What the supplied records support: MprF is the best-quantified node. In S. aureus Newman ΞmprF complemented strains, single hot-spot SNPs (T345A, S295L, L826F) raised daptomycin MICs from 0.5 mg/L to 1β2 mg/L while increasing hNP-1/LL-37 survival modestly; dual SNPs (S295L+L826F, T345A+L826F) dropped MICs to 0.38 mg/L, collapsed CAMP survival to 6.8β19.7%, and increased daptomycin binding (0.84β0.98 vs 0.59β0.72 Β΅M) β the authors interpret this as an L-PG-dependent charge-repulsion ceiling plus fitness cost . Independent FRET/planar-bilayer work in S. aureus SA113 confirms MprF-mediated resistance coincides with altered peptide interaction with L-PG-containing membranes, though with peptide-specific behaviors . For lipid A acylation, K. pneumoniae B5055ΞlpxM (under-acylated lipid A) showed 16-fold lower polymyxin B MIC (0.125 vs 2 mg/L), ~4-fold lower polymyxin E MIC (0.25 vs 4 mg/L), ~2β5-fold lower binding Kd, and ~2.5-fold lower outer-membrane permeabilization EC50 .
What is missing from the supplied records: dlt D-alanylation, efflux pumps (e.g., CrrAB/TagF-linked pathways), and physical sequestration have no claim-level evidence here β BGPT inference only from the query premise; adjuvant-target ranking across these nodes cannot be evidence-graded. The DHHC acyltransferase structural record (PDB 6BMN catalytic triad Asp153-His154-Cys156; four-TM hydrophobic cavity as a fatty-acyl "molecular ruler") offers a transferable structural framework for inhibitor design against membrane acyltransferases, though it is eukaryotic, not bacterial lipid A machinery .
All mprF data derive from one MSSA background (Newman) with plasmid complementation β chromosomal SNPs and MRSA backgrounds are untested . The K. pneumoniae lipid A work used only two strains . Falsification: demonstrating that MIC changes track with non-L-PG/lipid A mechanisms (e.g., cell-wall thickening alone) in chromosomal mutants would weaken the convergent-surface-charge model.
Know what changed, what holds up, and what remains uncertain. Every Friday. No ads.