MX-2401 is a semisynthetic calcium-dependent lipopeptide antibiotic (analogue of amphomycin) in preclinical development for the treatment of serious Gram-positive infections. In vitro and in vivo, MX-2401 demonstrates broad-spectrum bactericidal activity against Gram-positive organisms, including antibiotic-resistant strains. The objective of this study was to investigate the mechanism of action of MX-2401 and compare it with that of the lipopeptide daptomycin. The results indicated that although both daptomycin and MX-2401 are in the structural class of Ca 2؉ -dependent lipopeptide antibiotics, the latter has a different mechanism of action. Specifically, MX-2401 inhibits peptidoglycan synthesis by binding to the substrate undecaprenylphosphate (C 55 -P), the universal carbohydrate carrier involved in several biosynthetic pathways. This interaction resulted in inhibition, in a dose-dependent manner, of the biosynthesis of the cell wall precursors lipids I and II and the wall teichoic acid precursor lipid III, while daptomycin had no significant effect on these processes. MX-2401 induced very slow membrane depolarization that was observed only at high concentrations. Unlike daptomycin, membrane depolarization by MX-2401 did not correlate with its bactericidal activity and did not affect general membrane permeability. In contrast to daptomycin, MX-2401 had no effect on lipid flip-flop, calcein release, or membrane fusion with 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC)/1-palmitoyl-2-oleoyl-sn-glycero-3-phospho-(1-rac-glycerol) (sodium salt) (POPG) liposomes. MX-2401 adopts a more defined structure than daptomycin, presumably to facilitate interaction with C 55 -P. Mutants resistant to MX-2401 demonstrated low cross-resistance to other antibiotics. Overall, these results provided strong evidence that the mode of action of MX-2401 is unique and different from that of any of the approved antibiotics, including daptomycin.MX-2401 is a semisynthetic calcium (Ca 2ϩ )-dependent lipopeptide antibiotic in preclinical development for the treatment of serious Gram-positive infections. An analogue of amphomycin, MX-2401, demonstrates broad-spectrum bactericidal activity against Gram-positive organisms, including strains resistant to vancomycin, macrolides, penicillin, methicillin, gentamicin, and other marketed antimicrobials (12,15). In animal models of infection, MX-2401 exhibits potent dose-dependent activity against Gram-positive organisms, including resistant strains, with an excellent ability to kill bacteria in neutropenic mice (9).MX-2401 ( Fig. 1) is chemically related to a number of antimicrobial lipopeptides, such as amphomycin, friulimicin, and daptomycin (7,11,25,46). Specifically, amphomycin, friulimicin, and MX-2401 share the same cyclopeptide ring core comprising 10 amino acids and differ only in their exocylic amino acids, with asparagine in friulimicin and aspartic acid in MX-2401 and amphomycin (25, 46). MX-2401 differs from amphomycin in the side chain of residue 9 (1). In contrast, daptomycin...