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The hydrogen and oxygen channels (Fig. 3) are essential for H<sup>+</sup> and O<sub>2</sub> molecules to reach the active site of cytochrome ''bd'' oxidase. A proton motive force generated by the oxidase<ref name= "Safarian">PMID:31604309</ref> allows protons from the cytoplasm to flow through a hydrophilic <scene name='83/832931/Overall_h_channel/1'>H-channel</scene> full of water (pink dots), entering at <scene name='83/832931/Start_of_h_channel/2'>Asp119<sup>A</sup></scene> and moving past <scene name='83/832931/Start_of_h_channel/2'>Lys57<sup>A</sup>, Lys109<sup>B</sup>, Asp105<sup>B</sup>, Tyr379<sup>B</sup>, and Asp58<sup>B</sup></scene><ref name="Theßeling">PMID:31723136</ref> where they can be transferred to the active site with the help of the conserved residues <scene name='83/832931/End_of_h_channel/3'>Ser108<sup>A</sup>, Glu107<sup>A</sup>, and Ser140<sup>A</sup></scene><ref name= "Safarian">PMID:31604309</ref>.  A smaller <scene name='83/832931/O_channel_overall/2'>o-channel</scene> also exists that transitions from hydrophobic to hydrophilic as it gets closer to the active site. This channel allows oxygen to reach the active site, starting near <scene name='83/832931/Ochannel/2'>Trp63</scene> in CydB and passing by <scene name='83/832931/Ochannel/2'>Ile144<sup>A</sup>, Leu101<sup>A</sup>, and Glu99<sup>A</sup></scene><ref name= "Safarian">PMID:31604309</ref>, which assists with the binding of oxygen to the active site.  The o-channel channel is approximately 1.5 Å in diameter<ref name="Theßeling">PMID:31723136</ref>, which may help with selectivity.  
The hydrogen and oxygen channels (Fig. 3) are essential for H<sup>+</sup> and O<sub>2</sub> molecules to reach the active site of cytochrome ''bd'' oxidase. A proton motive force generated by the oxidase<ref name= "Safarian">PMID:31604309</ref> allows protons from the cytoplasm to flow through a hydrophilic <scene name='83/832931/Overall_h_channel/1'>H-channel</scene> full of water (pink dots), entering at <scene name='83/832931/Start_of_h_channel/2'>Asp119<sup>A</sup></scene> and moving past <scene name='83/832931/Start_of_h_channel/2'>Lys57<sup>A</sup>, Lys109<sup>B</sup>, Asp105<sup>B</sup>, Tyr379<sup>B</sup>, and Asp58<sup>B</sup></scene><ref name="Theßeling">PMID:31723136</ref> where they can be transferred to the active site with the help of the conserved residues <scene name='83/832931/End_of_h_channel/3'>Ser108<sup>A</sup>, Glu107<sup>A</sup>, and Ser140<sup>A</sup></scene><ref name= "Safarian">PMID:31604309</ref>.  A smaller <scene name='83/832931/O_channel_overall/2'>o-channel</scene> also exists that transitions from hydrophobic to hydrophilic as it gets closer to the active site. This channel allows oxygen to reach the active site, starting near <scene name='83/832931/Ochannel/2'>Trp63</scene> in CydB and passing by <scene name='83/832931/Ochannel/2'>Ile144<sup>A</sup>, Leu101<sup>A</sup>, and Glu99<sup>A</sup></scene><ref name= "Safarian">PMID:31604309</ref>, which assists with the binding of oxygen to the active site.  The o-channel channel is approximately 1.5 Å in diameter<ref name="Theßeling">PMID:31723136</ref>, which may help with selectivity.  


Interestingly, the o-channel does not exist in the cytochrome''bd'' oxidase of [https://en.wikipedia.org/wiki/Geobacillus_thermoglucosidasius ''Geobacillus Thermodenitrificans'']; instead, oxygen binds directly to the active site<ref name="Rajendran">PMID:27126043</ref>.  The <scene name='83/832931/Cyds/1'>CydS</scene> subunit found in E. coli blocks this alternate oxygen entry site, which allows oxygen to travel through the o-channel<ref name="Safarian">PMID:31604309</ref><ref name="Theßeling">PMID:31723136</ref>.  The presence of an o-channel affects oxidase activity, as the ''E. coli'' oxidase acts as a "true" oxidase, while the ''G. th'' bd oxidase contributes more to detoxification<ref name="Theßeling">PMID:31723136</ref>.
