The twenty-year quest that revealed how penicillin kills bacteria while sparing human cells
When Alexander Fleming discovered penicillin in 1928, he unlocked one of medicine's most powerful weapons against bacterial infections. Yet for decades, how this miraculous drug actually killed bacteria remained a complete mystery. The man who would eventually solve this puzzle, Jack Strominger, began his scientific journey with no particular passion for bacteria or antibiotics.
As he would later recall in his autobiographical account, a series of "accidents" led him to the National Institutes of Health in 1951, where at just 26 years old he found himself with a fully funded laboratory but uncertain what to study 8 . When colleagues suggested investigating penicillin's mechanism, he embarked on a twenty-year quest that would unravel the biochemical secrets of bacterial cell walls and reveal exactly how penicillin proves fatal to bacteria while leaving human cells unharmed.
Identified penicillin-binding proteins as the molecular targets of penicillin
This article traces Strominger's groundbreaking research that identified penicillin-binding proteins as the molecular targets of penicillin and related antibiotics, a discovery that continues to inform our ongoing battle against antibiotic-resistant bacteria today.
To appreciate Strominger's discovery, we must first understand what bacteria are protecting themselves with. Imagine a microscopic balloon—the bacterial cell membrane is fragile and requires structural support to prevent bursting from internal pressure. Bacteria solve this engineering challenge by building a mesh-like protective layer outside their cell membranes—the peptidoglycan cell wall.
This protective meshwork is constantly being remodeled and rebuilt as bacteria grow and divide. Breaking this wall means certain death for the bacterium—it will burst like a punctured balloon. Strominger's research would eventually reveal that penicillin specifically sabotages the construction of this critical structural element.
Strominger's laboratory worked for two decades to piece together the complex biochemistry of bacterial cell wall synthesis. Their research ultimately identified the penicillin-binding proteins (PBPs) as the crucial targets of penicillin and other β-lactam antibiotics 1 .
Penicillin-binding proteins are bacterial enzymes that perform the final steps in constructing the peptidoglycan cell wall. Despite their name, they're normal bacterial components—the label simply reflects how they were discovered through their ability to bind penicillin 1 . These proteins are essential for bacterial survival, making them perfect targets for antibiotic drugs.
The high-molecular-weight PBPs are essential for cell viability and include both transglycosylase and transpeptidase functions, while the low-molecular-weight PBPs help refine the peptidoglycan structure and are less critical for survival 1 .
Penicillin works through molecular mimicry—its core structure resembles the natural substrate that PBPs recognize and bind to. When a PBP encounters penicillin instead of its usual target, the antibiotic permanently binds to the enzyme's active site, shutting down its function.
The key reaction occurs when the β-lactam ring in penicillin's structure breaks open and forms a stable covalent bond with a critical serine residue in the PBP's active site. This irreversible reaction permanently inactivates the enzyme 1 .
With the construction crew neutralized, the bacterial cell cannot properly maintain its protective wall. As weak points develop, internal pressure builds until the cell literally bursts—much like a submarine with a compromised hull collapsing under ocean pressure.
Strominger's approach combined biochemistry, enzymology, and innovative laboratory techniques to trace penicillin's lethal path through bacterial cells.
Strominger's team first needed to determine what cellular component penicillin was attacking. They systematically eliminated possibilities until focusing on cell wall synthesis.
The researchers developed methods to extract and purify the enzymes responsible for peptidoglycan assembly from bacterial cells.
Using the purified enzymes, they recreated the final steps of cell wall synthesis in test tubes.
When they added penicillin to this system, they observed specific inhibition of the transpeptidation reaction—the crucial cross-linking step 8 .
Through radioactive labeling techniques, they demonstrated that penicillin physically bound to specific proteins in the bacterial membrane—the penicillin-binding proteins.
Strominger's crucial insight was recognizing that penicillin irreversibly inhibited the transpeptidases that create the cross-links in the peptidoglycan mesh. Without these cross-links, the bacterial cell wall loses its strength and can no longer protect against internal pressure. This explained both penicillin's effectiveness and its specificity—human cells don't have peptidoglycan walls or transpeptidase enzymes, so they remain unaffected by the drug.
Strominger's research required both biological materials and specialized laboratory techniques to unravel penicillin's mechanism. The following components were essential to his groundbreaking work:
| Reagent/Tool | Function in Research |
|---|---|
| Radioactive penicillin | Allowed tracking of penicillin binding to specific proteins |
| Bacterial membrane extracts | Source of penicillin-binding proteins for study |
| Purified peptidoglycan precursors | Substrates for enzyme activity assays |
| Cell wall analogs | Synthetic molecules mimicking natural structures |
| Enzyme inhibitors | Tools to block specific steps in wall synthesis |
| PBP Type | Molecular Weight | Primary Function | Role in Survival |
|---|---|---|---|
| Class A HMW PBPs | High (~70-90 kDa) | Transglycosylase & transpeptidase | Essential—catalyzes chain formation and cross-linking |
| Class B HMW PBPs | High (~70-90 kDa) | Transpeptidase (only) | Essential—forms cross-links between strands |
| LMM PBPs | Low (~40 kDa) | Carboxypeptidase & endopeptidase | Non-essential—refines peptidoglycan structure |
| Time Period | Key Achievement | Significance |
|---|---|---|
| 1950s | Initiated studies on penicillin mechanism | Established research direction |
| 1960s | Elucidated peptidoglycan structure and biosynthesis | Defined the pathway penicillin disrupts |
| Late 1960s | Discovered penicillin inhibits transpeptidation | Identified the specific blocked step |
| By 1970 | Characterized penicillin-binding proteins | Revealed the direct molecular targets |
Jack Strominger's work fundamentally changed our understanding of how penicillin and related antibiotics work. By identifying PBPs as the molecular targets, his research provided the rational foundation for developing new β-lactam antibiotics (including modern penicillins, cephalosporins, and carbapenems) and understanding emerging resistance mechanisms.
The significance of Strominger's discovery extends far beyond academic interest. When bacteria develop resistance to penicillin, one common mechanism involves modifying their PBPs so the antibiotics can no longer bind effectively 6 . Methicillin-resistant Staphylococcus aureus (MRSA), a dangerous hospital-acquired infection, produces a unique PBP2A protein that has very low affinity for β-lactam antibiotics, making it resistant to most conventional penicillins 1 .
Strominger's pioneering work on penicillin-binding proteins created a foundational framework that continues to guide antibiotic development and resistance research today. His journey from a uncertain young researcher to the scientist who solved one of medicine's great mysteries stands as a testament to the power of curiosity-driven science to transform medical practice and save countless lives.
Common mechanisms of bacterial resistance to β-lactam antibiotics, with PBP modification being a significant factor.