubo et al. 2002), but this conclusion seems questionable. | Bacteria |
Pseudomonadota | MdtB/MdtC of E. coli MdtB (YegN) (P76398) MdtC (YegO) (P76399) |
2.A.6.2.13 | Multidrug/dye/detergent resistance protein, YhiU/YhiV or MdtE/MdtF (Nishino and Yamaguchi 2001) MdtE (YhiU) is listed under TC# 8.A.1.6.3. The system exports erythromycin, doxorubicin, crystal violet, ethidium, rhodamine 6G, TPP, benzalkonium, SDS, deoxycholate and growth inhibitory steroid hormones (estradiol and progesterone) (Elkins and Mullis, 2006). | Bacteria |
Pseudomonadota | YhiUV or MdtEF of E. coli |
2.A.6.2.14 | SmeVWX MDR efflux pump. Drugs include chloramphenicol, quinolones, tetracyclines and aminoglycosides, but not β-lactams and erythromycin (Chen et al., 2011). | Bacteria |
Pseudomonadota | SmeVWX of Stenotrophomonas maltophilia SmeV (MFP) (B2FLY3) SmeW (RND) (B2FLY4) SmeX (OMF) (B2FLY6) |
2.A.6.2.15 | Multidrug efflux pump, MexCD-OprJ (exports β-lactams, fluoroquinolones, tetracycline, macrolides, chloramphenicol, biocides, including levofloxacin, carbenicillin, aztreonam, ceftazidime, cefepime, cefoperazone, piperacillin, erythromycin, azithromycin, chloramphenicol, etc.; Mao et al., 2002). Functions with MexC (MFP) and OprJ (OMF) as indicated above (Mao et al., 2002; Poole, 2008; Lorusso et al. 2022). MexCD-OprJ is one of four primary drug exporters in P. aeruginosa (Lorusso et al. 2022). Collateral sensitivity (CS) is an evolutionary trade-off traditionally linked to the mutational acquisition of antibiotic resistance (AR) (Hernando-Amado et al. 2023). However, AR can be temporally induced. Mutational acquisition of ciprofloxacin resistance leads to robust CS to tobramycin in pre-existing antibiotic-resistant mutants of Pseudomonas aeruginosa. Further, the strength of this phenotype is higher when nfxB mutants, over-producing the efflux pump MexCD-OprJ, are selected. Hernando-Amado et al. 2023 induced transient nfxB-mediated ciprofloxacin resistance by using the antiseptic dequalinium chloride. Notably, non-inherited induction of AR renders transient tobramycin CS in the analyzed antibiotic-resistant mutants and clinical isolates, including tobramycin-resistant isolates. Further, by combining tobramycin with dequalinium chloride we drive these strains to extinction. Our results support that transient CS could allow the design of new evolutionary strategies to tackle antibiotic-resistant infections, avoiding the acquisition of AR mutations on which inherited CS depends (Hernando-Amado et al. 2023). The type of quinolone resistance mechanism is related to the frequency of MDRP and the risk of MDRP incidence is highly dependent on the order of exposure to gentamicin and ciprofloxacin (Yasuda et al. 2023). | Bacteria |
Pseudomonadota | MexD of Pseudomonas aeruginosa |
2.A.6.2.16 | Multidrug efflux pump, MexEF-OprN (exports fluoroquinolones, chloramphenicol, biocides, and xenobiotics; functions with MexE (MFP) and OprN (OMF)) as noted above (Kohler et al., 1997; Poole, 2008; Lorusso et al. 2022). The P. putida orthologue also exports solvents such as farnesyl hexanoate (Dunlop et al. 2011). MexAB-OprM is one of four primary drug exporters in P. aeruginosa (Lorusso et al. 2022). | Bacteria |
Pseudomonadota | MexF of Pseudomonas aeruginosa (AAG05882) |
2.A.6.2.17 | Multidrug efflux pump, MexK (exports fluoroquinolones, macrolides, chloramphenicol; biocides, and triclosan [with MexJ but without OprM] as well as tetracycline, erythromycin [requiring both MexJ and OprM]; Chuanchuen et al., 2002). Can function with OpmH (BAC24099) instead of OprM (Poole, 2008). | Bacteria |
Pseudomonadota | MexK of Pseudomonas aeruginosa |
2.A.6.2.18 | The polycyclic aromatic hydrocarbon (phenanthrene; anthacene; fluoranthene)/drug (chloramphenicol; nalidixic acid) exporter, EmhABC (Hearn et al., 2003; 2006) | Bacteria |
Pseudomonadota | EmhABC of Pseudomonas fluorescens EmhA (Q6V6X9) EmhB (Q6V6X8) EmhC (Q6V6X7) |
2.A.6.2.19 | The multidrug efflux pump, EefABC (exports chloramphenicol, ciprofloxacin, erythromycin, tetracycline and doxycycline) (Masi et al., 2005). EefC exhibits low ionic selectivity (Masi et al., 2007). | Bacteria |
Pseudomonadota | EefABC of Enterobacter aerogenes EefA (MFP) (Q8GC84) EefB (RND) (Q8GC83) EefC (OMF) (Q8GC82) |
2.A.6.2.20 | The toxoflavin (a phytotoxin) exporter, ToxGHI (Kim et al., 2004) | Bacteria |
Pseudomonadota | ToxGHI of Burkholderia glumae ToxG (MFP) (AAV52812) ToxH (RND) (AAV52813) ToxI (OMF) (AAV52814) |
2.A.6.2.21 | The multidrug (aminoglycosides, β-lactams, fluoroquinolones, macrolides, chloramphenicol, tetracycline, erythromycin, ofloxacin, etc.) efflux pump, MexXY-OprM (Jeannot et al., 2005). The 3-d structurre of OprM (also called OprK) is known (1WP1). RND-type xenobiotic transporters recognize hydrophobic substrates such as organic solvents by their periplasmic domains and expel them to the external milieu (Li et al. 2006). The MexXY multidrug exporter is frequently overexpressed in ciprofloxacin resistant cells (Serra et al. 2019). Increased expression or overexpression ofMexXY-OprM efflux pumps is the leading cause of carbapenem (imigenem; meropenem) resistance (Petrova et al. 2019). | Bacteria |
Pseudomonadota | MexXY-OprM of Pseudomonas aeruginosa MexX, BAA34299 MexY, BAA34300 OprM, Q51487 |
2.A.6.2.22 | The conjugated and unconjugated bile (bile-inducible)/multidrug (ethidium, ciprofloxacin, norfloxacin, tetracycline, cefotaxime, rifampicin, erythromycin, chloramphenicol, salicylate; drug-noninducible) efflux pump, CmeABC (Lin et al., 2005). The 3-d structure of the OMF, CmeC, has been determined (Su et al. 2014). The system is involved in biofilm production (Teh et al. 2017). | Bacteria |
Campylobacterota | CmeABC of Campylobacter jejuni CmeA (MFP) (AAL74244) CmeB (RND) (AAL74245) CmeC (OMF) (AAL74246) |
2.A.6.2.23 | The multidrug (β-lactams, aminoglycerides (gentamycin and streptomycin) macrolides (erythromycin) and dye (acriflavin)) efflux pump, BpeAB-OprB (Chan et al., 2004; Chan and Chua, 2005). It also exports acyl homoserine lactones including N-octanoyl-homoserine lactone, N-decanoyl-homoserine lactone, N-(3-hydroxy)-octanoyl-homoserine lactone, N-(3-hydroxy)-decanoyl-homoserine lactone, N-(3-oxo)-decanoyl-homoserine lactone, and N-(3-oxo)-tetradecanoyl-homoserine lactone (Chan et al., 2007). Q9HWH6 is a DoxX family member (see 9.B.214.2). | Bacteria |
Pseudomonadota | BpeAB-OprB of Burkholderia pseudomallei BpeA (MFP) (AAQ94109) BpeB (RND) (AAQ94110) OprB (OMF) (AAQ94111) |
2.A.6.2.24 | The multidrug (aminoglycosides (e.g., streptomycin, gentamycin, neomycin, tobramycin, kanamycin and spectinomycin) and macrolides (e.g., erythromycin and clarithromycin, but not lincosamide and clindamycin)) efflux pump, AmrAB-OprA (Moore et al., 1999) | Bacteria |
Pseudomonadota | AmrAB-OprA of Burkholderia pseudomallei AmrA (MFP) AAC27753 AmrB (RND) AAC27754 OprA (OMF) |
2.A.6.2.25 | The gold (Au2+) resistance efflux pump, GesABC (induced by GolS in the presence of Au2+; also mediates drug resistance when induced by Au2+ (Pontel et al., 2007). Also exports a variety of organic chemicals including chloramphenicol (Conroy et al., 2010). | Bacteria |
Pseudomonadota | GesABC of Salmonella enterica GesA (MFP) (Q8ZRG8) GesB (RND) (Q8ZRG9) GesC (OMF) (Q8ZRH0) |
2.A.6.2.26 | The multidrug efflux pump, VmeAB-VpoC (Matsuo et al., 2007). There are 11 RND-type efflux transporters in Vibrio parahaemolyticus, and several (VmeCD, VmeEF and VmeYZ) contribute not only to intrinsic drug resistance but also to virulence (Matsuo et al. 2013). | Bacteria |
Pseudomonadota | VmeAB-VpoC of Vibrio parahaemolyticus: VmeA (MFP) (Q2AAU4) VmeB (RND) (Q2AAU3) VpoC (OMF) (Q87SJ8) |
2.A.6.2.27 | The Triclosan resistance efflux pump TriABC-OpmH (the only known RND pump requiring two MFPs) (Mima et al., 2007) | Bacteria |
Pseudomonadota | TriABC-OpmH of Pseudomonas aeruginosa TriA (MFP) (Q9I6X6) TriB (MFP) (Q9I6X5) TriC (RND) (Q9I6X4) OpmH (OMF) (Q9HUJ1) |
2.A.6.2.28 | Multidrug efflux pump, AcrAB (Bina et al. 2008). | Bacteria |
Pseudomonadota | AcrAB of Francisella tularensis
|
