High-resolution NMR studies of antibiotics in cellular membranes

The alarming rise of antimicrobial resistance requires antibiotics with unexploited mechanisms. Ideal templates could be antibiotics that target the peptidoglycan precursor lipid II, known as the bacterial Achilles heel, at an irreplaceable pyrophosphate group. Such antibiotics would kill multidrug-resistant pathogens at nanomolecular concentrations without causing antimicrobial resistance. However, due to the challenge of studying small membrane-embedded drug–receptor complexes in native conditions, the structural correlates of the pharmaceutically relevant binding modes are unknown. Here, using advanced highly sensitive solid-state NMR setups, we present a high-resolution approach to study lipid II-binding antibiotics directly in cell membranes. On the example of nisin, the preeminent lantibiotic, we show that the native antibiotic-binding mode strongly differs from previously published structures, and we demonstrate that functional hotspots correspond to plastic drug domains that are critical for the cellular adaptability of nisin. Thereby, our approach provides a foundation for an improved understanding of powerful antibiotics.

T he rapid growth of antimicrobial resistance (AMR) is a severe threat to global health. To date, AMR has been observed against all clinically used antibiotics, which is forecast to cause a staggering 10 million annual human deaths by year 2050 1 . It is hence of pressing need to develop antibiotics that operate via unexploited mechanisms and that are robust to resistance development.
Structural information is decisive for antibiotic design. However, resolving structural information that is relevant for drug development is complicated by the potentially critical influence of the medium on drug-binding modes. Structural data on antibiotic-receptor interactions are therefore ideally obtained under native conditions, which guarantees that the most relevant antibiotic state is studied. This tenet is of special importance for antimicrobial peptides (AMPs) that target bacterial membranes, which are media of enormous complexity. Most of these antibiotics are active in the micromolar concentration range and non-specifically target bacterial membranes. A smaller number of AMPs are active in the nanomolar concentration range, which is achieved by specifically targeting a membrane component such as the essential cell wall precursor lipid II 2 . These lipid II-binding compounds, such as vancomycin, plectasin 3 , tridecaptin 4 , or the recently discovered teixobactin 5 , can kill multidrug-resistant bacteria while resistance development is extraordinarily difficult. Native structural information is of particular relevance for antibiotics that target lipid II, whose accessibility and structure vary across bacteria 6,7 , which can modulate drug activity strongly 3,4,8 . However, structural data on lipid IIbinding antibiotics are scarce and usually only available in artificial media such as micelles. Altogether, it is largely unknown how native conditions modulate membrane-binding antibiotics. This is because quantitative structural studies of small (<10 kDa) drug-receptor complexes in cell membranes present major technical challenges that are yet to be overcome.
In principle, solid-state NMR (ssNMR) allows for structural studies directly in cell membranes [9][10][11] . However, native ssNMR studies are enormously challenging due to the low cellular concentration of the target system and the resulting poor spectral sensitivity. This problem is even more strongly exacerbated for cellular drug-binding studies with lipid II, whose minute native concentration cannot be increased recombinantly. In this work, using a state-of-the-art ssNMR approach that integrates the highly sensitive methods 1 Hdetection and high-field dynamic nuclear polarization (DNP), we show high-resolution studies of an antibiotic-lipid II complex directly in cellular membranes on the example of the lantibiotic nisin 12 .
Nisin employs a unique dual mode of antimicrobial action 12 and is effective against multidrug-resistant pathogens. Previous solution NMR studies in organic solvents reported a nisin:lipid II complex structure (1WCO) 13 , which served as template for many drug design efforts [14][15][16][17] . Here, we show that the native lipid II-bound state of nisin in cell membranes strongly differs from the previously published structure. We rationalize the native conformational space of lipid II-bound nisin and identify plastic domains that enable the antibiotic to adapt to the cellular environment. Intriguingly, these plastic domains correspond to pharmaceutical hotspots that allow to improve nisin's activity, establishing a link between antimicrobial activity and cellular adaptability. These insights provide a foundation for design strategies for lipid II-targeting antibiotics and demonstrate the high potential of our native structural biology approach to obtain an improved understanding of antibiotics that target membrane constituents.

