Target intelligence / Profile preview

Gram-negative bacterial outer and cytoplasmic membranes (OM/IM)

Target
OM/IM
Molecular classification
Bacterial cell structure, Lipid bilayer, Biological membrane
01

Overview

The Gram-negative bacterial cell envelope is a complex, multi-layered structure consisting of an inner (cytoplasmic) membrane, a thin peptidoglycan cell wall, and a unique outer membrane. The outer membrane serves as a formidable permeability barrier, containing lipopolysaccharides (LPS) that protect the bacteria from harsh environments and many antibiotics [1][3]. The cytoplasmic membrane is a phospholipid bilayer responsible for essential processes such as oxidative phosphorylation, nutrient transport, and lipid synthesis [3]. This dual-membrane system is a critical therapeutic target for several classes of antibiotics, most notably the polymyxins, which act as detergents to disrupt membrane integrity [2]. Targeting these membranes is essential for treating multi-drug resistant (MDR) infections caused by pathogens like Pseudomonas aeruginosa and Acinetobacter baumannii. However, drug development is challenged by the need to penetrate the outer membrane while avoiding toxicity to host human cell membranes [1][2].

Other names
Gram-negative cell envelopeBacterial cell wall (Gram-negative)Outer membrane and inner membraneBacterial lipid bilayers
02

Mechanism of action

Disruption of membrane integrity through displacement of divalent cations (Mg2+ and Ca2+) from lipopolysaccharides (LPS), leading to increased permeability, pore formation, and osmotic lysis. Specific agents may also inhibit the assembly of outer membrane proteins (e.g., BamA or LptD) or disrupt phospholipid packing in the cytoplasmic membrane [1][2].

03

Biological functions

Selective permeability barrierNutrient transportEnergy transduction (ATP synthesis)Protein secretionSignal transductionProtection against environmental stress
04

Disease associations

InfectionSepsisAntimicrobial resistance
05

Safety considerations

Nephrotoxicity (acute kidney injury)NeurotoxicityJarisch-Herxheimer-like reaction due to endotoxin releaseDevelopment of resistance (e.g., mcr-1 mediated LPS modification)
06

Interacting drugs

Polymyxin B

6 more in the full profile.

07

Biomarkers

Minimum Inhibitory Concentration (MIC)Bacterial load (CFU/mL)Procalcitonin levelsC-reactive protein (CRP)

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