Interestingly, the o-channel does not exist in the cytochrome''bd'' oxidase of [https://en.wikipedia.org/wiki/Geobacillus_thermoglucosidasius ''Geobacillus thermodenitrificans'']; instead, oxygen binds directly to the active site<ref name="Rajendran">PMID:27126043</ref>.  The <scene name='83/832931/Cyds/1'>CydS</scene> subunit found in E. coli blocks this alternate oxygen entry site, which allows oxygen to travel through the o-channel<ref name="Safarian">PMID:31604309</ref><ref name="Theßeling">PMID:31723136</ref>.  The presence of an o-channel affects oxidase activity, as the ''E. coli'' oxidase acts as a "true" oxidase, while the ''G. thermodenitrificans'' bd oxidase contributes more to detoxification<ref name="Theßeling">PMID:31723136</ref>.
=== Hemes ===
=== Hemes ===
There are three <scene name='83/832931/Heme/6'>heme</scene> molecules present in the CydA subunit that form a triangle to maximize subunit stability<ref name="Safarian">PMID:31604309</ref><ref name="Theßeling">PMID:31723136</ref><ref name="Rajendran">PMID:27126043</ref>, which is an evolutionary conserved feature across bd oxidases<ref name="Safarian">PMID:31604309</ref>.  Similar to the hemes, the <scene name='83/832931/Uq8/3'>ubiquinone-8</scene> (UQ-8) molecule found in CydB mimics the triangular formation to stabilize the subunit<ref name= "Safarian">PMID:31604309</ref>.  Heme b<sub>558</sub> acts as the primary electron acceptor by catalyzing the oxidation of quinol<ref name="Theßeling">PMID:31723136</ref>. Conserved <scene name='83/832931/Met393/1'>His186 and Met393</scene> help to stabilize heme b558<ref name="Theßeling">PMID:31723136</ref>. Heme b<sub>558</sub> transfers the electrons to heme b595, which transfers them to the active site heme d<ref name= "Safarian">PMID:31604309</ref>.  A conserved <scene name='83/832931/Trp441/5'>Trp441</scene> assists heme b<sub>595</sub> in transferring electrons to heme d<ref name="Rajendran">PMID:27126043</ref>.  A conserved <scene name='83/832931/Hemeb595/2'>Glu445</scene> is essential for charge stabilization of heme b<sub>595</sub><ref name="Theßeling">PMID:31723136</ref>, while <scene name='83/832931/Hemeh19/2'>His19</scene> stabilizes heme d<ref name="Rajendran">PMID:27126043</ref>. As heme d collects the electrons from heme b<sub>595</sub>, <scene name='83/832931/Heme_d/2'>Glu99</scene> in the o-channel facilities the binding of oxygen to heme d, and <scene name='83/832931/Heme_d/2'>Ser109, Glu107, and Ser140</scene> in the h-channel facilitate proton transfer to heme d<ref name="Safarian">PMID:31604309</ref>.  With electrons, oxygen, and protons available, heme d can successfully reduce dioxygen to water.
Three <scene name='83/832931/Heme/6'>hemes</scene> are present in the CydA subunit. These three hemes form a triangle to maximize subunit stability<ref name="Safarian">PMID:31604309</ref><ref name="Theßeling">PMID:31723136</ref><ref name="Rajendran">PMID:27126043</ref>, which is an evolutionary conserved feature across bd oxidases<ref name="Safarian">PMID:31604309</ref>.  Heme b<sub>558</sub> acts as the primary electron acceptor by catalyzing the oxidation of quinol<ref name="Theßeling">PMID:31723136</ref>. Conserved <scene name='83/832931/Met393/1'>His186 and Met393</scene> help to stabilize heme b558<ref name="Theßeling">PMID:31723136</ref>. Heme b<sub>558</sub> transfers the electrons to heme b595, which transfers them to the active site heme d<ref name= "Safarian">PMID:31604309</ref>.  A conserved <scene name='83/832931/Trp441/5'>Trp441</scene> assists heme b<sub>595</sub> in transferring electrons to heme d<ref name="Rajendran">PMID:27126043</ref>.  A conserved <scene name='83/832931/Hemeb595/2'>Glu445</scene> is essential for charge stabilization of heme b<sub>595</sub><ref name="Theßeling">PMID:31723136</ref>, while <scene name='83/832931/Hemeh19/2'>His19</scene> stabilizes heme d<ref name="Rajendran">PMID:27126043</ref>. As heme d collects the electrons from heme b<sub>595</sub>, <scene name='83/832931/Heme_d/2'>Glu99</scene> in the o-channel facilities the binding of oxygen to heme d, and <scene name='83/832931/Heme_d/2'>Ser109, Glu107, and Ser140</scene> in the h-channel facilitate proton transfer to heme d<ref name="Safarian">PMID:31604309</ref>.  With electrons, oxygen, and protons available, heme d can successfully reduce dioxygen to water.
