4.7 Review

Molecular mechanisms of antibiotic resistance revisited

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Pavel A. Nazarov

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Emily E. Whittle et al.

Summary: Efflux is important for maintaining low intracellular accumulation only in actively growing cells, while envelope permeability is the predominant factor in stationary-phase cells. This study suggests that antibiotics with intracellular targets may be less effective in complex infections with nongrowing or slow-growing bacteria, and efflux inhibitors may potentiate the activity of existing antibiotics in actively growing bacterial infections. The remodeling of the cell envelope prior to stationary phase could provide novel drug targets.
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Characteristics and diversity of mutations in regulatory genes of resistance-nodulation-cell division efflux pumps in association with drug-resistant clinical isolates of Acinetobacter baumannii

Bahare Salehi et al.

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Laura Carrilero et al.

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Sylvie Manuse et al.

Summary: Persisters are a small subpopulation of bacterial cells tolerant to antibiotic killing, and their formation is related to low levels of energy-generating enzymes. These low ATP cells are formed stochastically due to fluctuations in the abundance of energy-generating components, suggesting a general low energy mechanism of persister formation.

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Akshay Sabnis et al.

Summary: Colistin is a last-resort antibiotic with poor efficacy due to growing resistance. Recent research has shown that colistin exerts bactericidal activity by targeting lipopolysaccharide in the cytoplasmic membrane of bacteria. These findings offer insight into novel approaches for enhancing therapeutic outcomes.
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Genomic and Phenotypic Analysis of Linezolid-Resistant Staphylococcus epidermidis in a Tertiary Hospital in Innsbruck, Austria

Silke Huber et al.

Summary: Whole genome sequencing is a useful tool for monitoring resistance mechanisms in bacteria. This retrospective study found that the major resistance mechanisms in linezolid-resistant Staphylococcus epidermidis (LRSE) were mutations in 23S rRNA and the presence of the cfr gene, with most LRSE isolates showing high resistance levels to linezolid. Linezolid usage was identified as the main factor contributing to the development of resistance, and monitoring of the cfr gene in LRSE and restriction of linezolid usage are potential key steps to reduce resistance and transmission.

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Stefan Schwarz et al.

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Plasmids in Gram negatives: Molecular typing of resistance plasmids

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Updated Functional Classification of beta-Lactamases

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Alarming beta-lactamase-mediated resistance in multidrug-resistant Enterobacteriaceae

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CURRENT OPINION IN MICROBIOLOGY (2010)

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Penicillin-binding proteins and beta-lactam resistance

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Synthetic lipopeptides: a novel class of anti-infectives

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The bacterial ribosome as a target for antibiotics

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