(A) Representative mass spectra showing the presence and abundance of unmodified lipid A (red) and lipid A modified with phosphoethanolamine (blue) in MCR-1-producing spheroplasts of E. coli MC1000 either uninduced, or induced with 0.05 mM IPTG, as determined by MALDI-TOF-based lipidomics. Also shown, a spectrum from the same analysis of E. coli pEmpty (B) Quantification of LPS modified with phosphoethanolamine, expressed as the ratio of modified lipid A to unmodified lipid A, in MCR-1-producing spheroplasts of E. coli MC1000 either uninduced, or induced with 0.05 mM IPTG, as determined by MALDI-TOF-based lipidomics. (n = 3, *p<0.01 between 0 mM IPTG and 0.05 mM IPTG). (C) Permeabilisation by colistin (4 µg ml−1) of the CM of E. coli MC1000 spheroplasts generated from empty plasmid control bacteria, or from bacteria expressing mcr-1 either uninduced, or induced with 0.05 mM IPTG, as determined using 0.25 µM PI (n = 3, experiment performed on three independent occasions). (D) Lysis by colistin (4 µg ml−1) of E. coli MC1000 spheroplasts generated from empty plasmid control bacteria, or from bacteria expressing mcr-1 either uninduced, or induced with 0.05 mM IPTG, as measured using OD600nm readings (n = 3, experiment performed on three independent occasions). Spheroplasts of E. coli cells producing MCR-1 with different amounts of modified LPS in the CM were generated using the IPTG-inducible pDM1 plasmid. In the absence of IPTG induction, pETN-modified LPS was detected in the CM of E. coli spheroplasts, suggesting leakiness of the expression vector (A). Crucially, however, there was a significant increase in the proportion of pETN-modified lipid A relative to unmodified lipid A in the CM in response to 0.05 mM IPTG, in keeping with increased mcr-1 expression (A, B). The quantity of unmodified LPS in the CM of E. coli spheroplasts correlated with the extent to which the CM was susceptible to colistin-induced disruption of the CM, with spheroplasts that were not induced with IPTG displaying only a partial reduction in PI uptake in response to the polymyxin antibiotic compared to pEmpty spheroplasts (C). In keeping with this, colistin-mediated lysis of uninduced spheroplasts producing MCR-1 was delayed, but not prevented (D). By contrast, E. coli spheroplasts expressing mcr-1 which were induced with 0.05 mM IPTG and had a lower proportion of unmodified lipid A in the CM and exhibited no CM disruption in response to colistin and there was also no lysis of spheroplasts observed (C, D). This confirmed that resistance to colistin conferred by mcr-1 was directly related to the amount of unmodified LPS present in the CM. Data in B were analysed by a one-way ANOVA with Sidak’s post hoc test. Data are presented as the arithmetic mean, and error bars represent the standard deviation of the mean.