bToward developing new tools for fighting resistance to antibiotics, we investigated the antibacterial properties of a new decanoyl-based oligo-acyl-lysyl (OAK) hexamer, aminododecanoyl-lysyl-[aminodecanoyl-lysyl] 5 (␣ 12 -5␣ 10 ). The OAK exhibited preferential activity against Gram-negative bacteria (GNB), as determined using 36 strains, including diverse species, with an MIC 90 of 6.2 M. The OAK's bactericidal mode of action was associated with rapid membrane depolarization and cell permeabilization, suggesting that the inner membrane was the primary target, whereas the observed binding affinity to lipoteichoic acid suggested that inefficacy against Gram-positive species resulted from a cell wall interaction preventing ␣ 12 -5␣ 10 from reaching internal targets. Interestingly, perturbation of the inner membrane structure and function was preserved at sub-MIC values. This prompted us to assess the OAK's effect on the proton motive force-dependent efflux pump AcrAB-TolC, implicated in the low sensitivity of GNB to various antibiotics, including erythromycin. We found that under sub-MIC conditions, wild-type Escherichia coli was significantly more sensitive to erythromycin (the MIC dropped by >10-fold), unlike its acr-deletion mutant. Collectively, the data suggest a useful approach for treating GNB infections through overcoming antibiotic efflux.H ost defense peptides (HDPs) are part of the innate immune system, providing a first line of defense against a wide range of invading pathogens (3, 28). Current efforts to address the shortcomings of HDPs have focused on biomimetic strategies (6,11,12,22). Several short synthetic oligomers such as polymethacrylate (5), arylamide foldamers (1, 2), and oligo-acyl-lysyls (OAKs) (9) have attracted particular attention due to their lower cost and rapid structural optimization capabilities. Although a number of compounds that demonstrate broad-spectrum antimicrobial activities in vitro have been identified, robust/safe in vivo activity has been a great challenge for most published peptidomimetics. Clearly, to generate efficient HDP mimics, the mechanism of action of this class of molecules needs to be better understood. Many of the details regarding the mechanism of limiting bacterial viability-which can vary widely for different sequences-have yet to be elucidated or are widely debated. Nevertheless, a rich variety of mechanistic studies has emphasized the importance of physicochemical attributes-such as charge and hydrophobicity-for potency and selectivity. In this respect, simple mimics of HDPs might be helpful in improving understanding of critical mechanistic steps. Among the classes of HDP mimics proposed, OAKs are quite interesting due to their remarkable simplicity.OAKs are composed of a small number of building blocks referred to as ␣ i (acyl-lysyl) or  i (lysyl-acyl-lysyl) subunits (8,13,14), where i specifies the number of carbons in the acyl moiety (Fig. 1). Such a design allows systematic and gradual variations of charge and hydrophobicity and the dissection of...