Similar to the hemes, the <scene name='83/832931/Uq8/3'>ubiquinone-8</scene> (UQ-8) molecule found in CydB mimics the triangular formation to stabilize the subunit<ref name= "Safarian">PMID:31604309</ref>.  
== Relevance ==
== Relevance ==
The cytochrome ''bd'' oxidase is essential for bacteria to thrive in the human body.  Terminal oxidases in bacteria are needed for formate oxidation activity, which provides a sustainability advantage for bacterial growth.  If E. coli are missing or possess ineffective CydA and B subunits, their advantage is eliminated<ref name="Hughes">PMID: 28182951</ref>.  Specifically with [https://en.wikipedia.org/wiki/Colitis colitis], E. coli mutants that were missing CydAB colonized quite poorly, while the wild type colonized at high levels<ref name="Hughes">PMID: 28182951</ref>.  The cytochrome ''bd'' oxidase is the main component in nitric oxide (NO) tolerance in bacteria, which is released by neutrophils and macrophages when the host is infected<ref name="Shepherd">PMID: 27767067</ref>. E. coli growth seen in urinary tract infections is mainly due to the NO resistant bd oxidase, but without the CydA A and B subunits, bacteria cannot colonize in high NO conditions<ref name="Shepherd">PMID: 27767067</ref>.  Cytochrome ''bd'' oxidases are essential in other bacteria, specifically in [https://en.wikipedia.org/wiki/Mycobacterium_tuberculosis ''M. tuberculosis''].  Other known oxidases can be inhibited to prevent the spreading of ''M. tb'', however the cytochrome bd oxidase not only allows ''M. tb'' to survive, but to colonize. Without the CydAB subunits, ''M. tb'' growth dramatically decreases when exposed to imidazo[1,2-α]pyridine, a known inhibitor of ATP synthase<ref name="Arora">PMID:25155596</ref>.   
The cytochrome ''bd'' oxidase is essential for bacteria to thrive in the human body.  Terminal oxidases in bacteria are needed for formate oxidation activity, which provides a sustainability advantage for bacterial growth.  If E. coli are missing or possess ineffective CydA and B subunits, their advantage is eliminated<ref name="Hughes">PMID: 28182951</ref>.  Specifically with [https://en.wikipedia.org/wiki/Colitis colitis], E. coli mutants that were missing CydAB colonized quite poorly, while the wild type colonized at high levels<ref name="Hughes">PMID: 28182951</ref>.  The cytochrome ''bd'' oxidase is the main component in nitric oxide (NO) tolerance in bacteria, which is released by neutrophils and macrophages when the host is infected<ref name="Shepherd">PMID: 27767067</ref>. E. coli growth seen in urinary tract infections is mainly due to the NO resistant bd oxidase, but without the CydA A and B subunits, bacteria cannot colonize in high NO conditions<ref name="Shepherd">PMID: 27767067</ref>.  Cytochrome ''bd'' oxidases are essential in other bacteria, specifically in [https://en.wikipedia.org/wiki/Mycobacterium_tuberculosis ''M. tuberculosis''].  Other known oxidases can be inhibited to prevent the spreading of ''M. tb'', however the cytochrome bd oxidase not only allows ''M. tb'' to survive, but to colonize. Without the CydAB subunits, ''M. tb'' growth dramatically decreases when exposed to imidazo[1,2-α]pyridine, a known inhibitor of ATP synthase<ref name="Arora">PMID:25155596</ref>.   

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OCA, Emily Neal