2.A.6.2.29 | The AdeIJK MDR pump (contributes to resistance to β-lactams, chloramphenicol, tetracycline, erythromycin, lincosamides, fluoroquinolines, fusidic acid, tigecycline, novobiocin, rifampin, trimethoprim, acridine, safranin, pyronine, triclosan and sodium dodecyl sulfate) (Damier-Piolle et al., 2008; Fernando et al. 2014Fernando et al. 2014) | Bacteria |
Pseudomonadota | AdeIJK of Acinetobacter baumannii AdeI (MFP) (Q2FD95) AdeJ (RND) (Q24LT7) AdeK (OMF) (Q24LT6) |
2.A.6.2.30 | VexEF-TolC mediates resistance to various antimicrobials; ethidium efflux is Na+-dependent (Rahman et al., 2007) | Bacteria |
Pseudomonadota | VexEF / TolC of Vibrio cholerae VexE (MFP) (A6P7H2) VexF (RND) (A6P7H3) TolC (OMF) (Q9K2Y1) |
2.A.6.2.31 | Multidrug efflux pump, SdeAB-HasF (mediates fluoroquinolone efflux) (Begic and Worobec, 2008) (HasF is > 60% identical to TolC of E. coli (1.B.17.1.1)) | Bacteria |
Pseudomonadota | SdeAB-HasF of Serratia marcescens SdeA (MFP) (Q79MP5) SdeB (RND) (Q84GI9) HasF (OMF) (Q6GW09) |
2.A.6.2.32 | Multidrug efflux pump, MexHI OpmD (exports fluoroquinolones; Poole, 2008). The encoding genes are part of the SoxR regulon (Naseer et al. 2014). These genes are preceded by a gene encoding PA4205, a 148 aas 4 TMS protein, MexG, a member of the DoxX family (TC# 9.B.214) of unknown function, but possibly a component of this ABC transporter (Naseer et al. 2014). | Bacteria |
Pseudomonadota | MexHI OpmD of Pseudomonas aeruginosa MexH (MFP) (Q9HWH5) MexI (RND) (Q9HWH4) OpmD (OMF) (Q9HWH3) MexG (4 TMS protein (Q9HWH6) |
2.A.6.2.33 | Multidrug efflux pump, MexVW-OprM (exports fluoroquinolones, macrolides, chloramphenicol, tetracycline, erythromycin, ethidium bromide and acriflavine, and elevated ethidium bromide extrusion was observed (Li et al. 2003). MexAB-OprM and MexVW-OprM were both expressed at increased levels in the presence of elevated Ca2+ (Khanam et al. 2017). | Bacteria |
Pseudomonadota | MexVW-OprM of Pseudomonas aeruginosa MexV (MFP), 376 aas (QKK87500.1) MexW (RND), 1018 aas (Q9HW27) OprM (OMF), 485 aas (BAA28694.1) |
2.A.6.2.34 | Multidrug efflux pump, MexPQ-OpmE; export fluoroquinolones, tetracycline, macrolides and chloramphenicol (Poole, 2008) | Bacteria |
Pseudomonadota | MexPQ-OpmE of Pseudomonas aeruginosa MexP (MFP) (Q9HY86) MexQ (RND) (Q4LDT6) OpmE (OMF) (Q9HY88) |
2.A.6.2.35 | Multidrug efflux pump, MexMN-OprM; exports chloramphenicol (Poole, 2008) | Bacteria |
Pseudomonadota | MexMN-OprM of Pseudomonas aeruginosa MexM (MFP) (Q9I3R2) MexN (RND) (Q4LDT8) |
2.A.6.2.36 | Multidrug/detergent exporter. VexB (Bina et al., 2008b). | Bacteria |
Pseudomonadota | VexB of Vibrio cholerae (Q9KVI2) |
2.A.6.2.37 | Detergent exporter, VexD (Bina et al., 2008b). | Bacteria |
Pseudomonadota | VexD of Vibrio cholerae (A6P7H1) |
2.A.6.2.38 | Detergent exporter, VexK (Bina et al., 2008b). | Bacteria |
Pseudomonadota | VexK of Vibrio cholerae (Q9KRG9) |
2.A.6.2.39 | THe MuxABC-OpmB multidrug (aztreonam, macrolides, novobiocin and tetracycline) resistance efflux pump complex (with two RND-type proteins (MuxB and MuxC)), both required for activity (Mima et al., 2009). Linking small antimicrobial peptides (AMPs) covalently to siderophores forms a new class of Trojan Horse antibiotics, with P1-DFP and P1-DFX being the most potent conjugates that kill P. aerugniosa (Olshvang et al. 2023). | Bacteria |
Pseudomonadota | MuxABC-OpmB complex of Pseudomonas aeruginosa MuxA (MFP) (PA2528) (Q9I0V5) MuxB (RND) (PA2527) (Q9I0V6) MuxC (RND) (PA2526) (Q9I0V7) OpmB (OMF) (Q9I0V8) |
2.A.6.2.40 | MDR pump, AdeABC (Acinetobacter drug efflux B = AdeB).It exports chloramphenicol and tetracycline (Hassan et al., 2011), but also confers resistance to meropenem, tigecycline and ceftazidime (Peleg et al. 2007; Provasi Cardoso et al. 2016). Morgan et al. 2021 reported six structures of the trimeric AdeB multidrug efflux pump in the presence of ethidium bromide using single-particle cryo-EM. These structures allowed them to directly observe various novel conformational states of the AdeB trimer. The transmembrane region of trimeric AdeB can associate with formation of a trimeric assembly or dissociated into "dimer plus monomer" and "monomer plus monomer plus monomer" configurations. A single AdeB protomer can simultaneously anchor a number of ethidium ligands, and different AdeB protomers can bind ethidium molecules simultaneously. A drug transport mechanism was proposed that involves multiple multidrug-binding sites and various transient states of the AdeB membrane protein. This suggests that each AdeB protomer within the trimer binds and exports drugs independently (Morgan et al. 2021). | Bacteria |
Pseudomonadota | AdeABC of Acinetobacter baumannii AdeA (MFP) (Q2FD71) AdeB (RND) (Q2FD70) AdeC (OMF) (Q2FD69) |
2.A.6.2.41 | SmeABC MDR efflux pump. Drugs include ciprofloxacin (Cho et al., 2012). | Bacteria |
Pseudomonadota | SmeABC of Stenotrophomonas maltophilia SmeA (MFP) (Q9RBY9) SmeB (RND) (Q9RBY8) SmeC (OMF) (Q9RBY7) |
2.A.6.2.42 | SmeDEF MDR efflux pump. Mediates resistance to a wide range of drugs including ethidium bromide and norfloxacin (Alonso and Martínez, 2000). Regulated by SmeT and activated by insertion of the transposon, IS1246 (Gould and Avison, 2006). | Bacteria |
Pseudomonadota | SmeDEF of Stenotrophomonas maltophilia SmeD (MFP) (Q9F241) SmeE (RND) (Q9F240) SmeF (OMF) (Q9F239) |
2.A.6.2.43 | Multidrug resistance pump, SmeJK. Shown to export teracycline, minocycline, ciprofloxacin and levofloxacin (Gould et al., 2012). | Bacteria |
Pseudomonadota | SmeJK of Stenotrophomonas maltophilia D457 SmeJ (I0KTJ0) SmeK (I0KTJ1) |
2.A.6.2.44 | Multidrug efflux pump, AdeFGH. Mediates high level resistance to chloramphenicol, clindamycin, fluoroquinolones, carbapenem and trimethoprim and decreased susceptibility to tetracycline-tigecycline and sulfonamides; susceptibility to β-lactams, erythromycin, aminoglycosides and rifampin was not affected. It also mediates increased resistance to ethidium bromide, safranin O, acridine orange, trimethoprim and sulfamethoxazole (Coyne et al. 2010; AlQumaizi et al. 2022). | Bacteria |
Pseudomonadota | AdeFGH of Acinetobacter baumannii AdeF (MFP) (Q2FD82) AdeG (RND) (Q2FD81) AdeH (OMF) (Q2FD80) |
2.A.6.2.45 | The AcrA/AcrB multidrug resistance pump. Exports various toxic compounds, including antibiotics, phytoalexins, and detergents. Mutants are less virulent on tomato plants than the wild-type strain (Brown et al. 2007). | Bacteria |
Pseudomonadota | AcrAB of Ralstonia solanacearum (Pseudomonas solanacearum) |
2.A.6.2.46 | Solvent (such as limonene) efflux pump, TtgABC (Dunlop et al. 2011). | Bacteria |
Pseudomonadota | TtgABC of Alcanivorax borkumensis TtgA (MFP) TtgB (RND) TtgC (OMF) |
2.A.6.2.47 | Multidrug resistance exporter, OqxA (BepF)-OqxB (BepE) (Taherpour and Hashemi 2013). | Bacteria |
Pseudomonadota | OqxAB of Klebsiella pneumoniae OqxA, MFP OqxB, RND |
2.A.6.2.48 | Multidrug resistance (MDR) pump, AcrD, AcrF, Env. Catalyzes efflux of various hydrophilic and amphipathic drugs including clotrimazole and luteolin, but not aminoglycosides. Induction of acrD expression occurs in infected apple tissue but not in pear tissues. AcrD is regulated by the two component BaeSR sensor kinase/response regulator (Pletzer and Weingart 2014). | Bacteria |
Pseudomonadota | ArcD of Erwinia amylovora, the causal agent of fire blight disease. |
2.A.6.2.49 | Multidrug resistance exporter, AcrABZ. Exports tigecycline and many other drugs (Nielsen et al. 2014; Li et al. 2016; Yuhan et al. 2016; He et al. 2015; Bialek-Davenet et al. 2015). AcrA-AcrB-AcrZ-TolC is a drug efflux protein complex with a broad substrate specificity. AcrZ (YbhT) binds to AcrB and is required for efflux of some but not all substrates, suggesting it may influence the specificity of drug export (Hobbs et al. 2012; Du et al. 2015). K. pneumoniae TolC plays a role in resistance towards most antibiotics, suggesting that it interacts with the AcrAB efflux pump (Iyer et al. 2019). Expression as well as missense mutations in the crrB gene promotes resistance to odilorhabdin class compounds including NOSO-502 (Pantel et al. 2021). A pyridylpiperazine efflux pump inhibitor, BDM91288, boosts in vivo antibiotic efficacy against K. pneumoniae. Using cryo-EM, BDM91288 binding to the transmembrane region of K. pneumoniae AcrB was dwmostrated, validating the mechanism of action of this inhibitor. Oral administration of BDM91288 significantly potentiated the in vivo efficacy of levofloxacin treatment in a murine model of K. pneumoniae lung infection (Vieira Da Cruz et al. 2024). | Bacteria |
