Evidence map›Paper›PMID 42749827›Full record

ArticleNature chemical biology2026

Small-molecule inhibitors block NorA efflux by conformational trapping.

Janine L Gray, Elizabeth V K Ledger, Tiffany Suwatthee, Thomas J Burden, Konstantina Arvaniti, Priyanka Mishra, Amber Sefton, Lydia E Papagora, Thomas B Clarke, Jennifer Riley and 10 more

Abstract read
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In one paragraph

Article in Nature chemical biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

20 authors.

Janine L Gray *Department of Chemistry, Molecular Sciences Research Hub, Imperial College London, London, UK.
Elizabeth V K Ledger *Centre for Bacterial Resistance Biology, Imperial College London, London, UK.
Tiffany SuwattheeDepartment of Chemistry, New York University, New York, NY, USA.
Thomas J BurdenDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-9418-686X
Konstantina ArvanitiCentre for Bacterial Resistance Biology, Imperial College London, London, UK.
Priyanka MishraDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.
Amber SeftonCentre for Bacterial Resistance Biology, Imperial College London, London, UK.
Lydia E PapagoraDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College London, London, UK.
Thomas B ClarkeCentre for Bacterial Resistance Biology, Imperial College London, London, UK.
Jennifer RileyDrug Discovery Unit, School of Life Sciences, University of Dundee, Dundee, UK.
Erika G PintoDrug Discovery Unit, School of Life Sciences, University of Dundee, Dundee, UK.
Fraser CunninghamDrug Discovery Unit, School of Life Sciences, University of Dundee, Dundee, UK.
Ian H GilbertDrug Discovery Unit, School of Life Sciences, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0002-5238-1314
David GrayDrug Discovery Unit, School of Life Sciences, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0001-9512-3828
Da-Neng WangDepartment of Cell Biology, New York University School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0002-6496-4699
Kevin D ReadDrug Discovery Unit, School of Life Sciences, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0002-8536-0130
Thomas Lanyon-HoggDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7092-8096
Nathaniel J TraasethDepartment of Chemistry, New York University, New York, NY, USA. traaseth.nate@mayo.edu.ORCID http://orcid.org/0000-0002-1185-6088
Andrew M EdwardsCentre for Bacterial Resistance Biology, Imperial College London, London, UK. a.edwards@imperial.ac.uk.
Edward W TateDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College London, London, UK. e.tate@imperial.ac.uk.ORCID http://orcid.org/0000-0003-2213-5814

Funding

Transport Mechanisms and Inhibition of Efflux Pumps in Pathogenic OrganismsR01AI165782 · NIAID · NEW YORK UNIVERSITY · PI SHOHEI KOIDE, Nathaniel J. Traaseth · 2022 to 2026
$4.0M
RCUK | Engineering and Physical Sciences Research Council (EPSRC) EP/R511547/1RCUK | Medical Research Council (MRC) MR/X502959/1Rosetrees Trust ID2020\100014U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01 AI165782
6 · The paper itself

Abstract

Multidrug efflux pumps are major drivers of antibiotic resistance, yet progress in understanding and inhibiting these transporters has been limited by a lack of selective chemical probes and inhibitor-bound structures. Here we report IMP-2380, a potent and selective chemical probe targeting the clinically important Staphylococcus aureus efflux pump NorA. A phenotypic high-throughput screen monitoring suppression of the ciprofloxacin-induced SOS DNA damage response identified a chemical series that selectively inhibits NorA and was optimized to yield IMP-2380. The probe restores ciprofloxacin susceptibility in methicillin-resistant S. aureus, delivering low-nanomolar potentiation in vitro and robust efficacy in an in vivo infection model. Cryo-electron microscopy at 2.52-Å resolution revealed the structure of NorA bound to a small-molecule inhibitor. IMP-2380 binds an 'outward-open' transporter conformation, occluding the cytosolic substrate-binding cavity and preventing antibiotic efflux. IMP-2380 provides a high-quality probe for dissecting multidrug efflux and establishes a structural framework for restoring antibiotic efficacy through efflux pump inhibition.

Identifiers

What Socratic holds

Textmetadata
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.