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     BGPT Odds of True



    85%

    80% Confidence


    hPepT2-uptake reduction for FADDI-795 is directly reported with retained MICs and no nephrotoxicity; lipid A binding preservation is only inferred from MICs, and nephrotoxicity n=3/group widens uncertainty.

     Hypothesis Novelty



    75%

    First explicit structure-interaction map of polymyxin Dab residues with hPepT2, and among the first demonstrations that a single-Dab substitution can decouple antibacterial activity from renal uptake.

     Quick Analysis Plan



    Yesβ€”the Dab3β†’Ala substitution in FADDI-795 selectively reduces hPepT2-mediated renal uptake while preserving antibacterial activity consistent with intact lipid A/LPS binding: FADDI-795 showed reduced hPepT2 uptake (unlike the Dab8 mutant FADDI-167), retained polymyxin B-comparable MICs, and caused no observable nephrotoxicity in mice (n=3/group) .


     Long Analysis Plan



    Verdict: Evidence supports hPepT2-specific reduction; lipid A binding is inferred only indirectly

    The 2026 hPepT2 structure-interaction study directly tested this question. In uptake assays in hPepT2-overexpressing HEK293 cells, FADDI-795 (Dab3β†’Ala) showed reduced hPepT2-mediated uptake, whereas the Dab8-mutant FADDI-167 did notβ€”narrowing the interaction-competent Dab positions to Dab1, Dab3, Dab5, and Dab9 .

    The functional consequences split cleanly: FADDI-795 was the most active analogue, with MICs comparable to polymyxin B against most tested strains (except FADDI-PA025), and showed no observable nephrotoxicity in the mouse model (n=3/group), unlike the other three analogues . Retained MICs are consistent with preserved LPS/lipid A–directed killing, but no direct lipid A binding measurement (e.g., ITC, dansyl-polymyxin displacement, LPS-binding assay) is reportedβ€”this arm of the hypothesis is inferred, not demonstrated.

    MD simulations placed polymyxin B at the hPepT2 lateral opening site, with Dab1/Dab8/Dab9 electrostatic interaction energies of βˆ’180 to βˆ’260 kJ/mol and Dab3/Dab5 noted as probable contributors; hPepT2 D215A roughly doubled apparent Km for the polymyxin probe MIPS-9541 (p=0.033) .

    Blind spots

    • Nephrotoxicity cohort was only 3 mice/group (proof-of-concept); no pharmacokinetic or renal-accumulation data exist for FADDI-795.
    • No direct lipid A binding assay; MIC retention is an indirect proxy.
    • MD did not capture full translocation; reduced uptake could reflect altered binding, translocation, or both.

    Plot of the reported binary uptake outcome for each Dab→Ala analogue; exact fold-changes were not reported numerically. Reduced uptake plus retained MICs and absent nephrotoxicity is the pattern expected for selective hPepT2 disruption.



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    Updated: September 07, 2026

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     Hypothesis Graveyard



    Polymyxin nephrotoxicity is driven by membrane-disruptive detergent-like action on renal tubular cells alone β€” undermined by FADDI-795 showing comparable membrane-active MICs with no nephrotoxicity, implicating transporter-mediated uptake.


    All Dab cationic residues contribute equally to hPepT2 binding β€” falsified by Dab8β†’Ala (FADDI-167) not reducing uptake while other Dab substitutions did.

     Science Art


    Does the Dab3-to-alanine substitution in FADDI-795 weaken binding to bacterial lipid A or selectively reduce hPepT2-mediated renal uptake? Science Art

     Science Movie



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