Results
The nisin-lipid II pore only forms in membranes. The heavily modified lantibiotic nisin (34 residues) is characterized by five thio-ether rings named A-E (Fig. 1a). Nisin employs a unique antimicrobial dual mode of action that combines pore formation and inhibition of the peptidoglycan biosynthesis analogously to vancomycin 12 . These two functions are structurally separated. Via hydrogen bonds with the backbone amino protons, the Nterminal rings A-B directly bind lipid II at the pyrophosphate (PPi) group, thereby blocking the peptidoglycan synthesis 13 . The PPi group is deemed irreplaceable, and nisin is therefore highly robust against AMR development. The C-terminal part, containing rings D-E, is essential for the subsequent pore formation, in which eight nisin and four lipid II are assumed to span a hole across the plasmamembrane (Fig. 1b) 18 . N-and C-terminal domains are connected via a "hinge" linker, which is common to type A(I) lantibiotics 19 . The hinge is of high pharmacological interest, and mutations/extensions/deletions of hinge residues improve or reduce the pore-forming of nisin 15,16,20,21 . However, in the absence of high-resolution data for the pore, it is unknown how mutations modulate the native state of nisin, critically limiting its use as a template. The only information available is a nisin:lipid II complex solved in DMSO at a 1:1 stoichiometry 13 . Interestingly, the 2:1 stoichiometry, found in lipid membranes 18 , could not be detected in DMSO.
To investigate the structure of nisin bound to lipid II in the pore state, we first produced [ 13 C, 15 N]-labeled nisin in the native nisin producer Lactococcus lactis. [ 13 C, 15 N]-labeled nisin showed strong activity in standard assays (Fig. 1c) and minimum inhibitory concentration (MIC) values comparable to previously reported values (see Supplementary Fig. 4) 22,23 . Afterward, we co-assembled the nisin:lipid II pore at a 2:1 ratio in DOPC liposomes, and acquired a 1 H-detected 2D 15 N-1 H spectrum with 60 kHz magic angle spinning (MAS) (Fig. 1d). We could readily identify the spectrally well-separated signal of residue O 2 , which interacts with the PPi group and exhibits the same very high 1 Hchemical shift of 12.85 ppm as in DMSO 13 . This demonstrates that nisin is bound to lipid II under our experimental conditions, which is also clearly evidenced by a lipid II-free control sample (Fig. 2a). Lipid II-bound nisin featured sharp, well-resolved NMR signals in DOPC, implying an ordered pore state. Strikingly, the spectra of lipid II-bound nisin in DOPC and in DMSO drastically deviated (Fig. 1d). To analyze this difference, we de novo assigned the backbone chemical shifts of lipid II-bound nisin in liposomes using 3D experiments (Fig. 1e). The chemical shift perturbations (CSPs) profile that compares NMR signals in DOPC and DMSO indeed shows a marked overall conformational change in liposomes. The largest CSPs occur in the C-terminal rings D-E, which is likely diagnostic for pore formation in the DOPC membrane opposed to a non-pore state in DMSO. Moreover, we also observed stark CSPs for rings A-B, which strongly suggests that the critical interaction with the PPi group is altered in liposomes. Intriguingly, in liposomes, we could detect the Nterminal residue I1, which is of high importance for nisin's activity for uncertain reasons 24,25 , and which remained invisible in DMSO 13 . Altogether, we succeeded to capture the lipid IIbound state of nisin in the pore at high spectral resolution. Our data demonstrate that a previously solved structure 13 did not report on a physiologically relevant state. However, given that the medium strongly influences the conformation of lipid II-bound nisin (Fig. 1d), we set out to extend our liposomal studies of the nisin:lipid II pore to cellular bacterial membranes.
The native nisin-lipid II complex in cellular membranes. ssNMR studies in cellular membranes suffer from low molecular ARTICLE NATURE COMMUNICATIONS | DOI: 10.1038/s41467-018-06314-x concentration, resulting in poor sensitivity. We recently demonstrated that 1 H-detection can provide the ssNMR sensitivity required to study recombinantly overexpressed proteins in cell membranes at physiological temperatures 26 . However, studying native lipid II-peptide interactions is much more challenging because the lipid II concentration is minute in bacterial membranes (<0.5 mol % compared to plasmamembrane phospholipids) 27 and cannot be increased recombinantly.
