title: Disruption of allosteric response as an unprecedented mechanism of resistance to antibiotics.
abstract: Ceftaroline, a recently approved β-lactam antibiotic for treatment of infections by methicillin-resistant Staphylococcus aureus (MRSA), is able to inhibit penicillin-binding protein 2a (PBP2a) by triggering an allosteric conformational change that leads to the opening of the active site. The opened active site is now vulnerable to inhibition by a second molecule of ceftaroline, an event that impairs cell-wall biosynthesis and leads to bacterial death. The triggering of the allosteric effect takes place by binding of the first antibiotic molecule 60 Å away from the active site of PBP2a within the core of the allosteric site. We document, by kinetic studies and by determination of three X-ray structures of the mutant variants of PBP2a that result in resistance to ceftaroline, that the effect of these clinical mutants is the disruption of the allosteric trigger in this important protein in MRSA. This is an unprecedented mechanism for antibiotic resistance.
authors: Department of Chemistry and Biochemistry, University of Notre Dame , Nieuwland Science Hall, Notre Dame, Indiana 46556, United States.
authors: Jennifer
authors: J
authors: Fishovitz
authors: Alzoray
authors: A
authors: Rojas-Altuve
authors: Lisandro H
authors: LH
authors: Otero
authors: Matthew
authors: M
authors: Dawley
authors: Cesar
authors: C
authors: Carrasco-López
authors: Mayland
authors: M
authors: Chang
authors: Juan A
authors: JA
authors: Hermoso
authors: Shahriar
authors: S
authors: Mobashery
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D002511:Cephalosporins / Q000494:pharmacology*; D024881:Drug Resistance, Bacterial / Q000187:drug effects / Q000502:physiology*; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects* / Q000235:genetics; D008958:Models, Molecular; D008968:Molecular Conformation; D009154:Mutation / Q000502:physiology; D046915:Penicillin-Binding Proteins / Q000737:chemistry* / Q000187:drug effects / Q000235:genetics; D011487:Protein Conformation; D014961:X-Ray Diffraction; D000097583:Ceftaroline
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D046915:Penicillin-Binding Proteins; D000097583:Ceftaroline