Pseudomonadota | AcrABZ of Klebsiella pneumoniae AcrA (MFP) AcrB (RND) AcrZ (YbhT) (RND auxiliary protein; see 8.A.50) |
2.A.6.2.50 | AcrB multidrug exporter of 1,032 aas and 12 TMSs (Zwama et al. 2019). | Bacteria |
Pseudomonadota | AcrB of Haemophilus influenzae |
2.A.6.3: The Putative Nodulation Factor Exporter (NFE) Family | ||||
2.A.6.3.1 | Putative lipooligosaccharide nodulation factor exporter, NolG (1065 aas; previously thought to be 3 ORFs, NolGHI, an artifact due to sequencing errors and consequent frameshifting (Baev et al. 1991; Ardourel et al. 1994). | Bacteria |
Pseudomonadota | NolG of Rhizobium meliloti (P25197) |
2.A.6.3.2 | NolG homologue, Atu4636 | Bacteria |
Pseudomonadota | NolG of Agrobacterium tumefaciens (A9CGX6) |
2.A.6.3.3 | NolG homologue | Bacteria |
Pseudomonadota | NolG of Acinetobacter baumanii (E8PBU7) |
2.A.6.3.4 | NolG homologue | Bacteria |
Myxococcota | NolG of Myxococcus xanthus (Q1DEX6) |
2.A.6.3.5 | NolG homologue | Bacteria |
Cyanobacteriota | NolG of Synechococcus sp. PCC7335 (B4WH09) |
2.A.6.3.6 | NolG homologue | Bacteria |
Bacillota | NolG of Oceanobacillus iheyensis (Q8CX78) |
2.A.6.3.7 | Putative Cu2+ exporter, Cus3ABC. Induced by Cu2+; Moraleda-Muñoz et al., 2010) | Bacteria |
Myxococcota | Cus3ABC of Myxococcus xanthus Cus3A (RND) (Q1CZ65) Cus3B (MFP) (Q1CZ64) Cus3C (OMF) (Q1CZ66) |
2.A.6.3.8 | Efflux pump for antifungal and antibacterial syringopeptin and syringmycin lipodepsipeptides (see 1.D.35) as well as acriflavin, erythromycin and tetracycline, PseABC (Kang and Gross 2005). | Bacteria |
Pseudomonadota | PseABC of Pseudomonas syringae PseA (OMF) (L8NE56) PseB (MFP) (L8NGR5) PseC (RND) (L8NFZ8) |
2.A.6.3.9 | Primary surfactin (a lipodepsipeptide) exporter of 1056 aas and 12 TMSs, YerP (Li et al. 2015). | Bacteria |
Bacillota | YerP of Bacillus subtilis |
2.A.6.3.10 | Multidrug resistance pump, CmeDEF. The substrates of CmeDEF include ampicillin, ethidium bromide, acridine, sodium dodecyl sulfate (SDS), deoxycholate, triclosan, and cetrimide, but not ciprofloxacin or erythromycin (Pumbwe et al. 2005). This system is similar to the Helicobacter pylori MDR pump, HefABC (Huang et al. 2015). | Bacteria |
Campylobacterota | CmeDEF of Campylobacter jejuni CmeD (OMF, 424 aas) CmeE (MFP, 246 aas) CmeF (RND. 1005 aas |
2.A.6.3.11 | RND family protein involved in virulence and resistance to antimicrobial agents, BesABC. BesC forms channels in lipid bilayers (Bunikis et al. 2008). | Bacteria |
Spirochaetota | BesABC of Borrelia burgdorferi BesA, 317 aas BesB, 1070 aas BesC, 428 aas |
2.A.6.3.12 | The multidrug efflux porter, HefABC; HefA is an OMF (TC#1.b.17) of 477 aas and 1 N-terminal TMS; HefB is an MFP (TC# 8.A.1) of 234 aas and 1 N-terminal TMS. HefC is the RND pump of 1028 aas and 12 TMSs (Mehrabadi et al. 2011; Liu et al. 2008). | Bacteria |
Campylobacterota | HefABC of Helicobacter pylori |
2.A.6.3.13 | RND exporter of thiophosphate of 1085 aas and 12 TMSs, functioning with an MFP of 337 aas and 1 N-terminal TMS. | Bacteria |
Pseudomonadota | Thiophosphate exporter of Shewanella oneidensis |
2.A.6.3.14 | BmeA5/B5/C5 multidrug efflux pump. BmeR5 is a local repressor of bmeABC5 expression, and mutations in the intergenic region between bmeR and bmeA led to derepression and resistance to multiple antimicrobial agents, including metronidazole (Pumbwe et al. 2007). | Bacteria |
Bacteroidota | BmeA5/B5/C5 of Bacteroides fragilis BmeA5, 338 aas and 1 N-terminal TMS BmeB5, 1,052 aas and 12 TMSs BmeC5, 450 aas and 1 N-terminal TM |
2.A.6.3.15 | Multidrug resistance RND pump of 1044 aas and 12 TMSs (Chanket et al. 2024). | Bacteria |
Bacillota | RND drug efflux pump of Clostridioides difficile (strain 630) (Peptoclostridium difficile) |
2.A.6.4: The SecDF (SecDF) Family | ||||
2.A.6.4.1 | The secretory accessory proteins, SecDF. The first periplasmic domain of SecDF has been crystallized (Echizen et al., 2011) as has the intact SecDF complex (Tsukazaki and Nureki 2011). SecDF has been reported to function as a pmf-driven H+ transporter that facilitates protein translocation (Tsukazaki et al. 2011). It may assume at least two conformations differing by a 120 degrees rotation during polypeptide translocation (Mio et al. 2014). SecDF is proposed to undergo repeated conformational transitions to pull out the precursor protein from the SecYEG channel into the periplasm (Tsukazaki 2018). Once SecDF captures the precursor protein on the periplasmic surface, it can complete protein translocation even if SecA function is inactivated by ATP depletion, implying that SecDF is a protein-translocation motor that works independent of SecA. Structural and functional analyses of SecDF suggested that SecDF utilizes the proton gradient and interacts with precursor proteins in the flexible periplasmic region. The crystal structures of SecDF in different states at more than 3 Å resolution were reported in 2017 and 2018, which further improved our understanding of the dynamic molecular mechanisms of SecDF (Tsukazaki 2018). | Bacteria |
Pseudomonadota | SecDF of E. coli; SecD; SecF |
2.A.6.4.2 | Protein translocase subunit SecDF | Bacteria |
Bacillota | SecDF of Bacillus subtilis |
2.A.6.4.3 | Protein translocase subunit SecDF. The 3-dimensional structure is known at 3.3 Å resolution (Tsukazaki et al. 2011). SecDF serves several functions, such as stabilizing other Sec translocon components within the membrane, maintaining the transmembrane (TM) potential, and facilitating the ATP-independent stage of the translocation mechanism. SecDF also undergoes functionally important conformational changes that involve mainly its P1-head domain, and these changes are coupled with the proton motive force (Δpmf). Using all-atom molecular dynamics simulations combined with umbrella sampling, Ficici et al. 2017 studied the P1-head conformational change and how it is coupled to the pmf. They reported potentials of mean force along a root-mean-square-distance-based reaction coordinate obtained in the presence and absence of the TM electrical potential. Their results showed that the interaction of the P1 domain dipole moment with the TM electrical field lowers the free-energy barrier in the direction of the F-form to I-form transition, two conformations that vary by the relative positioning of the P1-head
subdomain—the large periplasmic domain of TtSecDF—which is suggested to
undergo a hinge motion (Ficici et al. 2017). | Bacteria |
Deinococcota | SecDF of Thermus thermophilus |
2.A.6.4.4 | SecDF of 1254 aas and 12 TMSs | Bacteria |
Mycoplasmatota | SecDF of Spiroplasma diminutum |
2.A.6.5: The (Gram-positive Bacterial Putative) Hydrophobe/Amphiphile Efflux-2 (HAE2) Family | ||||
2.A.6.5.1 | The antibiotic actinorhodin transport-associated protein, ActII3 | Bacteria |
Actinomycetota | ActII3 of Streptomyces coelicolor |
2.A.6.5.2 | The lipid exporter, mycobacterial membrane protein Large-7, MmpL7, is required for the export of the virulence lipid, phthiocerol dimycocerosate (PDIM), in Mycobacterium tuberculosis. MmpL7. It also confers high level isoniazid efflux and resistance (Pasca et al., 2005). MmpL7 is also involved in the transport of the structurally related phenolic glycolipid (PGL). Moolla et al. 2021 generated an in silico model of MmpL7 that revealed MmpL7 as a functional outlier within the MmpL family, missing a canonical proton-relay signature sequence, suggesting that it employs a yet-unidentified mechanism for energy coupling for transport. The periplasmic porter domain 2 insert (PD2-insert), which doesn't share recognisable homology, is highly alpha-helical in nature, suggesting an organisation similar to that seen in the hopanoid PD3/4 domains. They also identified residues present in the transmembrane domains TM4 and TM10, and the PD2 domain insert that play crucial roles in PDIM transport (Moolla et al. 2021).