To study the native lipid II-bound state of nisin in the pore by 1 H-detected ssNMR, we added nisin to membrane vesicles derived from the Gram-positive bacterium Micrococcus flavus, a nisin-sensitive bacteria (MIC = 2.7 ± 0.75 nM) 22, 23 , which contain all inherent membrane components (lipids, proteins, and other biomolecules) 27 . Our sample contained~25 μg, i.e., less than 10 nmol of antibiotic. Despite of this 15-20-fold concentration reduction compared to the DOPC sample, we could acquire a sensitive 2D 15 N-1 H spectrum of lipid II-bound nisin (Fig. 2a). The native spectrum reproduced our DOPC data, and we could annotate most signals, strongly suggesting that we had captured the native state of lipid II-bound nisin in the pore in both membrane systems. However, subtle differences, which we discuss below, between the spectra of the two membrane systems indicated that the cellular environment modulates the pore conformation. We also detected a second set of signals, which can be seen by the signals splitting for G14 and A s 28. As it became clear from a negative control spectrum in DOPG/DOPC without lipid II (Fig. 2a, in gray), these signals originate from nonspecifically bound nisin, present in slight excess over lipid II, whose exact native concentration is difficult to measure. Note that anionic lipids were used to enhance non-specific binding in the control sample 28 .
Despite the simultaneous presence of lipid II-bound and nonspecifically attached nisin, a number of residues (O2, A s 3, I4, U5, L6, G10, A s 11, K12, G14, A s 19, K22, and A s 28) give unambiguous signals for the native state of lipid II-bound nisin. Interestingly, the amino group of residue I1 was not detectable. This suggests that the I1 amino group has a high mobility, given that we used dipolar ssNMR experiments, in which signal sensitivity decreases with increased dynamics. Generally, rings A-B (O2-G10) showed marginal CSPs in cell membranes compared to DOPC, which is in agreement with their tight interaction with the PPi group, rendering these rings less susceptible to the medium. Exceptions were residues L6 and especially I4, which both showed 15 N CSPs between 0.6 and 1.0 ppm. Furthermore, the 1 H-signals of residues L6, G10, and A*8 were broadened, potentially due to heterogeneous PPi interactions. Ring C (A*13-A s 19) showed clear CSPs in cellular membranes, which are most notable for G14 and A s 19. Further CSPs for L16-M17 are consistent with the native spectrum but could not be unambiguously resolved. This suggests that the cellular membrane subtly changes the C ring conformation, which is essential for nisin activity for unexplained structural reasons 29 .
Intriguingly, the hinge (N20-K22) and C-terminal domain (A*23-A s 28), which form the actual transmembrane (TM) pore, featured consistent signal shifts in the cellular membrane compared to DOPC. The hinge is the only TM element that is not restraint in thio-rings and is assumed to play a special role 30 13 . The non-canonical residues A s , A*, O, and U are described in Supplementary  Fig. 3. b Nisin and lipid II form a defined pore that spans the bacterial plasmamembrane. See Supplementary Fig. 3 for the lipid II structure. c A "spot-onthe-lawn" assay shows antimicrobial activity of [ 13 C, 15  yielding nisin derivatives with enhanced bioactivity [14][15][16] . The hinge residues and A*23-A24 in direct proximity, showed clear CSPs in cellular membranes. Intriguingly, M21 either strongly shifted or disappeared in the cellular spectrum due to increased mobility. Altogether, this suggests that the hinge is plastic and important for the adaption of nisin:lipid II pore to bacterial membranes. Furthermore, also the pore-forming rings D-E are sensitive to the membrane environment, as shown by the marked CSP of residue A s 28. Residues H31-V32 disappeared in the dipolar-based cellular spectrum, pointing to an increased mobility of the C terminus.
Adaptation of the pore structure to native environment. The differences between the spectra from DOPC or M. flavus membranes indicate that the nisin pore structure adapts to the membrane environment. A likely source of this modulation is the complex composition of lipid tails and headgroups in cellular M. flavus membranes. In the following, we investigated the impact of the membrane composition on the conformation and dynamics of lipid II-bound nisin, focusing on two key aspects, i.e., bilayer charge and thickness. Furthermore, we varied the length of the prenyl-chain of lipid II.
Gram-positive membranes generally are highly enriched in anionic lipids that constitute usually >50% of the bilayer 31 . To test the effect of an anionic bilayer, we acquired ssNMR data of the lipid II-bound state of nisin in the pore in mixed liposomes composed of anionic DOPG and zwitterionic DOPC lipids ( Fig. 2b). Globally, the ssNMR spectrum shows that nisin is only weakly modulated by the membrane charge, in agreement with its high specificity for lipid II 20 . Nonetheless, we observed smaller but clear 15 N CSPs around 0.5-1 ppm for residues A s 3-I4, which correspond in direction and magnitude to the signal perturbations in M. flavus membranes. This means that ring A at the membrane-water interface is modulated by anionic lipids in cell membranes. Interestingly, this observation agrees with mutagenesis studies that showed that replacing I4 by a cationic residue favorably affects nisin's activity 32 . Equally interesting, also residues N20 and A*23-A24 at and around the hinge showed significant CSPs in anionic membranes. These residues all showed significant CSPs in M. flavus vesicles. Given that the hinge is most likely located in the membrane core and not directly interacting with lipid headgroups 33 , these findings suggest that the hinge conformations change in order to adapt the pore structure to the membrane charge.
