2015
DOI: 10.1155/2015/679109
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Antibacterial Mechanisms of Polymyxin and Bacterial Resistance

Abstract: Multidrug resistance in pathogens is an increasingly significant threat for human health. Indeed, some strains are resistant to almost all currently available antibiotics, leaving very limited choices for antimicrobial clinical therapy. In many such cases, polymyxins are the last option available, although their use increases the risk of developing resistant strains. This review mainly aims to discuss advances in unraveling the mechanisms of antibacterial activity of polymyxins and bacterial tolerance together… Show more

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Cited by 189 publications
(201 citation statements)
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References 83 publications
(116 reference statements)
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“…The antibiotic PMB permeabilizes the OM before targeting and disrupting the cytoplasmic membrane in E. coli (33,34). As a result, PMB causes release into the medium of not only periplasmic ␤-lactamase but also cytoplasmic ␤-galactosidase (35,36), as confirmed in our studies (Fig.…”
Section: Classsupporting
confidence: 85%
“…The antibiotic PMB permeabilizes the OM before targeting and disrupting the cytoplasmic membrane in E. coli (33,34). As a result, PMB causes release into the medium of not only periplasmic ␤-lactamase but also cytoplasmic ␤-galactosidase (35,36), as confirmed in our studies (Fig.…”
Section: Classsupporting
confidence: 85%
“…We previously reported the complete genome of this strain [8], and we identified that it has a truncated mgrB gene, consistent with reports that mutations in this gene represent one of the various mechanisms for acquired colistin resistance [911]. Despite Kp13 being already resistant to polymyxin B, we aimed to induce additional adaptive responses by growth in high polymyxin B concentrations while also probing in vitro the effects of diverse environmental stimuli.…”
Section: Introductionsupporting
confidence: 73%
“…The tight packing of the hydrophobic acyl chains in lipid A plays a role in stabilizing the outer membrane. 26 The inner core of LPS is highly conserved among bacterial species 23 and typically consists of 3-deoxy- d -manno-octulosonic acid (Kdo) and heptose sugars (Figure 2). With the exception of Neisseria meningitides, 27 lipid A and at least one Kdo (from the inner LPS core) are required for cell viability in LPS-producing, Gram-negative bacteria.…”
Section: Components Of the Bacterial Cell Wall Contribute To Cell Mecmentioning
confidence: 99%