| Bacteria |
Actinomycetota | MmpL7 of Mycobacterium tuberculosis ( P65370) |
2.A.6.5.3 | The putative glycopeptidolipid exporter, TmtpC (most similar to MmpL of M. leprae; implicated in sliding motility). May function with the MmpS4 protein of Mucobacterium smegmatis (A0QPN7) to form a scaffold for coupled biosynthesis and transport (Deshayes et al., 2010). | Bacteria |
Actinomycetota | TmtpC of Mycobacterium smegmatis |
2.A.6.5.4 | Sulfolipid, 2,3-diacyl-α, α'-D-trehalose-2'-sulfate (sulfatide precursor) exporter, MmpL8 (Domenech et al., 2004; Seeliger et al. 2012). Mutations associated with tuberculosis in mmpl8 as well as mmpl3 and mmpl9 have been isolated (Seeliger et al. 2012). Mutations associated with tuberculosis in mmpl8 as well as mmpl3 and mmpl9 have been isolated (Khan et al. 2022). | Bacteria |
Actinomycetota | MmpL8 of Mycobacterium tuberculosis (CAB10022) |
2.A.6.5.5 | Mycobacterial heme acquisition system, Rv0202c - Rv0207c. Takes up free heme and heme from hemoglobin as an iron source together with the secreted protein, Rv0203 (O53654) (Owens et al. 2013). May function with Rv0206c (MmpL3; TC#2.A.6.5.6) and Rv0202c (Tullius et al., 2011). However, see description of MmpL3 (2.A.6.5.6). These two proteins are targets of drug action (Owens et al. 2013). A 12 TMS topology has been suggested (Belardinelli and Jackson 2017). Mycobacterial membrane protein Large 3 (MmpL3) is a promising drug target because its activity is essential and required for cell-wall biosynthesis. Several classes of MmpL3 inhibitors have been developed against Mycobacterium tuberculosis (Mtb) with potent anti-TB activity, one of which is the drug candidate SQ109. Yang et al. 2020 have determined crystal structures of MmpL3 in complex with NITD-349 and SPIRO. Both inhibitors bind deep in the central channel of the transmembrane (TM) domain and cause conformational changes to the protein. The amide nitrogen and indole nitrogen of NITD-349 and the piperidine nitrogen of SPIRO interact and clamp Asp645. Analysis of the two structures reveals that these inhibitors target the proton relay pathway to block the activity of MmpL3 (Yang et al. 2020). | Bacteria |
Actinomycetota | Heme uptake system of Mycobacterium tuberculosis MmpL11 (P65374) |
2.A.6.5.6 | The mycobacterial membrane protein large 3 (MmpL3) (Rv0206; 944 aas) may function with MmpL11 (TC# 2.A.6.5.5) (Tullius et al., 2011). MmpL3 exports trehalose monomycolate (TMM), involved in mycolic acid donation to the cell wall core (Tahlan et al., 2012). SQ109, a 1,2,-diamine related to ethambutol is an inhibitor of MmpL3 (Tahlan et al., 2012). The system may also transport heme. Inhibitors have been identified (Rayasam 2013; Li et al. 2014). MmpL3 has been shown to be a homotrimer of three 12 TMS subunits, confirming its RND-type structure (Belardinelli et al. 2016). MmpL3 is a flipppase for mycolic acids, transporting them from the cytoplasmic side of the inner membrane to the external side. A 1.5-diarylpyrrole compound, BM212, is a potent inhibitor (Xu et al. 2017). Inactivation of the mmpL3 gene in M. neoaurum increased the permeability of the outer membrane and allowed increased uptake of sterols for coversion to other sterols for industrial purposes. One such product is 22-hydroxy-23,24-bisnorchol-4-ene-3-one (4-HBC), used for the synthesis of various steroids in the industry (Xiong et al. 2017). Since iron deprivation decreases expression of the mmpL3 gene, a metal chelation strategy could boost the effectiveness of current anti-TB drug regimes to combat drug resistant TB (Pal et al. 2018). Crystal structures are available for MmpL3 alone and in complex with four TB drug candidates. MmpL3 consists of a periplasmic pore domain and a twelve-helix transmembrane domain. Two Asp-Tyr pairs centrally located in this domain appear to facilitate proton-translocation. SQ109, AU1235, ICA38, and rimonabant bind inside the transmembrane region and disrupt these Asp-Tyr pairs (Zhang et al. 2019). MmpL3 can be directly inhibited by several antitubercular compounds (Li et al. 2019). Yang et al. 2020 have determined crystal structures of MmpL3 in complex with NITD-349 and SPIRO. Both inhibitors bind deep in the central channel of the transmembrane (TM) domain and cause conformational changes to the protein. The amide nitrogen and indole nitrogen of NITD-349 and the piperidine nitrogen of SPIRO interact and clamp Asp645. Analysis of the two structures reveals that these inhibitors target the proton relay pathway to block the activity of MmpL3 (Yang et al. 2020). The (MmpL3) transporter is required for shuttling the lipid trehalose monomycolate (TMM), a precursor of mycolic acid (MA)-containing trehalose dimycolate (TDM) and mycolyl arabinogalactan peptidoglycan (mAGP), in Mycobacterium species, including Mycobacterium tuberculosis and Mycobacterium smegmatis. It facilitates the transport of fatty acids and lipidic elements to the mycobacterial cell wall. Su et al. 2021 reported 7 structures of the M. smegmatis MmpL3 transporter in its unbound state and in complex with trehalose 6-decanoate (T6D) or TMM using single-particle cryo-EM and X-ray crystallography. Combined with calculated results from molecular dynamics (MD) and target MD simulations, they revealed a lipid transport mechanism that involves a coupled movement of the periplasmic domain and transmembrane helices of the MmpL3 transporter that facilitates the shuttling of lipids to the mycobacterial cell wall (Su et al. 2021). Antibacterial compounds that target MmpL3 called ST004, have been identified and studied, showing that this compound strongly inhibits growth, and the cryoEM structure of MmpL3 with ST004 bound has been determined (Hu et al. 2022). PgfA (MSMEG_0317; TC# 1.B.163.1.9), a periplasmic protein that interacts with MmpL3, is a key determinant of polar growth and cell envelope composition in mycobacteria, and the LamA-mediated recruitment of this protein to one side of the cell is a required step in the establishment of cellular asymmetry (Gupta et al. 2022). Mycobacterial membrane protein large 3 (MmpL3) is an essential mycolic acid and lipid transporter required for growth and cell viability, and its function and inhibition have been reviewed (Williams and Abramovitch 2023). A continuous water pathway through the transmembrane region has been proposed, illustrating a putative pathway for protons. TMM can diffuse from the membrane into a binding pocket in MmpL3 spontaneously. Acetylation of TMM, which is required for transport, makes it more stable within MmpL3's periplasmic cavity compared to the unacetylated form (Li et al. 2023). Equilibrium simulations revealed that trehalose monosmycolate can diffuse from the membrane into a binding pocket in MmpL3 spontaneously. Acetylation of TMM, which is required for transport, makes it more stable within MmpL3's periplasmic cavity (Li et al. 2023). Consistent with the close-open motion of the two PD domains, TMM entry size changes in the apo system, likely loading and moving the TMM, but it does not vary much in the holo system and probably impairs the movement of the TMM (Carbone et al. 2023). Water molecules passed through the central channel of the MmpL3 transporter to the cytoplasmic side in the apo system but not in the holo system, with a mean passing time of ∼135 ns. Because water wires play an essential role in transporting protons, these findings shed light on the importance of the PMF in driving the close-open motion of the two TMSs. The key channel residues involved in water passage display considerable overlap with conserved residues within the MmpL protein family, supporting their critical functional role (Carbone et al. 2023). The inhibitory mechanism of anti-TB drug SQ109 involves the allosteric inhibition of TMM translocation by MmpL3 (Carbone et al. 2023). Allosteric coupling of substrate binding and proton translocation in MmpL3 has been demonstrated (Babii et al. 2024). It is required for the translocation of mycolic acids in the form of trehalose monomycolates (TMM) from the cytoplasm or plasma membrane to the periplasm or outer membrane (Babii et al. 2024). MmpL3-dependent transport of TMM is essential for the growth of M. tuberculosis in vitro, inside macrophages, and in M. tuberculosis-infected mice. MmpL3 is also a validated target for several anti-mycobacterial agents. | Bacteria |
Actinomycetota | MmpL3 of Mycobacterium tuberculosis (O53657) |
2.A.6.5.7 | Siderophore export transporter, MmpL4 (Wells et al. 2013). Functions with MmpS4 (TC#8.A.35.1.1) which is essential for transport activity. MmpL4/MmpS4 and MmpL5/MmpS5 (TC# 2.A.6.5.8 and TC# 8.A.35.1.2, respectively) are two siderophore exporters that overlap in function (Wells et al. 2013). The M. abscessus, subspecies bolletii orthologue (TC# 2.A.6.5.12), of 959 aas, is 65% identical to M. tuberculosis MmpL4 and affects the rough vs smooth phenotype of the cell envelope (Bernut et al. 2016). | Bacteria |
Actinomycetota | MmpL4 of Mycobacterium tuberculosis |
2.A.6.5.8 | Siderophore exporter, MmpL5. Functions with MmpS5, and both proteins are essential for transport activitiy (Wells et al. 2013). Together with MmpS5, it also pumps drugs out of the cell, and upregulation gives rise to drug resistance (Briffotaux et al. 2017). | Bacteria |
Actinomycetota | MmpL5 of Mycobacterium tuberculosis |
2.A.6.5.9 | The MmpL-like protein of 1138 aas (sequence similarity is observed only in the hydrophilic extracytoplasmic regions of both proteins (residues 452-665 in PIP) | Bacteria |
Bacillota | MmpL-like protein of Bacillus weihenstephanensis (A9VJD5) |
2.A.6.5.10 | Multidrug resistance protein, CmpL1, of 772 aas and 12 TMSs. Mutants are hypersusceptible to multiple antibiotics, have growth deficiencies in minimal medium and accumulate intracellular trehalose monocorynomycolates, free corynomycolates, and a previously uncharacterized corynomycolate-containing lipid. It is inferred that this transporter exports one or more of these lipids. Evidence for a pmf-dependent mechanism was obtained (Yang et al. 2014). | Bacteria |
Actinomycetota | CmpL1 of Corynebacterium glutamicum |
2.A.6.5.11 | CmpL4 of 801 aas and 12 TMSs. Multidrug resistance protein of 801 aas and 12 TMSs. Mutants are hypersusceptible to multiple antibiotics, have growth deficiencies in minimal medium and accumulate intracellular trehalose monocorynomycolates, free corynomycolates, and a previously uncharacterized corynomycolate-containing lipid. It is inferred that this transporter exports one or more of these lipids. Evidence for a pmf-dependent mechanism was obtained (Yang et al. 2014). | Bacteria |