Membrane thickness has been shown to be very important for the pore-forming activity of some lantibiotics 34,35 . Micrococcal membranes contain mainly branched C15:0 fatty acids and are therefore thinner compared to a DOPC bilayer. To explore the modulatory influence of the bilayer thickness, we acquired spectra of the lipid II-bound state of nisin in the pore in liposomes formed of C14:1 DMoPC that is much shorter compared to DOPC (18:1) (Fig. 2c). While rings A-B, that are not in contact with the lipid tails, did not show CSPs in DMoPC, almost all residues of ring C (e.g., G14 and A15) showed CSPs in the thinner membrane, and these CSPs are consistent with the cellular M. flavus spectrum (Fig. 2a). Equally in agreement with the cellular spectrum, residues N27-A s 28 of the TM part also exhibited clear CSPs in DMoPC. To better rationalize these signal changes, we acquired 15 N T 1rho ssNMR relaxation data in order to compare the mobility of the nisin pore in DOPC and DMoPC liposomes (Fig. 2e, f). From this comparison, we sought to understand if the membrane thickness modulates the conformational dynamics of the pore structure. We observed a striking stiffening of G14 of ring C in DMoPC, which correlated with a stark mobility increase of K22 in the hinge. This corroborates our observation that the hinge is plastic, and suggests that the hinge conformation is coupled to the functionally critical 29 conformation of the adjacent C ring. Moreover, the C-terminal A s 28 showed enhanced dynamics in DMoPC, which agrees with the reduced thickness of DMoPC membranes and corroborates our conclusion that the nisin C terminus pierces through the membrane surface. The enhanced C terminus mobility also explains the absence of the H31-V32 signals in M. flavus vesicles.
The dodecaprenyl-(C55) prenyl-chain of lipid II is highly conserved in bacteria. Since we used a slightly shorter heptaprenyl-(C35) lipid II for ssNMR measurements in DOPC liposomes, the longer length of the C55-prenyl-chain in the native M. flavus membrane could potentially modulate our cellular ssNMR spectra. However, such an influence is not likely, given that previous leakage studies strongly suggest that the tail of the prenyl-chain is neither involved in pore formation nor interacts with nisin 23 . Indeed, the nisin:(C35)-lipid II and nisin: (C55)-lipid II complexes give exactly the same 2D NH spectra in DOPC liposomes (Supplementary Figure 2).
Linker regions enable the cellular adaptability of the pore. So far, our results pointed to an important role of the hinge plasticity, which may be required for the adaption of the pore to the thickness and charge of the target membrane. In a pore structure, this may mean that the hinge would be accessible by the water phase through the pore lumen. Provided the hinge is not involved in strong inter-or intramolecular interactions, which is expected as it needs to stay flexible, the hinge residues should be sensitive to deuterium exchange 26,36,37 . Indeed, after 1d of incubation in deuterated buffers, signal of G18-A24 around the hinge had either disappeared or showed strongly decreased intensity in a 2D 15 N-1 H spectrum (Fig. 2d, g). This demonstrates that the hinge has the required conformational flexibility to enable the adaption of the pore structure to the cellular environment, and it also demonstrates that hinge residues line the pore lumen. Surprisingly, we also observed a complete exchange of K12, and most likely A*13, that link rings B-C. This suggests that these residues also line the pore lumen, and that the orientation between rings B and C exhibits some degree of flexibility, matching with the rearrangement of ring C that we observed in M. flavus membranes and shorter lipids (Fig. 2a, c). Notably, just like the hinge, residue K12 was identified as pharmaceutical hotspot 38 . Altogether, this shows that drug domains of high functional significance relate to nisin's plasticity.
Residues O2-G10 did not exchange in deuterated buffers, which is in excellent agreement with the direct interaction of rings A-B with the PPi group, protecting them from 1 H/ 2 H exchange. Surprisingly, the critical residue I1 24 , thought to tightly interact with the PPi group 25 , disappeared in deuterated buffers. This result makes a strong hydrogen bond between I1 and the PPi group unlikely. To further investigate the role of the I1 amino group, we measured the nanosecond dynamics ( 15 N T1) of lipid II-bound nisin in DOPC, which indeed confirmed the high flexibility of the I1 amino group (Supplementary Figure 1), and which also explains the absence of the I1 amino group in cellular conditions (Fig. 2a).

