1997
DOI: 10.1111/j.1574-6976.1997.tb00345.x
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Mechanisms of multidrug transporters

Abstract: Drug resistance, mediated by various mechanisms, plays a crucial role in the failure of the drug-based treatment of various infectious diseases. As a result, these infectious diseases re-emerge rapidly and cause many victims every year. Another serious threat is imposed by the development of multidrug resistance (MDR) in eukaryotic (tumor) cells, where many different drugs fail to perform their therapeutic function. One of the causes of the occurrence of MDR in these cells is the action of transmembrane transp… Show more

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Cited by 159 publications
(59 citation statements)
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References 199 publications
(258 reference statements)
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“…A large number of bacterial ABC-type drug export systems have been characterized (280). Most of these microbial drug extrusion systems are specific chemical or multidrug resistance (MDR) systems that remove various substances from the cytoplasm or membrane of a cell (281). Most of the currently known MDR systems use the PMF rather than ATP as the driving force and operate as drug/H ϩ antiporters (282).…”
Section: Detoxification Of Ros In Labmentioning
confidence: 99%
“…A large number of bacterial ABC-type drug export systems have been characterized (280). Most of these microbial drug extrusion systems are specific chemical or multidrug resistance (MDR) systems that remove various substances from the cytoplasm or membrane of a cell (281). Most of the currently known MDR systems use the PMF rather than ATP as the driving force and operate as drug/H ϩ antiporters (282).…”
Section: Detoxification Of Ros In Labmentioning
confidence: 99%
“…The multidrug efflux pumps are membrane proteins that are involved in the extrusion of antibiotics and are classified into five families, including resistance-nodulation-division (RND), major facilitator superfamily (MFS), small multidrug resistance (SMR), ATP-binding cassette (ABC), and multidrug and toxic compound extrusion (MATE) (3). Of the five families, the RND-type efflux pumps form a tripartite assembly in the bacterial membrane, comprising an RND-type inner membrane protein (IMP), an outer membrane protein (OMP), and a membrane fusion protein (MFP) to link the IMP and OMP (4).…”
mentioning
confidence: 99%
“…Two positively cooperative sites, with overlapping specificities, appear to be involved in drug binding and transport in P-glycoprotein [25], as well as in LmrA, a bacterial hemitransporter described below [26]. Drug extrusion from the inner leaflet of the membrane favors a 'hydrophobic vacuum cleaner' mechanism [8,27]. MDR1 P-glycoprotein is able to translocate the NBD derivatives of various lipids [9,28], but it remains to be seen whether normal phospholipids are indeed transported.…”
mentioning
confidence: 99%