PrefaceAntibiotic drug-target interactions, and their respective direct effects, are generally wellcharacterized. In contrast, the bacterial responses to antibiotic drug treatments that contribute to cell death are not as well understood and have proven to be quite complex, involving multiple genetic and biochemical pathways. Here, we review the multi-layered effects of drug-target interactions, including the essential cellular processes inhibited by bactericidal antibiotics and the associated cellular response mechanisms that contribute to killing by bactericidal antibiotics. We also discuss new insights into these mechanisms that have been revealed through the study of biological networks, and describe how these insights, together with related developments in synthetic biology, may be exploited to create novel antibacterial therapies.
IntroductionOur understanding of how antibiotics induce bacterial cell death is centered on the essential cellular function inhibited by the primary drug-target interaction. Antibiotics can be classified based on the cellular component or system they affect, in addition to whether they induce cell death (bactericidal drugs) or merely inhibit cell growth (bacteriostatic drugs). Most current bactericidal antimicrobials, which are the focus of this review, inhibit DNA synthesis, RNA synthesis, cell wall synthesis, or protein synthesis 1 .Since the discovery of penicillin was reported in 1929 2 , other, more effective antimicrobials have been discovered and developed by elucidation of drug-target interactions, and by drug molecule modification. These efforts have significantly enhanced our clinical armamentarium. Antibiotic-mediated cell death, however, is a complex process that begins with the physical interaction between a drug molecule and its bacterial-specific target, and involves alterations to the affected bacterium at the biochemical, molecular and ultrastructural levels. The increasing prevalence of drug-resistant bacteria 3 , as well as the means of gaining resistance, has made it crucial that we better understand the multilayered mechanisms by which currently available antibiotics kill bacteria, as well as explore and find alternative antibacterial therapies.Antibiotic-induced cell death has been associated with the formation of double-stranded DNA breaks following treatment with DNA gyrase inhibitors 4 , with the arrest of DNA-dependent RNA synthesis following treatment with rifamycins 5 , with cell envelope damage and loss of structural integrity following treatment with cell-wall synthesis inhibitors 6 , and with cellular energetics, ribosome binding and protein mistranslation following treatment with protein * Corresponding author: James Collins, jcollins@bu.edu, phone: (617) 353-0390.
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Author ManuscriptNat Rev Microbiol. Author manuscript; available in PMC 2010 December 1.
Published in final edited form as:Nat Rev Microbiol. 2010 June ; 8(6): 423-435. doi:10.1038/nrmicro2333.
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