The native nisin-lipid II complex as seen by DNP-ssNMR.
With the data presented so far, we could capture the native lipid II-bound state of nisin in the pore and rationalize the influence of cellular membranes on nisin's lipid II-binding mode. However, the 1 H-detected cellular spectrum did not allow investigating all nisin residues, and did not provide side chain data, which can often be critical for drug binding. In order to obtain this complementary information, we sought to use DNP enhancement, which can boost the NMR signals of biomolecules by orders of magnitude [39][40][41][42][43][44][45][46] . Combined with a high-field 800 MHz magnet 47,48 , we envisioned that DNP would provide sufficient sensitivity and resolution to study the nisin pore in cell membranes. Therefore, we used a similar sample preparation as for cellular 1 H-detection, where we could clearly detect the native state of nisin in the pore. We obtained a DNP enhancement ε of 8 in M. flavus vesicles, which enabled the acquisition of a wellresolved 2D 13 C-13 C spectrum of the lipid II-bound state of nisin in the pore in 4 days of measurement time (Fig. 3).
Given that DNP measurements require very low temperatures (100 K), we first explored the impact of cryogenic temperatures in order to subsequently study the influence of cellular membranes on the nisin:lipid II pore. This is because at 100 K, conformational dynamics can result in signal broadening and solvents effects can lead to signal shifts [49][50][51][52] . Thereby, DNP spectra can provide valuable information on molecular motions and surface exposure. We first acquired a so-called 2D 13 C-13 C "spin diffusion" experiment at 280 K in DOPC to assign the nisin side chain 13 Csignals (Fig. 3a, in blue). 13 C-signals of residues I1-V32 could be fully assigned (see Supplementary Fig. 5 and Supplementary  Table). Notably, while the C-terminal residues I30-K34 gave only faint signals at 280 K temperature; we could detect these residues at 250 K (Fig. 3g). This confirms the enhanced dynamics of the C terminus that we observed in the 1 H-detected M. flavus spectrum, implying that C terminus sticks out of the membrane.
After obtaining the 13 C-assignments, we acquired a DNPenhanced 2D 13 C-13 C experiment of lipid II-bound nisin in DOPC at 800 MHz and 100 K as reference spectrum (Fig. 3a, in orange), and compared it to the same type of spectrum acquired in cell membranes (Fig. 3b, magenta). The DNP spectrum in DOPC was of appealing resolution, and globally followed the room temperature (280 K) spectrum closely, which enabled us to analyze most signals at DNP conditions. Figure 3c shows the (C α + C β ) CSPs in DOPC membranes comparing 280 K and cryogenic (100 K) DNP conditions, which enables us to study which side chains are water-exposed or conformationally heterogeneous. While most nisin residues show minor signal shifts, we see clear maxima for O2 and I4, which is similar in the cellular DNP spectrum. These CSPs likely relate to hydration effects, since ring A presumably localizes on top of the membrane 13 . Note that we also verified with further 2D measurements at 280 K that these CSPs relate to the cryogenic temperatures and are not caused by the DNP radical 53 . Surprisingly, while I4 showed CSPs and signal broadening, the I1 side chain featured intense, defined signals in both DOPC and cellular DNP spectra. This suggests that the I1 side chain is rigid and water shielded in the native pore. This assumption could be further corroborated in a series of dipolar-based 2D spectra at 280 K, showing a much faster built-up for I1 side chain signals compared to I4 (Fig. 3f). This suggests that the I1 side chain, rather than the backbone, may be important for nisin's pore structure. Note that highly conserved 32 residue P9 showed intense signals without CSPs in DNP spectra in DOPC and M. flavus membranes, demonstrating that the ring B conformation is highly defined, which is presumably critical for efficient PPi binding. Intriguingly, the hinge and adjacent residues like A*23 showed strongly decreased intensities due to signal broadening at DNP conditions in DOPC, which was even exacerbated in cellular membranes (Fig. 3e). This again demonstrates the conformational heterogeneity of the hinge, which is in very good agreement with our 1 H-detected experiments. Notably, the A*13 signals disappeared on both sides of the diagonal in the cellular DNP spectrum, while these signals were visible in DOPC. This broadening most likely relates to an increased conformational plasticity of residues K12-A*13 that connect ring C to the PPibinding motif, which is in excellent agreement with the absence of these residues in 1 H/ 2 H exchange experiments. This highlights that ring C is modulated by the membrane complexity, as we showed above (Fig. 2c). Furthermore, at 100 K, residue    13 C ppm). f 13 C-13 C PDSD spin diffusion buildup curves of the C αβ (continuous lines) and C αδ (dashed lines) cross-peaks for residues I1 (in blue) and I4 (red). g The mobile nisin C terminus gives faint signals in dipolar 2D 13 C-13 C spectra at 280 K (in gray and dark blue with 100 ms and 30 ms 13 C-13 C mixing, respectively), while stronger signals appear at 250 K (in cyan, 50 ms mixing) S29 showed severe line broadening in DOPC and cellular membranes, confirming that the C terminus is dynamically disordered in the native pore. This finding, yet again, underscores the importance of flexible regions for nisin's activity, given that mutations of S29 increase nisin's activity 54 .

