Evidence map›Paper›PMID 38830951›Full record

ArticleNature communications2024

Potent activity of polymyxin B is associated with long-lived super-stoichiometric accumulation mediated by weak-affinity binding to lipid A.

Kerry R Buchholz, Mike Reichelt, Matthew C Johnson, Sarah J Robinson, Peter A Smith, Steven T Rutherford, John G Quinn

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Bacterial cell envelope-targeting antibiotics.Nature reviews. Microbiology · 2026
    Review
  6. Article
  7. An aryloxyphenol potentiates polymyxin against multidrug-resistantFrontiers in cellular and infection microbiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. A critical role forProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kerry R BuchholzDepartment of Infectious Diseases, Genentech, Inc., South San Francisco, CA, USA. buchholz.kerry@gene.com.ORCID http://orcid.org/0000-0001-9419-0076
Mike ReicheltDepartment of Pathology, Genentech, Inc., South San Francisco, CA, USA.
Matthew C JohnsonDepartment of Structural Biology, Genentech, Inc., South San Francisco, CA, USA.
Sarah J RobinsonDepartment of Discovery Chemistry, Genentech, Inc., South San Francisco, CA, USA.
Peter A SmithDepartment of Infectious Diseases, Genentech, Inc., South San Francisco, CA, USA.
Steven T RutherfordDepartment of Infectious Diseases, Genentech, Inc., South San Francisco, CA, USA. rutherford.steven@gene.com.ORCID http://orcid.org/0000-0002-4758-4248
John G QuinnDepartment of Biochemical and Cellular Pharmacology, Genentech, Inc., South San Francisco, CA, USA. quinn.john@gene.com.ORCID http://orcid.org/0000-0002-4664-6232

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymyxins are gram-negative antibiotics that target lipid A, the conserved membrane anchor of lipopolysaccharide in the outer membrane. Despite their clinical importance, the molecular mechanisms underpinning polymyxin activity remain unresolved. Here, we use surface plasmon resonance to kinetically interrogate interactions between polymyxins and lipid A and derive a phenomenological model. Our analyses suggest a lipid A-catalyzed, three-state mechanism for polymyxins: transient binding, membrane insertion, and super-stoichiometric cluster accumulation with a long residence time. Accumulation also occurs for brevicidine, another lipid A-targeting antibacterial molecule. Lipid A modifications that impart polymyxin resistance and a non-bactericidal polymyxin derivative exhibit binding that does not evolve into long-lived species. We propose that transient binding to lipid A permeabilizes the outer membrane and cluster accumulation enables the bactericidal activity of polymyxins. These findings could establish a blueprint for discovery of lipid A-targeting antibiotics and provide a generalizable approach to study interactions with the gram-negative outer membrane.

Indexed as

Anti-Bacterial AgentsLipid APolymyxin BSurface Plasmon ResonanceBacterial Outer MembraneKineticsMicrobial Sensitivity TestsAnti-Bacterial AgentsLipid APolymyxin B

Identifiers

PMID38830951
PMCPMC11148078

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.