Why is colistin a last resort antibiotic?

Resistance to the last resort antibiotic colistin: a single-zinc mechanism for phosphointermediate formation in MCR enzymes

Emily Lythell,
ab
Reynier Suardíaz,
acde
Philip Hinchliffe,
b
Chonnikan Hanpaibool,f Surawit Visitsatthawong,g A. Sofia F. Oliveira,ac Eric J. M. Lang,
a
Panida Surawatanawong,
g
Vannajan Sanghiran Lee,h Thanyada Rungrotmongkol,
fi
Natalie Fey,
a
James Spencer
*b and
Adrian J. Mulholland
*a
Author affiliations

* Corresponding authors

a Centre for Computational Chemistry, School of Chemistry, University of Bristol, Cantock's Close, Bristol, UK
E-mail:

b School of Cellular and Molecular Medicine, University of Bristol, University Walk, Bristol, UK
E-mail:

c School of Biochemistry, University of Bristol, University Walk, Bristol, UK

d Centre for Enzyme Innovation, School of Biological Sciences, Institute of Biological and Biomedical Sciences, University of Portsmouth, Portsmouth PO1 2DT, UK

e Department of Physical Chemistry, Faculty of Chemistry, Complutense University of Madrid, 28040 Madrid, Spain

f Structural and Computational Biology Research Unit, Department of Biochemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand

g Department of Chemistry and Center of Excellence for Innovation in Chemistry, Faculty of Science, Mahidol University, Bangkok 10400, Thailand

h Department of Chemistry, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia

i Program in Bioinformatics and Computational Biology, Graduate School, Chulalongkorn University, Bangkok 10330, Thailand

Abstract

MCR [mobile colistin resistance] enzymes catalyse phosphoethanolamine [PEA] addition to bacterial lipid A, threatening the last-resort antibiotic colistin. Molecular dynamics and density functional theory simulations indicate that monozinc MCR supports PEA transfer to the Thr285 acceptor, positioning MCR as a mono- rather than multinuclear member of the alkaline phosphatase superfamily.

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