Discussion
Antimicrobial resistance is a severe problem and the development of antibiotics is of high urgency. Drugs that target lipid II, the bacterial "Achilles heel," are promising templates for nextgeneration antibiotics that are robust against AMR 2 . However, the native, i.e., pharmaceutically relevant binding modes of these drugs are scarcely understood because the major technical challenges to study small drug-receptor complexes in cell membranes at the atomic level are yet to be overcome. In the present study, we introduced a cutting-edge ssNMR approach that enables comprehensive high-resolution studies of antibiotic-lipid II complexes directly in native bacterial membranes. We demonstrated our approach on the example of the lantibiotic nisin, which uses a unique dual mode of action of targeted pore formation and vancomycin-like blockage of the peptidoglycan synthesis.
A previous solution NMR study in DMSO already provided a nisin:lipid II complex structure 13 , which has been the gold standard for the structural understanding of nisin and similar lantibiotics. The present ssNMR data conclusively showed that the conformation of lipid II-bound nisin is drastically different in membranes, i.e., the physiologically/pharmacologically relevant environment. De novo ssNMR assignments demonstrated that the membrane environment markedly modulates the nisin:lipid II complex structure, which is because nisin forms a pore complex with lipid II in membranes, as opposed to a non-pore state in DMSO (Fig. 1d, f).
Given the marked influence of the membrane environment on the binding mode, it seemed plausible that the functional state of the nisin pore is modulated by the cellular membrane complexity. Therefore, as a next step, using 1 H-detected ssNMR, we could acquire a spectrum of the lipid II-bound state of nisin in the pore directly in native M. flavus membranes at physiological temperatures (Fig. 2a). The obtained cellular spectrum globally reproduced our data in DOPC, and demonstrated that we had discovered the functional state of the pore. Intriguingly, we observed that specific regions of lipid II-bound nisin were modulated by cellular conditions (Fig. 4a). Using studies in different membrane types, we showed that the membrane compositions modulate the conformational space of nisin. This modulation is especially visible around the linker K12 and the hinge N20-K22 that connect both lipid II-binding and poreforming functional motifs of nisin. Using 1 H/ 2 H exchange  Fig. 4 The nisin:lipid II pore topology. a Membrane arrangement of the nisin:lipid II topology as seen by ssNMR. Plastic residues that are required to adapt to the bacterial target membrane are highlighted with red circles. Residues that showed 1 H/ 2 H exchange are colored in blue and align the pore lumen. The C terminus is dynamically disordered and resides at the water-membrane interface. The A-B rings (in magenta) interact with the lipid II PPi group. b Residues I4 32 , K12 38 , N20-K22 15,16,20,21,30 , and S29 54 are pharmaceutical hotspots that enable to improve nisin's activity upon mutation. These residues were all identified as important for nisin's cellular adaptability in this study experiments, we showed that these linker domains are not involved in strong intermolecular interactions, which is required for the plasticity of the linkers (Fig. 2d, e). These observations could be confirmed in high-field DNP-enhanced experiments in native bacterial membranes, where signals of linker domains and the C terminus exhibited severe signal broadening due to conformational heterogeneity. Intriguingly, the linker domains and the C terminus were identified as pharmacological hotspots 15,32,38,54 , and modifications of these plastic elements can strongly increase nisin's bioactivity, even against Gramnegative pathogens (Fig. 4b) 14,54 . Thereby, our study suggests that these flexible linker regions are critical for nisin to adapt to the target membrane of a given bacterium. This is in excellent agreement with a recent study that indicated that substitutions/ extensions of the linker domains change the bioactivity of nisin in a strain-specific manner 30 . Furthermore, our 1 H/ 2 H exchange experiments demonstrate that hinge residues line the pore lumen, which provides the first high-resolution topological insights in the hitherto elusive pore state (Fig. 4a).