Actinomycetota | CmpL4 of Corynebacterium glutamicum |
2.A.6.5.12 | MmpL4a of 959 aas and 12 TMSs. A rough morphotype has a Y842H mutation that causes a deficiency in glycopeptidolipid production and a gain in the capacity to produce cords in vitro. In zebrafish, increased virulence of the M. bolletii R variant over the parental S strain was noted, involving massive production of serpentine cords, abscess formation and rapid larval death. Tyr842 is conserved in several MmpL proteins (Bernut et al. 2016). | Bacteria |
Actinomycetota | MmpL4a of Mycobacterium abscessus subsp. bolletii |
2.A.6.5.13 | Lipid (acyl and diacyl trehalose) exporter of 1002 aas and 12 TMSs, MmpL10 (Bailo et al. 2015). A 12 TMS topology has been determined (Belardinelli and Jackson 2017). | Bacteria |
Actinomycetota | MmpL10 of Mycobacterium tuberculosis |
2.A.6.5.14 | Uncharacterized MmpL-like efflux pump of 843 aas and 12 TMSs | Eukaryota |
Evosea | MmpL of Entamoeba histolytica |
2.A.6.5.15 | Fatty acid efflux MMPL transporter, FarE, of 829 aas and 12 TMSs in a 1 + 3 + 2 + 1 + 3 + 2 TMS arrangement (Malwal and Oldfield 2021). FarE has the same set of "active-site" residues as those found in the mycobacterial MmpL3s (TC# 2.A.6.5.6), and in the homolog from Trypanosoma cruzi (TC# 2.A.6.5.16). | Bacteria |
Bacillota | FarE of Staphylococcus aureus |
2.A.6.5.16 | MmpL efflux pump of 866 aas and 12 TMSs (Bradwell et al. 2018). | Eukaryota |
Euglenozoa | MmpL pump of Trypanosoma cruzi |
2.A.6.5.17 | MMPL3-like protein, a fatty acid transporter of 920 aas and 12 TMSs in a 1 + 5 + 1 + 5 TMS arrangement (Malwal and Oldfield 2022). | Bacteria |
Actinomycetota | MMPL-like protein of Propionibacterium australiense |
2.A.6.6: The Eukaryotic (Putative) Sterol Transporter (EST) Family | ||||
This family has the NPC1 fold (Ferrada and Superti-Furga 2022). | ||||
2.A.6.6.1 | Niemann-Pick C1 (SLC65A1) and C2 disease proteins, NPC1 and NPC2, together may form a lipid/cholesterol exporter from lysosomes to other cellular sites including the plasma membrane (Sleat et al., 2004; Kennedy et al. 2014). NPC1 or NPC2 deficiency causes lysosomal retention of cholesterol, sphingolipids, phospholipids, and glycolipids as well as neuronal dysfunction and neurodegeneration (Infante et al. 2008a). Cholesterol binds to the sterol-sensing domain (Ohgami et al. 2004). Increased mitochondrial cholesterol, observed in NPC1 or NPC2 deficiency, causes oxidative stress and increased rates of glycolysis and lactate release (Kennedy et al. 2014). NPC1 binds cholesterol, 25-hydroxycholesterol and various oxysterols (Infante et al. 2008b; Liu et al., 2009 ). Soluble NPC2 binds cholesterol, and then passes it to the N-terminal domain of membranous NPC1 (Abi-Mosleh et al., 2009). Cholesterol trafficking in Niemann-Pick C-deficient cells was reviewed by Peake and Vance (2010). NPC1 is a late-endosomal membrane protein involved in trafficking of LDL- derived cholesterol, Niemann-Pick disease type C, and Ebola virus infection. It is the Ebola virus receptor. It contains 13 TMSs, five of which are thought to represent a "sterol-sensing domain", also present in other key regulatory proteins of cholesterol biosynthesis, uptake, and signaling. A crystal structure of a large fragment of human NPC1 at 3.6 Å resolution revealed internal twofold pseudosymmetry along TMSs 2-13 and two structurally homologous domains that protrude 60 Å into the endosomal lumen (Li et al. 2016). NPC1's sterol sensing domain forms a cavity that is accessible from both the luminal bilayer leaflet and the endosomal lumen; this cavity is large enough to accommodate one cholesterol molecule. A model was proposed for cholesterol sensing and transport (Li et al. 2016). Lysosomal cholesterol activates TORC1 via an SLC38A9-Niemann-Pick C1 signaling complex (Castellano et al. 2017). Gong et al. 2016 presented a 4.4 Å structure of the full-length human NPC1 and a low-resolution reconstruction of NPC1 in complex with the cleaved glycoprotein (GPcl) of EBOV, both determined by single-particle electron cryomicroscopy. NPC1 contains three distinct lumenal domains A (also designated NTD), C, and I. TMSs 2-13 exhibit a typical RND fold, among which TMSs 3-7 constitute the sterol-sensing domain conserved in several proteins involved in cholesterol metabolism and signaling. A trimeric EBOV-GPcl binds to one NPC1 monomer through domain C (Gong et al. 2016). The effects of disease-causing mutations on quality control pathways involving the lysosome and endoplasmic reticulum, and how it functions to clear the most common mutant protein found in Niemann-Pick type C patients have been reviewed (Schultz et al. 2016). In the same review, knowledge concerning the mechanisms that degrade misfolded transmembrane proteins in the endoplasmic reticulum is presented. Cholesterol esters are components of low density lipoprotein (LDL), which is brought into the cells of various tissues by targeted endocytosis. Within the endosomes, cholesterol esters are hydrolyzed, releasing free cholesterol, which is finally exported out of the endosome by NPC1 with assistance from a soluble protein NPC2 (Nikaido 2018). The transmembrane helices in the N-terminal half (the SSD, sterol-sensing domain) of NPC1 are homologous to the sterol-binding domains of HMG-CoA reductase, as well as the regulator of cholesterol-regulated transcription activation, SCAP. The domain that binds cholesterol with the highest affinity, within NPC1, however, is the NTD. In the NPC2-NPC1 complex, the substrate is captured at a location far away from the membrane by NPC2, and then is brought to a location close to the membrane surface (NTD of NPC1), and is finally moved to the intramembranous region of NPC1. Degradation occurs via two pathways, the proteasome following MARCH6-dependent ERAD, and an autophagic pathway called the selective ER autophagy (ER-phagy) (Schultz et al. 2018). NPC1 exports LDL-derived cholesterol from lysosomes by carrying it through the 80 Å glycocalyx and the 40 Å lipid bilayer. Transport begins when cholesterol binds to the N-terminal domain (NTD) of NPC1, which projects to the surface of the glycocalyx. Trinh et al. 2018 reconstituted cholesterol transport by expressing the NTD as a fragment separate from the remaining portion of NPC1. When co-expressed, the two NPC1 fragments reconstitute cholesterol transport and showed that cholesterol can be transferred from the NTD of one full-length NPC1 to another NPC1 molecule that lacks the NTD. The locations of buried amino acids and docking studies have identified putative lipid binding domains that are in close proximity to amino acids that, when mutated, are connected to NPC1 loss-of-function (Elghobashi-Meinhardt 2019). Niemann-Pick type C 1 function requires lumenal domain residues that mediate cholesterol-dependent NPC2 binding, and lysosomal cholesterol egress requires both NPC1 and NPC2. Qian et al. 2020 presented systematic structural characterizations that revealed the molecular basis for low-pH-dependent cholesterol delivery from NPC2 to the transmembrane domain of NPC1. At pH 8.0, similar structures of NPC1 were obtained in nanodiscs and in detergent. A tunnel connecting the N-terminal domain (NTD) and the transmembrane sterol-sensing domain (SSD) was unveiled. At pH 5.5, the NTD exhibits two conformations, suggesting the motion for cholesterol delivery to the tunnel. A cholesterol molecule was found at the membrane boundary of the tunnel, and TMS2 moves toward formation of a surface pocket on the SSD. The structure of the NPC1-NPC2 complex at 4.0 Å resolution was obtained at pH 5.5, elucidating the molecular basis for cholesterol handoff from NPC2 to NPC1(NTD) (Qian et al. 2020). Genetic diversity in Niemann-Pick C1 can be managed through modulation of the Hsp70 chaperone system (Wang et al. 2020). The NPC1 protein is evolutionarily conserved with homologues reported in yeast to humans; NPC2 is present in C. elegans to humans. While neurons in mammalian models of NPC1 and NPC2 diseases exhibit many changes that are similar to those in humans (e.g., endosomal/lysosomal storage, Golgi fragmentation, neuroaxonal dystrophy, neurodegeneration), a reduced degree of ectopic dendritogenesis and an absence of neurofibrillary tangles (NFTs) in these species suggest important differences in the way lower mammalian neurons respond to NPC1/NPC2 loss of function (Walkley and Suzuki 2004). Cholesterol transport studies using wild-type NPC1 and the P691S mutant suggest changes in dynamical behavior as determined using molecular dynamics simulations (Elghobashi-Meinhardt 2020). NPC1 mutations cause variable disease phenotypes (Musalkova et al. 2020). Filoviruses, including marburgviruses and ebolaviruses, have a single transmembrane glycoprotein (GP) that facilitates their entry into cells. During entry, GP needs to be cleaved by host proteases to expose the receptor-binding site that binds to the endosomal receptor Niemann-Pick C1 (NPC1) protein. Crystal structural analyses of the cleaved GP (GPcl) of Ebola virus (EBOV) in complex with human NPC1 has shown that NPC1 has two protruding loops (loops 1 and 2), which engage a hydrophobic pocket on the head of EBOV GPcl (Igarashi et al. 2021). Cholesterol docking studies, focusing on binding recognition, showed differences in the binding positions of mutant variants versus the wild-type protein (Martínez-Archundia et al. 2020). Commonalities between Niemann-Pick C1 disease and other lysosomal storage disorders have been reviewed (Yañez et al. 2020). Cholesterol binding to the sterol-sensing region of the Niemann Pick C1 protein confines dynamics of its N-terminal domain (Dubey et al. 2020). Variants in the Niemann-Pick type C gene, NPC1, are probably not associated with Parkinson's disease (Ouled Amar Bencheikh et al. 2020). NPC1 exports low-density-lipoprotein (LDL)-derived cholesterol from lysosomes. TMSs 3-7 of NPC1 comprise the Sterol-Sensing Domain (SSD). The anti-fungal drug itraconazole abolishes NPC1 activity in cells. Long et al. 2020 reported a cryo-EM structure of human NPC1 bound to itraconazole, which reveals how this binding site in the center of NPC1 blocks a putative lumenal tunnel linked to the SSD. Blocking this tunnel