The 2026 hPepT2 structure-interaction study directly tested this question. In uptake assays in hPepT2-overexpressing HEK293 cells, FADDI-795 (Dab3βAla) showed reduced hPepT2-mediated uptake, whereas the Dab8-mutant FADDI-167 did notβnarrowing 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 Aβdirected killing, but no direct lipid A binding measurement (e.g., ITC, dansyl-polymyxin displacement, LPS-binding assay) is reportedβthis 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 β180 to β260 kJ/mol and Dab3/Dab5 noted as probable contributors; hPepT2 D215A roughly doubled apparent Km for the polymyxin probe MIPS-9541 (p=0.033) .
Plot of the reported binary uptake outcome for each DabβAla 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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