Our studies also conclusively showed that the nisin ring A, and especially the conserved ring B 32 , are least modulated by the environment, which is consistent with nisin's high specificity for the PPi group. Surprisingly, 1 H/ 2 H exchange studies and measurements of nisin's dynamics suggest that the critical residue I1 does not engage in strong hydrogen bonding with the PPi group 13,25 . While we cannot rule out that the N-terminal I1 amino group transiently interacts with the PPi group, our data hint at an important role for the I1 side chain, which adopts a well defined and presumably water-shielded conformation in the native nisin pore (Fig. 3). This assumption is supported by mutational studies that showed a twofold activity reduction upon replacing I1 by a tryptophan 55 .
To summarize, our native structural study provides highresolution insights into the dual activity of the preeminent lantibiotic nisin. Given the uniqueness of nisin's binding mode, its high activity and robustness against AMR development, the use of nisin as a template could be a promising strategy for the construction of antibiotics. As demonstrated in this work, the combination of advanced highly sensitive ssNMR methods paves the way to obtain comprehensive molecular insights into small antibiotic-receptor complexes in a cellular membrane environment. Such native studies may be particularly important to understand the pharmaceutically relevant states of lipid IIbinding drugs with a high exposure to the membrane surface 3,5 .

Methods
Nisin production and ssNMR sample preparation. The Lactococcus lactis NIZO 22186 strain carrying the nisZ gene was used for nisin production. Uniformly labeled [ 13 C, 15 N]-nisin Z was obtained using [ 13 C, 15 N]-enriched medium 56 . Nisin was extracted from the growth medium using Amberlite XAD-16N (Sigma-Aldrich) resin and purified with RP-HPLC (Discovery C18, L. × I.D. 150 mm × 2.1 mm, 5 μm particle size). The column was equilibrated with [H 2 O 95:5 ACN, 0.05% TFA] and elution was carried out with a linear gradient 50-100% of [ACN 95:5 H 2 O, 0.05% TFA] at RT and 0.75 ml flow rate. The absorbance of the eluent was monitored at 214 nm and the fractions containing nisin were subsequently lyophilized. The presence and purity of nisin in the eluted fractions was confirmed by ESI-MS (Finnigan LCQ Deca XP). See Supplementary Fig. 4 for an HPLC elution profile and an ESI ionization trance. The concentration of nisin was measured using the Micro BCA Protein Assay (Thermo Scientific) and crossvalidated by 1 H-solution NMR using DSS as an internal standard. Accordingly, the specific absorbance for nisin Z at 220 nm was 1.214 mg −1 ml mm −1 in 0.05% acetic acid solution.
Antimicrobial activity of nisin was monitored by a bioassay against Staphylococcus simulans 22 (Fig. 1c). Accordingly, S. simulans was grown in TSB medium (Sigma-Aldrich) at 37°C under aerobic conditions. Bacteria were seeded at 1% dilution into soft TSB agar medium (0,6% agar, cooled to 37°C), plated and dried. Aliquot of 10 μl of each test sample was pipetted onto surface of the seeded agar plate, which was afterward dried and incubated overnight at 37°C. The test samples containing nisin were prepared in Tris buffer (15 mM Tris-HCl, 25 mM NaCl, pH 7.0).
Lipid II (lysine form) was purified using published protocols 23 , using heptaprenyl-phosphate as the polyisoprenyl substrate, as this guarantees optimal pore formation by nisin in DOPC membranes 23 .
Dry lipid films containing the lipid II/phospholipids mixture (4% mol/mol) were hydrated by vortexing with 1.5 ml of a nisin solution (15 mM Tris-HCl, 25 mM NaCl, pH 7.0). The correspondent samples contained exact stoichiometric amounts for a 2:1 nisin-lipid II complex. Subsequently, in order to complete nisin-lipid II pore complex formation, the lipid suspension containing the pore complex was incubated at room temperature for 90 min. Liposomes were collected by centrifugation (20,000 × g) and loaded into Bruker 1.3 or 3.2 mm zirconia rotors. Afterward, supernatants were virtually free of nisin, as we tested with antimicrobial activity assays. In total, the samples contained~0.60 mg and 2.60 mg (150 and 750 nmol) of nisin in the 1.3 and 3.2 mm rotors, respectively. Note that we did not observe chemical shift differences for the nisin-lipid II complex in DOPC liposomes with different concentrations (1, 2, or 4 %) of lipid II.