abolishes NPC1-mediated cholesterol egress. The palmitate anchor of Hedgehog occupies a similar site in the homologous tunnel of Patched, suggesting a conserved mechanism for sterol transport in this family of proteins and establishing a central function of their SSDs. Npc1, acting in neurons and glia, is essential for the formation and maintenance of CNS myelin (Yu and Lieberman 2013). In contrast to the benign Q92S mutation, Q92R reduces electrostatic potential around S-opening, and thus likely affects the NPC1 (NTD)-NPC2 interaction and/or cholesterol transfer from NPC2 to NPC1 (Petukh and Zhulin 2018). In the somatosensory neocortex, NPC1 plays a role in synaptic function (Avchalumov et al. 2012). Lysosomes receive extracellular and intracellular cholesterol and redistribute it throughout the cell. Cholesterol egress from lysosomes is critical for cholesterol homeostasis, and its failure underlies the pathogenesis of genetic disorders such as Niemann-Pick C disease. Anderson et al. 2022 reported that the BORC-ARL8-HOPS ensemble is required for egress of free cholesterol from lysosomes and for storage of esterified cholesterol in lipid droplets. Depletion of BORC, ARL8 or HOPS does not alter the localization of the lysosomal transmembrane cholesterol transporter NPC1 to degradative compartments, but decreases the association of the luminal transporter NPC2 and increases NPC2 secretion. BORC-ARL8-HOPS depletion also increases lysosomal degradation of CI-MPR, which normally sorts NPC2 to the endosomal-lysosomal system and then is recycled to the trans-Golgi network (TGN). These defects likely result from impaired HOPS-dependent fusion of endosomal-lysosomal organelles and an uncharacterized function of HOPS in CI-MPR recycling. Thus, the BORC-ARL8-HOPS ensemble is required for cholesterol egress from lysosomes by enabling CI-MPR-dependent trafficking of NPC2 to the endosomal-lysosomal system (Anderson et al. 2022). Members of this familly have the NPC1 fold (Ferrada and Superti-Furga 2022). A synopsis of inborn errors in sphingolipid and cholesterol metabolism in the Niemann-Pick type diseases has appearred (Pfrieger 2023). Iron limitation restores autophagy and increases lifespan in the yeast model of Niemann-Pick type C1 (Martins et al. 2023). The NPCs play a key role in the prognosis and diagnosis of liver hepatocellular carcinoma (LIHC) and may be an important indicator for LIHC prognosis and diagnosis; thus, NPC1 might be a potential therapeutic target in LIHC (Chen et al. 2023). Species-specific differences in NPC1 protein trafficking govern therapeutic responses in Niemann-Pick type C disease (Schultz et al. 2022). Niemann-Pick disease type C (NPC) is one of the lysosomal storage disorders that is caused by biallelic pathogenic variants in NPC1 or NPC2, which results in a defective cholesterol trafficking inside the late endosome and lysosome (Almenabawy et al. 2024). Comparative analysis of cestode and human NPC1 provided insights for ezetimibe repurposing to visceral cestodiases treatment (Kulakowski Corá et al. 2024). | Eukaryota |
Metazoa, Chordata | NPC1 and NPC2 of Homo sapiens NPC1 (AAH63302) NPC2 (AAH02532) |
2.A.6.6.2 | Patched (Ptc) segmentation polarity protein. Patched is known to be an important component of Hedgehog signaling in organisms from Drosophila to humans. It displays a typical RND folding pattern. Although Hedgehog appears to bind to Patched, it probably does not catalyze its import; thus, Patched may function as a Hedgehog receptor (Nikaido 2018). The two extramembranous loops of Patched are thought to face the exterior, and possibly play roles in the binding of the signal protein. However, Patched may indeed function as a transporter, possibly of small molecules (Taipale et al. 2002). | Eukaryota |
Metazoa, Arthropoda | ""Patched"" of Drosophila melanogaster |
2.A.6.6.3 | Yeast sterol transport system consisting of two proteins, NCR1 (YPL006w) and NPC2 (YDL046w), components of the Niemann-Pick Type C transporter. It drives sterol integration into the lysosomal membrane before redistributing them to other cellular membranes. Expression of yeast NP-C-related gene 1 (NCR1), the orthologue of the human NP-C gene 1 (NPC1) defective in the disease, in Chinese hamster ovary NPC1 mutant cells suppressed lipid accumulation (Malathi et al. 2004). Deletion of NCR1, encoding a transmembrane glycoprotein predominantly residing in the vacuole of normal yeast, gave no phenotype. However, a dominant mutation in the putative sterol-sensing domain of Ncr1p conferred temperature and polyene antibiotic sensitivity without changes in sterol metabolism. Instead, the mutant cells were resistant to inhibitors of sphingolipid biosynthesis and super sensitive to sphingosine and C2-ceramide. Plasma membrane sphingolipids accumulated and redistributed to the vacuole and other subcellular membranes of the mutant cells. Malathi et al. 2004 proposed that the primordial function of these proteins is to recycle sphingolipids, and that defects in this process in higher eukaryotes secondarily result in cholesterol accumulation. Winkler et al. 2019 presented a framework for sterol membrane integration. Sterols are transferred between hydrophobic pockets of vacuolar NPC2 and NCR1. NCR1 has its N-terminal domain (NTD) positioned to deliver a sterol to a tunnel connecting the NTD to the luminal membrane leaflet, 50 Å away. A sterol is caught inside this tunnel during transport, and a proton-relay network of charged residues in the transmembrane region is linked to this tunnel, supporting a proton-driven transport mechanism. Winkler et al. 2019 proposed a model for sterol integration that clarifies the role of these NPC proteins. . | Eukaryota |
Fungi, Ascomycota | NCR1/NPC2 of Saccharomyces cerevisiae |
2.A.6.6.4 | SREBP cleavage-activating protein, Scap of 1279 aas. Cholesterol homeostasis is mediated by Scap, a polytopic ER protein that transports SREBPs from ER to Golgi where SREBPs are processed to forms that activate cholesterol synthesis. Scap has eight transmembrane helices and two large luminal loops, designated Loop1 and Loop7. Evidence suggests that Loop1 binds to Loop7, allowing Scap to bind COPII proteins for transport in coated vesicles (Zhang et al. 2016). When ER cholesterol rises, it binds to Loop1 causeing dissociation from Loop7, abrogating COPII binding. Direct binding of the two loops causes dissociation from the membrane, allowing the soluble complex to be secreted. Point mutations that disrupt the Loop1-Loop7 interaction prevented secretion. The cryo-EM structure of human SCAP bound to Insig-2 suggests how their interaction is regulated by sterols (Yan et al. 2021). The sterol regulatory element-binding protein (SREBP) pathway controls cellular homeostasis of sterols. The key players in this pathway, Scap and Insig-1 and -2, are membrane-embedded sterol sensors. The 25-hydroxycholesterol (25HC)-dependent association of Scap and Insig acts as the master switch for the SREBP pathway. Yan et al. 2021 presented cryo-EM analyses of the human Scap and Insig-2 complex in the presence of 25HC, with the transmembrane (TM) domains determined at an average resolution of 3.7 Å. The sterol-sensing domain in Scap and all six TMSs in Insig-2 were resolved. A 25HC molecule is sandwiched between the S4 to S6 segments in Scap and TMSs 3 and 4 in Insig-2 in the luminal leaflet of the membrane. Unwinding of the middle of the Scap-S4 segment is crucial for 25HC binding and Insig association (Yan et al. 2021). | Eukaryota |
Metazoa, Chordata | SCAP of Cricetulus griseus |
2.A.6.6.5 | 3-hydroxy-3-methylglutaryl (HMG)-CoA reductase of 888 aas and 6 - 10 TMSs. | Eukaryota |
Metazoa, Chordata | HMG-CoA reductase of Homo sapiens |
2.A.6.6.6 | Liver/intestinal enterocyte brush border Niemann-Pick C1 like 1 (NPC1L1; SLC65A2) protein; responsible for ezetimibe-sensitive absorption of luminal lipids and cholesterol as well as lutein via a transport mechanism (Altmann et al., 2004; Davies et al., 2005; Liscum, 2007, Dixit et al. 2007; Reboul 2013). NPC1L1-dependent sterol uptake seems to be a clathrin-mediated endocytic process and is regulated by cellular cholesterol content (Betters and Yu, 2010; Jia et al., 2011). Dietary cholesterol induces trafficking of the intestinal NPC1L1 from the brush boarder to endosomes (Skov et al. 2011). It distributes on the brush border membranes of enterocytes and the canalicular membranes of hepatocytes. It is the target of ezetimibe, a hypocholesterolemic drug which blocks internalization of NPC1L1 and cholesterol in the mouse small intestine (Wang and Song 2012; Xie et al. 2012). Human NPC1L1 is a 1,332-amino acid protein with a putative sterol-sensing domain (SSD) that shows sequence homology to HMG-CoA reductase (HMGCR), Niemann-Pick C1 (NPC1), and SREBP cleavage-activating protein (SCAP). NPC1L1 may have evolved at two sites (apical membrane of enterocytes and canalicular membrane of hepatocytes) to mediate cholesterol uptake through a clathrin-mediated endocytic process, protecting the body against fecal and biliary loss of cholesterol (Yu 2008). NPC1L1-dependent intestinal cholesterol absorption appears to require ganglioside GM3 in membrane microdomains (Nihei et al. 2018). Ezetimibe is the only inhibitor of NPC1L1 available for clinical use, but aminoss-lactam ezetimibe derivatives may also be effective (Pirillo et al. 2016). The cholesterol absorption inhibitor, ezetimibe, acts by blocking the sterol-induced internalization of NPC1L1 (Ge et al. 2008). Otopetrin 1 activation by purinergic nucleotides regulates intracellular calcium ions (Hughes et al. 2007). NPC1L1 plays a major role in the intestinal absorption of biliary cholesterol, vitamin E, and vitamin K. The drug ezetimibe inhibits NPC1L1-mediated absorption of cholesterol, lowering of circulating levels of low-density lipoprotein cholesterol. Long et al. 2021 reported cryoEM structures of human NPC1L1 bound to either cholesterol or a lipid resembling vitamin E. The same intramolecular channel in hNPC1L1 mediates transport of vitamin E and cholesterol. hNPC1L1 exists primarily as a homodimer; dimerization is mediated by aromatic residues within a region of TMS 2 that exhibits a horizonal orientation in the membrane. Mutation of tryptophan-347, lieing in this region, disrupts dimerization, and the resultant monomeric NPC1L1 exhibits reduced efficiency of cholesterol uptake (Long et al. 2021).
