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Practice question

Question

The permeability of the Gram-negative outer membrane is controlled by:

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Explanation

Gram-negative outer membrane serves as molecular sieve preventing entry of large hydrophilic and hydrophobic antibiotics like vancomycin, daptomycin, and bile salts. Permeability is governed primarily by porins, abundant trimeric beta-barrel proteins forming water-filled diffusion channels with constrictions determined by internal loop L3. General porins OmpF and OmpC allow passive diffusion of molecules below about 600 daltons, including nutrients and some beta-lactams, dependent on charge and size. Specific porins like LamB and ScrY facilitate uptake of maltodextrins and sucrose via binding site within channel, increasing efficiency. Regulation of porin abundance through two-component system EnvZ-OmpR and small RNAs like MicF enables adaptation to osmolarity, pH, and antibiotic pressure, with porin loss conferring resistance to carbapenems. Lipoteichoic acids are Gram-positive polymers, peptidoglycan thickness controls lysozyme sensitivity in Gram-positives, and ether bonds characterize archaeal lipids not controlling Gram-negative permeability. Hence porins act as major determinants of outer membrane exclusion limit, linking envelope permeability to nutrient acquisition and intrinsic drug resistance mechanisms studied by Nikaido pioneering work.

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