In view of increasing health threats from multiresistant pathogens, antimicrobial peptides (AMPs) and, specifically, proline-rich AMPs (PrAMPs) have been investigated in animal models. PrAMPs enter bacteria via the ABC transporter SbmA and inhibit intracellular targets. We used phage transduction (Tn10 insertion) to screen by random mutagenesis for alternative uptake mechanisms for analogs of apidaecin 1b, a honeybee-derived PrAMP. All 24 apidaecin-resistant mutants had the Tn10 insertion in the sbmA gene. These sbmA::Tn10 insertion mutants and the Escherichia coli BW25113 ⌬sbmA (JW0368) strain were still susceptible to the bactenecin PrAMP Bac7(1-35) and oncocin PrAMPs Onc18 and Onc112, as well as to Chex1-Arg20, despite significantly reduced internalizations. In a second round of random mutagenesis, the remaining susceptibility was linked to the yjiLmdtM gene cluster. E. coli BW25113 and its ⌬yjiL null mutant (JW5785) were equally susceptible to all PrAMPs tested, whereas the BW25113 ⌬mdtM mutant was less susceptible to oncocins. The JW0368 yjiL::Tn10 transposon mutant (BS2) was resistant to all short PrAMPs and susceptible only to full-length Bac7 and A3-APO. Interestingly, PrAMPs appear to enter bacteria via MdtM, a multidrug resistance transporter (drug/H ؉ antiporter) of the major facilitator superfamily (MFS) that can efflux antibiotics, biocides, and bile salts. In conclusion, PrAMPs enter bacteria via ABC and MFS transporters that efflux antibiotics and cytotoxic compounds from the cytoplasm to the periplasm.
There are rising death tolls due to drug-resistant bacteria among persons with weakened or suppressed immune systems. The worldwide spread of multiresistant or even extensively resistant bacteria has therefore triggered intense research efforts to identify novel antibiotic classes, especially those with new modes of action (1). In recent years, thousands of gene-encoded antimicrobial peptides (AMPs) have been identified in different organisms and investigated in vitro and often in vivo, with several being now pursued in preclinical studies (2, 3). Proline-rich AMPs (PrAMPs), which are produced by insects with typical lengths of 18 to 25 residues or in mammals with 40 to 60 residues, represent a promising class of antibiotics (3-6). Besides native PrAMPs, either shortened versions [e.g., bactenecin Bac7(1-35)] or chemically optimized versions (e.g., apidaecin 1b analogs Api88 and Api137 or oncocins Onc18, Onc72, and Onc112) and those with artificial sequences (e.g., A3-APO and its single-chain version Chex1-Arg20) were shown to be highly efficient against Gramnegative and partially even against Gram-positive bacteria in several different murine infection models (5, 7-12).PrAMPs appear to pass readily across the outer membrane of Gram-negative bacteria before they are actively transported into the cytoplasm by SbmA (13,14). This 406-residue-long integral inner membrane protein has common features with the ATPbinding cassette (ABC) transporters but lacks the nucleotide binding domain and requires an e...