| Eukaryota |
Metazoa, Chordata | NPC1L1 of Homo sapiens (NP_037521) |
2.A.6.6.7 | Niemann-Pick C-type protein (NPC) (1342 aas; 16 putative TMSs in a 1+3+1+5+1+5 arrangement) | Eukaryota |
Evosea | NPC of Dictyostelium discoideum (Q9TVK6) |
2.A.6.6.8 | Niemann-Pick C1 protein homologue-1, Ncr1; contains a sterol sensing domain. Catalyzes intracellular cholesterol release from endocytic organelles. | Eukaryota |
Metazoa, Nematoda | Ncr-1 of Caenorhabditis elegans (Q19127) |
2.A.6.6.9 | Niemann-Pick C1 protein homologue-2, Ncr2; contains a sterol sensing domain. Catalyzes intracellular cholesterol release from endocytic organelles. | Eukaryota |
Metazoa, Nematoda | Ncr-2 of Caenorhabditis elegans (P34389) |
2.A.6.6.10 | Uncharacterized pacific oyster protein of 926 aas and 6 - 10 TMSs. It is of unknown function, but has a large C-terminal domain that resembles 3-hydroxy-3-methylglutaryl-coenzyme A reductase. | Eukaryota |
Metazoa, Mollusca | UP of Crassostrea angulata |
2.A.6.6.11 | 3-hydroxy-3-methylglutaryl (HMG)-coenzyme A reductase of 438 aas and 1 or 0 TMSs. This protein resembles other HMG-CoA reductases which have N-terminal TMSs that show sequence similarity to RND transporters. | Bacteria |
Bdellovibrionota | 3HMG-coenzyme A reductase of Bdellovibrio bacteriovorus |
2.A.6.6.12 | Niemann-Pick C1 protein, NPC1 of 1339 aas and 16 TMSs in a 1 + 3 + 1 +5 + 1 +5 arrangement. Trafficking of EhNPC1 and EhNPC2 during cholesterol uptake and phagocytosis as well as their association with molecules involved in endocytosis clearly suggest that these proteins play a key role in cholesterol uptake (Bolaños et al. 2016). | Eukaryota |
Evosea | NPC1 of Entamoeba histolytica |
2.A.6.6.13 | Patched, PTCH1, Ptc1 or PTCH, SLC65 family) of 1447 aas and 12 TMSs. RND transporter-like receptor, regulates the activity of Smoothened of 7 TMSs via the Hedgehog (HH) pathway. The Na+ gradient may provide the energy for Patched activity (Myers et al. 2017). Possibly Patched1, chemiosmotically driven by the transmembrane Na+ gradient, regulates Smoothened. 3-d structures have been solved at ~ 3.5 Å resolution by cryoEM (Qi et al. 2018). This protein seems to have both transport and signalling functions, exporting cholesterol from the inner leaflet of the membrane out to the external environment. It displays a tunnel going through the membrane with a lateral opening, all large enough to accomodate cholesterol (Qi et al. 2018; Sommer and Lemmon 2018). The distrutribution of Smoothened on the primary cillium surface has been studied (Yoon et al. 2019). Patched (Ptc1) acts as a suppressor for Hedgehog (Hh) signaling by depleting sterols in the cytoplasmic membrane leaflet that are required for the activation of downstream regulators. The positive modulator Hh inhibits Ptc1's transport function by binding to Ptc1 and its co-receptors, which are locally concentrated in invaginated microdomains known as caveolae. Luo et al. 2021 reconstituted the mouse Ptc1 into lipid nanodiscs and determined its structure by cryoEM. The structure is similar to those in amphipol and detergents but displays various conformational differences in the transmembrane region. Although most particles are monomers, Ptc1 dimers were also observed with distinct interaction patterns and different membrane curvatures, some of which are reminiscent of caveolae. An extramembranous "hand-shake" region, rich in hydrophobic and aromatic residues, mediates inter-Ptc1 interactions under conditions of different membrane curvature, providing a plausible framework for Ptc1 clustering in the highly curved caveolae (Luo et al. 2021). Cholesterol regulates reception of the Hedgehog (Hh) signal in target cells. In vertebrates, cell-surface organelles called primary cilia function as compartments for the propagation of Hh signals. Various studies have led to the model that Patched-1 (PTCH1), the receptor for Hh ligands, uses its transporter-like activity to lower cholesterol accessibility in the membrane surrounding primary cilia (Kinnebrew et al. 2022). PTCH1 depletes accessible cholesterol in the outer leaflet of the membrane in a manner regulated by its ligand Sonic Hedgehog and the transmembrane potassium gradient. Kinnebrew et al. 2021 proposed that PTCH1 moves cholesterol from the outer to the inner leaflet of the membrane in exchange for potassium ion export. The transition between 'inward-open' and solvent 'occluded' states is accompanied by Na+ induced pinching of intracellular helical segments. Thus, the energetics and ion-coupling stoichiometries of PTCH1 transport mechanisms are revealed, whereby 1-3 Na+ or 2-3 K+ couple to cholesterol export, and provide a molecular description of transitions between distinct transport states (Ansell et al. 2023). PTCH1 inhibits the G protein-coupled receptor, Smoothened (SMO), via a debated mechanism involving modulation of ciliary cholesterol accessibility. There is an energetic barrier of ~15 to 20 kilojoules per mole for cholesterol export. The transition between "inward-open" and solvent "occluded" states is accompanied by Na+-induced pinching of intracellular helical segments. Thus, the findings illuminate the energetics and ion coupling stoichiometries of PTCH1 transport (Ansell et al. 2023). | Eukaryota |
Metazoa, Chordata | PTCH1 of Homo sapiens |
2.A.6.6.14 | Patched-2 (Ptch2) of 1203 aas and 12 TMSs. It plays a role in epidermal development and may act as a receptor for Sonic hedgehog (SHH). The two principal luminal domains of Ptch1 (TC# 2.a.6.6.13) and Ptch2 are interchangeable; the sterol-sensing domains (SSDs) of Ptch-family members exhibit generic activities while the adjacent cytoplasmic and luminal domains determine their protein-specific activities (Fleet and Hamel 2018).