Native membrane vesicles (MVs) preparations were obtained from Micrococcus flavus DSM 1790 strain based on the method described previously 23 . Accordingly, the bacteria were grown in TSB medium (6L) up to an OD 600 of 5 (mid log phase). Cells were harvested and washed with 50 Mm Tris-Cl, pH 8.0, resuspended in the same buffer (30-50 ml per liter of culture), and lysed over eight runs using a cell disruptor (Constant Systems). The remaining intact cells were removed by a lowspeed centrifugation of the mixture at 600 × g and the clear supernatant was centrifuged at 20,000 × g to collect the membranes. The resulting membrane pellet was resuspended in the same buffer, flash-frozen in liquid nitrogen, and stored at −20°C.
During the MVs preparation, a large fraction of the lipid II pool is naturally consumed by the active enzymes present in the membrane. Therefore, the lipid II content in the M. flavus MVs was restored to maximal natural amounts by incubating the membranes in a suspension with the corresponding lipid II precursors UDP-MurNAc-pentapeptide and UDP-GlcNAc 12 . The lipid II concentration in the M. flavus membrane preparations was estimated to be 0.5% of its total phospholipids molar content 27 , which was calculated via an inorganic phosphate determination. Briefly, membrane lipids were extracted and isolated according to the Bligh-Dyer procedure 57 and the amount of organic phosphate present was subsequently determined according to the method described by Rouser et al. 58 . Nisin was accordingly added to the lipid II-replenished MVs considering a 2:1 nisin:lipid II stoichiometry. Reconstituted lipid II-bound nisin in DOPC liposomes (4% lipid II) for the DNP samples were prepared using 300 nmol lipid II and 600 nmol of nisin.
Prior to the measurements, all DNP samples were suspended in 60% glycerold 8 , 35% buffer solution (25 mM NaCl, 15 mM Tris-HCl pH 7.0 final concentration), and 5% 15 mM AMUPol 53 (final concentration) in D 2 O. Samples were filled in a Bruker 3.2 mm sapphire rotor. NMR spectroscopy. 1 H-detected ssNMR experiments were performed at 60 kHz MAS frequency at static magnetic fields of 18.8 and 22.2 T (800 and 950 MHz 1 Hfrequency, Bruker Biospin). All experiments were performed using dipolar-based sequences at a sample temperature of about 310 K. Sequential backbone chemical shift assignments were performed using 3D CANH, 3D CONH, and 3D CAcoNH experiments 26 . For the latter experiment, one-bond polarization 13 C-13 C transfer between CA and CO was achieved with DREAM 59 recoupling. For all crosspolarization (CP) steps, we used ramped (10-20%) contact pulses. All 3D experiments were acquired with sparse sampling (40-50%). In all 1 H-detected experiments, the last transfer step from 15 N to 1 H was kept short (500-700 μs) to exclusively obtain intra-residual transfer. PISSARRO 60 low-power (15 kHz decoupling amplitude, 70 μs pulse length) decoupling was used during all indirect and direct detection periods.
Two-dimensional 13 C-13 C spin diffusion experiments at room temperature (280 K) were performed with PARIS 61 recoupling at 950 MHz and 17 kHz MAS frequency. The PARIS recoupling amplitude was 10 kHz, the mixing time 45 ms, and we used the standard phase inversion time of half a rotor period (N = ½, i.e., 29.41 μs). SPINAL64 62 was used in both indirect and direct detection periods. For the dipolar magnetization transfer buildup curves (Fig. 3f), we used 2D PDSD 13 C- 13 C experiments, i.e., we did not apply a recoupling sequence on the protons in order to emphasize the effect of local molecular motions.
DNP-enhanced 2D 13 C-13 C spin diffusion ssNMR experiments were carried out using an 800 MHz/527 GHz setup (Bruker Biospin) at 100 K experimental temperature and 10.6 kHz MAS. A 13 C-13 C mixing time of 40 ms was used for all DNP experiments without recoupling irradiation on the proton channel. SPINAL64 decoupling was used in all detection periods. 1 H-detected 15 N T 1rho and T 1 relaxation experiments were carried out at 950 MHz and 800 MHz magnetic field, respectively, using 60 kHz MAS 26 . The 15 N transverse magnetization decay was probed with a 15 N spinlock field of 17.5 kHz, without application of 1 H-decoupling during the 15 N spinlock. We measured six points for both T 1 (0, 2, 4, 6, 8, 12, and 18 s) and T 1rho (0, 10, 25, 50, 100, and 130 ms). Only well-isolated peaks were considered for the analysis, for which we measured the peak intensities. The T 1 and T 1rho trajectories were fit to single exponentials.