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Efflux pump information


Protein TolC, the outer membrane component of a tripartite efflux pump in Escherichia coli.
AcrB, the other component of pump, Escherichia coli.

An efflux pump is an active transporter in cells that moves out unwanted material. Efflux pumps are an important component in bacteria in their ability to remove antibiotics.[1] The efflux could also be the movement of heavy metals, organic pollutants, plant-produced compounds, quorum sensing signals, bacterial metabolites and neurotransmitters. All microorganisms, with a few exceptions, have highly conserved DNA sequences in their genome that encode efflux pumps. Efflux pumps actively move substances out of a microorganism, in a process known as active efflux, which is a vital part of xenobiotic metabolism. This active efflux mechanism is responsible for various types of resistance to bacterial pathogens within bacterial species - the most concerning being antibiotic resistance because microorganisms can have adapted efflux pumps to divert toxins out of the cytoplasm and into extracellular media.[2]

Efflux systems function via an energy-dependent mechanism (active transport) to pump out unwanted toxic substances through specific efflux pumps. Some efflux systems are drug-specific, whereas others may accommodate multiple drugs with small multidrug resistance (SMR) transporters.[3][4]

Efflux pumps are proteinaceous transporters localized in the cytoplasmic membrane of all kinds of cells. They are active transporters, meaning that they require a source of chemical energy to perform their function. Some are primary active transporters utilizing adenosine triphosphate hydrolysis as a source of energy, whereas others are secondary active transporters (uniporters, symporters, or antiporters) in which transport is coupled to an electrochemical potential difference created by pumping hydrogen or sodium ions into the cell.

  1. ^ Sharma A, Gupta VK, Pathania R (February 2019). "Efflux pump inhibitors for bacterial pathogens: From bench to bedside". Indian J Med Res. 149 (2): 129–145. doi:10.4103/ijmr.IJMR_2079_17. PMC 6563736. PMID 31219077.
  2. ^ Blanco P, Hernando-Amado S, Reales-Calderon JA, Corona F, Lira F, Alcalde-Rico M, Bernardini A, Sanchez MB, Martinez JL (February 2016). "Bacterial Multidrug Efflux Pumps: Much More Than Antibiotic Resistance Determinants". Microorganisms. 4 (1): 14. doi:10.3390/microorganisms4010014. PMC 5029519. PMID 27681908.
  3. ^ Bay DC, Turner RJ (2016). Small Multidrug Resistance Efflux Pumps. Switzerland: Springer International Publishing. p. 45. ISBN 978-3-319-39658-3.
  4. ^ Sun J, Deng Z, Yan A (October 2014). "Bacterial multidrug efflux pumps: mechanisms, physiology and pharmacological exploitations". Biochemical and Biophysical Research Communications. 453 (2): 254–67. doi:10.1016/j.bbrc.2014.05.090. PMID 24878531.

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Efflux pump

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An efflux pump is an active transporter in cells that moves out unwanted material. Efflux pumps are an important component in bacteria in their ability...

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Acinetobacter baumannii

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responsible for efflux of a wide range of substrates, including tetracycline, chloramphenicol, and various carbapenems. Many other efflux pumps have been implicated...

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Multidrug resistance pump

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Multidrug resistance pumps (MDR pumps) also known Multidrug efflux pumps are a type of efflux pump and P-glycoprotein. MDR pumps in the cell membrane...

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Staphylococcus aureus

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energy. The main efflux pumps of S. aureus are the MFS (Major Facilitator Superfamily) which includes the MdeA pump as well as the NorA pump and the MATE...

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Antibiotic resistance in gonorrhea

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codes for the penicillin-binding protein (PBP-2); mtr, which encodes an efflux pump that removes penicillin from the cell; and penB, which encodes the bacterial...

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Triclosan

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antagonistic responses have been observed. Triclosan may upregulate or induce efflux pumps in bacteria causing them to become resistant against variety of other...

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ABCC11

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2003). "MRP8, ATP-binding cassette C11 (ABCC11), is a cyclic nucleotide efflux pump and a resistance factor for fluoropyrimidines 2',3'-dideoxycytidine and...

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Thiomer

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Thiomers are able to reversibly inhibit efflux pumps. Because of this property the mucosal uptake of various efflux pump substrates such as anticancer drugs...

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Goldenseal

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antibacterial activity over berberine in vitro, possibly as a result of efflux pump inhibitory activity. Found in southeastern Canada and the eastern United...

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ESKAPE

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properly, efflux pumps, and biofilm production. Efflux pumps are a feature of the membrane of Gram-negative bacteria that allows them to constantly pump out...

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Mirabilis jalapa

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N-trans-feruloyl 4′-O-methyldopamine. This compound shows moderate activity as an efflux pump inhibitor against multidrug-resistant Staphylococcus aureus. The flowers...

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Lincosamides

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resistance-nodulation-cell division superfamily. Staphylococci express efflux pumps with specificity for 14 and 15 member ring macrolides and streptogramin...

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Tigecycline

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mutations leading to an up-regulation of bacterial efflux pumps, such as the RND type efflux pump AcrAB. Some bacterial species such as Pseudomonas spp...

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Sirolimus

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by the CYP3A4 enzyme and is a substrate of the P-glycoprotein (P-gp) efflux pump; hence, inhibitors of either protein may increase sirolimus concentrations...

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Puromycin

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than mammalian cell lines. Deletion of the gene encoding the multidrug efflux pump Pdr5 sensitizes cells to puromycin.[citation needed] Long-term synaptic...

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Manganese exporter

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TC# 2.A.107.1.1) has been shown to function as a putative manganese efflux pump. Manganese sensitivity and intracellular manganese levels significantly...

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Burkholderia pseudomallei

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isolates are intrinsically resistant to all aminoglycosides (via an efflux pump mechanism), but sensitive to co-amoxiclav: this pattern of resistance...

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Pseudomonas aeruginosa

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Bondì R, Baldelli V, Messina M, et al. (September 2017). "Effect of efflux pump inhibition on Pseudomonas aeruginosa transcriptome and virulence". Scientific...

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Zosuquidar

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multi-drug resistant. Zosuquidar inhibits P-glycoproteins, inhibiting the efflux pump and restoring sensitivity to chemotherapeutic agents. Zosuqidar was initially...

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Antimicrobial peptides

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permeabilization followed by biofilm disruption triggered by the inhibition of efflux pump activity and interactions with extracellular and intracellular nucleic...

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Tetracycline

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horizontal transfer of a gene that either encodes an efflux pump or a ribosomal protection protein. Efflux pumps actively eject tetracycline from the cell, preventing...

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Verapamil

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drug efflux pump proteins such as P-glycoprotein and other ABC transporter proteins. This is useful, as many tumor cell lines overexpress drug efflux pumps...

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Drug resistance

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accumulation: by decreasing drug permeability and/or increasing active efflux (pumping out) of the drugs across the cell surface. Biological cost is a measure...

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Platelet

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[citation needed] Resting platelets maintain active calcium efflux via a cyclic AMP-activated calcium pump. Intracellular calcium concentration determines platelet...

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Linezolid

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Gram-negative bacteria to linezolid is due to the activity of efflux pumps, which actively "pump" linezolid out of the cell faster than it can accumulate....

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Moxidectin

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increased expression of p-glycoprotein, which is a transmembrane drug efflux pump. Allele frequency changes corresponding to resistance to moxidectin and/or...

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Adverse drug reaction

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Additionally, Clarithromycin is a permeability glycoprotein (P-gp) efflux pump inhibitor, which when given with apixaban (a substrate for P-gp) will...

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