Infection of Pseudomonas aeruginosa in cystic fibrosis patients is a major cause of mortality. This organism shows wide ranging antibiotic resistance that is largely attributable to the expression of xenobiotic efflux pump(s). Here, we show a novel mechanism by which the resistance-nodulation-division-type xenobiotic transporter expels potential hazards and protects the interior of the cells. The xenobiotic transporters MexB and MexY preferentially export -lactam and aminoglycoside antibiotics, respectively. When two large extramembrane loops of MexY were replaced by the corresponding loops of MexB, the hybrid protein exhibited -lactam selectivity (MexB-type), but failed to recognize aminoglycoside. As the transmembrane segment of MexB was replaced with a corresponding transmembrane segment of MexY, one-by-one for all 12 segments, all the hybrid proteins showed MexB-type antibiotic selectivity. These results clearly demonstrated that the resistance-nodulation-division-type efflux pump in P. aeruginosa selects and transports substrates via the domains that largely protrude over the cytoplasmic membrane. The transmembrane segments were unlikely to have been involved in substrate selectivity. These observations led us to propose a novel mechanism by which the xenobiotic transporters in Gram-negative bacteria select and expel substrates from the periplasmic space before potential hazards penetrate into the cytoplasmic membrane.Pseudomonas aeruginosa shows intrinsic and mutational resistance to a broad spectrum of antibiotics and this resistance is mainly attributable to a synergy of expression of the xenobiotic efflux transporters and a tight outer membrane barrier (1-4). Multiantibiotic resistance in this organism is a major cause of mortality of hospital patients whose immune activity was lowered by some other factors. P. aeruginosa encodes several RND 1 family efflux pumps including MexAB-OprM and MexXY-OprM (3). These transporters consist of the inner membrane spanning the proton-antibiotic antiporter (MexB or MexY), the membrane fusion proteins that are assumed to connect the inner and outer membranes (MexA or MexX) and the outer membrane-associated lipoprotein OprM common to both transporters (3). The inner membrane spanning subunit (RND transporter) has been found to traverse the cytoplasmic membrane 12 times leaving amino and carboxyl termini in the cytoplasm and the TMSs connected by extra membrane loops (5-7). Although most loops are short, the loops connecting TMS-1 and TMS-2 (loop-1/2) and TMS-7 and TMS-8 (loop-7/8) were found to consist of over 300 amino acid residues largely protruding toward the periplasmic space. Of five charged amino acid residues in the TMSs of MexB, three in TMS-4 and TMS-10 were shown to be essential for the transporter function probably forming a proton pathway (8). MexB and MexY preferentially export -lactams and aminoglycosides, respectively, although both transporters export agents such as chloramphenicol, fluoroquinolones, and tetracycline as well (9). The amino acid sequ...