| Eukaryota |
Metazoa, Chordata | Ptch2 of Homo sapiens |
2.A.6.6.15 | Niemann-Pick type C1 type 1a isoform A of 1287 aas and 14 TMSs. One TMS is N-terminal, one is at position 280 aa, and this is followed by another TMS at position 360 followed by the usual 5 + 1 + 5 TMs arrangement, where each of the 5 TMS units have these TMSs in a 3 + 2 TMS arrangement with a strong peak of amphipathicity between the third and the fourth TMSs. The ortholog regulates cholesterol transport and metamorphosis in the silkworm, Bombyx mori (Ke et al. 2020). | Eukaryota |
Metazoa, Arthropoda | NPC1 of Drosophila melanogaster (Fruit fly) |
2.A.6.6.16 | Sterol regulatory element-binding protein cleavage-activating protein, SCAP (SLC64 Family), an SSD domain-containing protein of 731 aas and 7 TMSs in a 1 + 5 + 1 TMS arrangement. The cholesterol-sensing protein Scap induces cholesterol synthesis by transporting membrane-bound transcription factors called sterol regulatory element-binding proteins (SREBPs) from the theendoplasmic reticulum (ER) to the Golgi apparatus for proteolytic activation. Transport requires interaction between Scap's two ER luminal loops (L1 and L7), which flank an intramembrane sterol-sensing domain (SSD). Cholesterol inhibits Scap transport by binding to L1, which triggers Scap's binding to Insig, an ER retention protein. Kober et al. 2021 used cryo-EM to elucidate two structures of full-length chicken Scap: (1) a wild-type free of Insigs and (2) mutant Scap bound to chicken Insig without cholesterol. L1 and L7 intertwine tightly to form a globular domain that acts as a luminal platform connecting the SSD to the rest of Scap. In the presence of Insig, this platform undergoes a large rotation accompanied by rearrangement of Scap's transmembrane helices. This conformational change may halt Scap transport of SREBPs and thereby inhibit cholesterol synthesis (Kober et al. 2021). | Eukaryota |
Metazoa, Chordata | SCAP of Gallus gallus (Chicken) |
2.A.6.6.17 | Niemann-Pick C1-like 1 protein of 1327 as and ~15 TMSs in an arrangement of 1 (N-terminal) + 2 (residues 290 - 370) + 6 (in a 3 + 2 + 1 TMS arrangement) + 5 or 6 TMSs (in a 3 + 2 or 3 + 2 TMS arrangement) (Kui et al. 2021). | Eukaryota |
Metazoa, Chordata | NPC1L1 of Tupaia chinensis (Chinese tree shrew) |
2.A.6.6.18 | SSD domain-containing protein, PTR-4 of 960 aas and 12 TMSs in a 1 + 5 + 1 + 5 TMS arrangement. The Caenorhabditis elegans Patched domain protein PTR-4 is required for proper organization of the precuticular apical extracellular matrix (Cohen et al. 2021). | Eukaryota |
Metazoa, Nematoda | PTR-4 of Caenorhabditis elegans |
2.A.6.7: The (Largely Archaeal Putative) Hydrophobe/Amphiphile Efflux-3 (HAE3) Family | ||||
2.A.6.7.1 | Gene AF1229 | Archaea |
Euryarchaeota | ORF in Archaeoglobus fulgidus |
2.A.6.7.2 | Gene MJ1562 | Archaea |
Euryarchaeota | ORF in Methanococcus jannaschii |
2.A.6.7.3 | Bacterial HAE3 family member | Bacteria |
Myxococcota | HAE3 family member of Myxococcus xanthus |
2.A.6.7.4 | Bacterial HAE3 family member | Bacteria |
Myxococcota | HAE3 family member of Myxococcus xanthus |
2.A.6.7.5 | Hopanoid biosynthesis associated RND transporter like protein, HpnN. Required for hopanoid localization to the outer membrane (Doughty et al. 2011). | Bacteria |
Pseudomonadota | Putative hopanoid transporter, HpnN, of Rhodopseudomonas palustris |
2.A.6.7.6 | Bacteria |
Planctomycetota | RND exporter of Rhodopirellula baltica | |
2.A.6.7.7 | Putative lipid exporter of 797 aas and 12 TMSs. | Bacteria |
Spirochaetota | Putative exporter of Treponema brennaborense |
2.A.6.7.8 | Hopanoid biosynthesis associated RND transporter like protein, HpnN of 877 aas and 12 TMSs. Hopanoid biosynthesis is one of the major mechanisms involved in multiple antimicrobial resistance of Bcc pathogens. The hpnN gene of B. multivorans encodes an integral membrane protein of the HpnN family of transporters, which is responsible for shuttling hopanoids to the outer membrane. Kumar et al. 2017 reported crystal structures of B. multivorans HpnN, revealing a dimeric molecule with an overall butterfly shape. Each subunit of the transporter contains 12 transmembrane helices and two periplasmic loops that suggest a plausible pathway for substrate transport. Further analyses indicated that HpnN is capable of shuttling hopanoid virulence factors from the outer leaflet of the inner membrane to the periplasm (Kumar et al. 2017). | Bacteria |
Pseudomonadota | HpnN of Burkholderia multivorans |
2.A.6.7.9 | Uncharacterized MMLP family protein of 772 aas and 12 TMSs. | Bacteria |
Thermotogota | UP of Thermotoga caldifontis |
2.A.6.7.10 | Putative exporter for the products of long chain alkane degradation (Gregson et al. 2018). | Bacteria |
Pseudomonadota | RND exporter of Thalassolituus oleivorans MIL-1 |
2.A.6.8: The Brominated, Aryl Polyene Pigment Exporter (APPE) Family | ||||
2.A.6.8.1 | Xanthomonadin (brominated, aryl polyene pigment) exporter (to its outer membrane site), ORF4 of 788 aas and 12 TMSs (Goel et al. 2002). This aryl polyene pigment exporter is unusual in having relatively short external loops (Nikaido 2018). | Bacteria |
Pseudomonadota | ORF4 in the pig (pigment) gene locus of Xanthomonas oryzae pv. oryzae |
2.A.6.8.2 | RND transporter. Encoded in a 17 cistron operon that appears in pathogenic proteobacteria including pathogenic E. coli strains, but not non-pathogenic E. coli strains like K12. May be involved in host associations (EE Allen, personal communication) | Bacteria |
Pseudomonadota | RND transporter of E. coli |
2.A.6.8.3 | RND superfamily, MMLP family transporter of 1126 aas in a 1 + 5 + 1 +5 + 1 TMS arrangement, followed by a hydrophilic domain, possibly with additional TMSs. This last domain may be a glycerol acyltransferase, based on NCBI annotations, suggesting that the RND transporter could be an exporter for an acylated lipid. This fusion of an RND porter to this domain is common in Bacteroidetes and Flavobacteria. | Bacteria |
Bacteroidota | MMLP family transporter of Flavobacterium johnsoniae |
2.A.6.8.4 | Uncharacterized MMLP family protein of 742 aas and 12 TMSs. | Bacteria |
Campylobacterota | UP of Campylobacter concisus |
2.A.6.9: The Dispatched (Dispatched) Family | ||||
2.A.6.9.1 | Dispatched is an exporter of the amino-terminal portion (19 kDa) of the C-terminally cholesterol-modified peptide, hedgehog; sterol sensor protein (Ma et al., 2002). Loss prevents hedgehog signaling. (Nakano et al., 2004; Higgins, 2007). The intracellular movement of this Hedgehog signal is complex, and involves insertion into the apical cell membrane, followed by endocytosis, and then secretion at the basolateral membrane by Dispatched (Nikaido 2018). Dispatched shows a typical RND protein folding pattern, although its overall sequence similarity to Patched or NPC1 is low. However, it contains the typical sterol sensing domain, similar to those found in NPC1 as well as in Patched. Hedgehog anchored by glycosylphophatidylinositol, rather than cholesterol, was not exported by Dispatched, suggesting that the cholesterol anchor is recognized by the transporter. Finally, the secretion of Hedgehog by Dispatched across the membrane requires help by other proteins, including a secreted soluble protein called Scube (Nikaido 2018). | Eukaryota |
Metazoa, Arthropoda | Dispatched of Drosophila melanogaster (AAF_23397) |
2.A.6.9.2 | Protein dispatched homologue 1 (Dispatched-1, DispA, DISP1) of 1521 aas and 12 TMSs. The human ortholog (Q96F81, 1524 aas) is 83% identical. They play roles in congenital diaphragmatic hernia (CDH) and associated pulmonary hypoplasia (PH) in humans and mice (Takahashi et al. 2018). Hedgehog (HH) signaling is essential for metazoan development. The HH ligand is secreted into the extracellular space by DISP1. Chen et al. 2020 reported the cryo-EM structure of human DISP1. It contains 12 TMSs and two extracellular domains (ECDs) like other RND homologs. Its ECDs reveal an open state, in contrast to its structural homologues PTCH1 and NPC1, whose extracellular/luminal domains adopt a closed state. The low-resolution structure of the DISP1 complex with dual lipid-modified HH ligand reveals how the ECDs of DISP1 engage with HH ligand. Several cholesterol-like molecules were found in the TMSs, implying a transport-like function of DISP1 (Chen et al. 2020). Dispatched enables tissue-patterning activity of the lipid-modified Hedgehog protein by releasing it from tightly -localized sites of embryonic expression. Wang et al. 2021 determined a cryoEM structure of the mouse DISP1, revealing three Na+ ions coordinated within a channel that traverses its transmembrane domain. The rate of Hedgehog export is dependent on the Na+ gradient across the plasma membrane. The transmembrane channel and Na+ binding are disrupted in DISP1-NNN, a variant with asparagine substitutions for three intramembrane aspartate residues that each coordinate and neutralize the charge of one of the three Na+ ions. DISP1-NNN and variants that disrupt single Na+ sites retain binding to, but are impaired in export of the lipid-modified Hedgehog protein to the SCUBE2 acceptor. Interaction of the amino-terminal signalling domain of the Sonic hedgehog protein (ShhN) with DISP1 occurs via an extensive buried surface area and contacts with an extended furin-cleaved DISP1 arm. Variability analysis reveals that ShhN binding is restricted to one extreme of a continuous series of DISP1 conformations. The bound and unbound DISP1 conformations display distinct Na+-site occupancies, which suggests a mechanism by which transmembrane Na+ flux may power extraction of the lipid-linked Hedgehog signal from the membrane. Na+-coordinating residues in DISP1 are conserved in PTCH1 and other metazoan RND family members, suggesting that Na+ flux powers their conformationally driven activities (Wang et al. 2021). The substrate is probably the sonic hedgehog (SHH) protein of 462 aas and one N-terminal TMS. | Eukaryota |
Metazoa, Chordata | Disp1 of Mus musculus |