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LPS-assembly protein LptD is an essential integral outer membrane protein in the Gram-negative pathogen Pseudomonas aeruginosa [1, 6]. It forms a translocon complex with the lipoprotein LptE, which is responsible for the final stage of transporting lipopolysaccharide (LPS) molecules from the periplasm to the outer leaflet of the outer membrane [1, 8]. This process is vital for maintaining the structural integrity and barrier function of the bacterial cell envelope, which protects the organism from environmental stressors and antibiotics [10, 16]. Due to its critical role in bacterial survival and its location on the cell surface, LptD is a prominent target for the development of novel antibiotics, such as the macrocyclic peptidomimetic Murepavadin [1, 3]. These therapeutic agents typically bind to the periplasmic domain of LptD, effectively blocking LPS assembly and leading to rapid bacterial cell death [2, 4]. While promising, the clinical application of LptD inhibitors has encountered challenges, including concerns regarding nephrotoxicity and the emergence of resistance through specific mutations in the lptD gene [1, 10, 19].
Inhibition of lipopolysaccharide (LPS) transport to the outer membrane by binding to the LptD protein, leading to outer membrane disruption and bacterial cell death.
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