Breaking the permeability barrier ofEscherichia coliby controlled hyperporination of the outer membrane.
In Gram-negative bacteria, a synergistic relationship between slow passive uptake of antibiotics across the outer membrane and active efflux transporters creates a permeability barrier, which efficiently reduces effective concentrations of antibiotics in cells and hence, their activities. To analyze the relative contributions of the active efflux and the passive barrier in activities of antibiotics, we constructedEscherichia colistrains with controllable permeability of the outer membrane. The strains express a large pore that does not discriminate compounds based on their hydrophilicity and sensitizes cells to a variety of antibacterial agents. We found that efficacies of antibiotics in these strains are specifically affected by either active efflux, slow uptake, or both, and reflect differences in the properties of the outer membrane barrier, repertoire of efflux pumps and inhibitory activities of antibiotics. Our results identify antibiotics which are the best candidates for potentiation of activities through efflux inhibition and permeabilization of the outer membrane.