Antibiotic resistance in bacteria and its future for novel antibiotic development

被引:191
作者
Yoneyama, Hiroshi [1 ]
Katsumata, Ryoichi [1 ]
机构
[1] Tohoku Univ, Grad Sch Agr Sci, Dept Microbial Biotechnol, Lab Anim Microbiol,Aoba Ku, Sendai, Miyagi 9818555, Japan
关键词
antibiotics; multiantibiotic resistance; bacteria; chemotherapy;
D O I
10.1271/bbb.70.1060
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Since the first introduction of the sulfa drugs and penicillin into clinical use, large numbers of antibiotics have been developed and hence contributed to human health. But extensive use of antibiotics has raised a serious public health problem due to multiantibiotic resistant bacterial pathogens that inevitably develop resistance to every new drug launched in the clinic. Consequently, there is a pressing need to develop new antibiotics to keep pace with bacterial resistance. Recent advances in microbial genomics and X-ray crystallography provide opportunities to identify novel antibacterial targets for the development of new classes of antibiotics and to design more potent antimicrobial compounds derived from existing antibiotics respectively. To prevent and control infectious diseases caused by multiantibiotic resistant bacteria, we need to understand more about the molecular aspects of the pathogens' physiology and to pursue ways to prolong the life of precious antibiotics.
引用
收藏
页码:1060 / 1075
页数:16
相关论文
共 156 条
[91]   Vancomycin-resistant enterococci [J].
Murray, BE .
AMERICAN JOURNAL OF MEDICINE, 1997, 102 (03) :284-293
[92]  
Murray IA, 1997, ANTIMICROB AGENTS CH, V41, P1
[93]   Effects of amino acid alterations in penicillin-binding proteins (PBPs) 1a, 2b, and 2x on PBP affinities of penicillin, ampicillin, amoxicillin, cefditoren, cefuroxime, cefprozil, and cefaclor in 18 clinical isolates of penicillin-susceptible, -intermediate, and -resistant pneumococci [J].
Nagai, K ;
Davies, TA ;
Jacobs, MR ;
Appelbaum, PC .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (05) :1273-1280
[94]   ROLE OF MEMBRANE-PERMEABILITY IN DETERMINING ANTIBIOTIC-RESISTANCE IN PSEUDOMONAS-AERUGINOSA [J].
NAKAE, T .
MICROBIOLOGY AND IMMUNOLOGY, 1995, 39 (04) :221-229
[95]   Linkage of the efflux-pump expression level with substrate extrusion rate in the MexAB-OprM efflux pump of Pseudomonas aeruginosa [J].
Narita, S ;
Eda, S ;
Yoshihara, E ;
Nakae, T .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 2003, 308 (04) :922-926
[96]   Antibiotics at the crossroads [J].
Nathan, C .
NATURE, 2004, 431 (7011) :899-902
[97]   THE CRISIS IN ANTIBIOTIC-RESISTANCE [J].
NEU, HC .
SCIENCE, 1992, 257 (5073) :1064-1073
[98]   Mystery of multidrug transporters: the answer can be simple [J].
Neyfakh, AA .
MOLECULAR MICROBIOLOGY, 2002, 44 (05) :1123-1130
[99]   Quinolone resistance mutations in topoisomerase IV: Relationship to the flqA locus and genetic evidence that topoisomerase IV is the primary target and DNA gyrase is the secondary target of fluoroquinolones in Staphylococcus aureus [J].
Ng, EY ;
Trucksis, M ;
Hooper, DC .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1996, 40 (08) :1881-1888
[100]   PREVENTION OF DRUG ACCESS TO BACTERIAL TARGETS - PERMEABILITY BARRIERS AND ACTIVE EFFLUX [J].
NIKAIDO, H .
SCIENCE, 1994, 264 (5157) :382-388