At least four broad-spectrum efflux pumps (Mex) are involved in elevated intrinsic antibiotic resistance as well as in acquired multidrug resistance in Pseudomonas aeruginosa. Substrate specificity of the Mex pumps has been shown to be determined by the cytoplasmic membrane component (MexB, MexD, MexF, and MexY) of the tripartite efflux pump system. Alignment of their amino acid sequences with those of the homologous AcrB and AcrD pump proteins of Escherichia coli showed conservation of five charged amino acid residues located in or next to transmembrane segments (TMS). These residues were mutated in the MexF gene by site-directed mutagenesis and replaced by residues of opposite or neutral charge. MexF proteins containing combined D410A and A411G substitutions located in TMS4 were completely inactive. Similarly, the substitutions E417K (next to TMS4) and K951E (TMS10) also caused loss of activity towards all tested antibiotics. The substitution E349K in TMS2 resulted in a MexF mutant protein which was unable to transport trimethoprim and quinolones but retained partial activity for the transport of chloramphenicol. All mutated MexF proteins were expressed at comparable levels when tested by Western blot analysis. It is concluded that charged residues located in or close to TMS are essential for proper function of MexF.Drug efflux systems endow mammalian cells, yeast, fungi, and bacteria with the ability to become resistant to a variety of chemotherapeutic and antimicrobial agents. Based on their primary amino acid structure, bacterial drug efflux systems can be divided into four major groups: the major facilitator family (14), the staphylococcal (small) multidrug resistance pumps (21), the ATP-binding cassette transporters (3), and the resistance-nodulation-cell division (RND) family (25). Phylogenetically, the latter group can be further subdivided into three clusters which correlate with substrate specificity (26): one containing proteins responsible for heavy metal efflux (CzcA and CnrA), a second involved in secretion of nodulation factors (NolFGH), and the third cluster representing multidrug efflux pumps (Acr, Mex, and Mtr) from various gram-negative bacteria.The Acr, Mex, and Mtr pumps described for Escherichia coli, Pseudomonas aeruginosa, and Neisseria spp., respectively, are composed of three individual proteins. The actual pump component is a 12-transmembrane-segment protein located in the cytoplasmic membrane (6, 7). It is an antiporter deriving the energy for the transport from the proton gradient. The second component is an outer membrane protein which is thought to be connected with the efflux pump by a third component, called a periplasmic link protein or membrane fusion protein (29). These three proteins form a channel which permits the extrusion of substrate molecules directly from the cytoplasm or the periplasm into the external medium (20). Several models have been proposed to explain the interactions between the three components of these efflux systems (10, 30).The Mex pumps of P. aeruginosa...