SUMMARY
Since antibiotic resistance usually affords a gain of function, there
is an associated biological cost resulting in a loss of fitness of the
bacterial host. Considering that antibiotic resistance is most often
only transiently advantageous to bacteria, an efficient and elegant way
for them to escape the lethal action of drugs is the alteration of
resistance gene expression. It appears that expression of bacterial
resistance to antibiotics is frequently regulated, which indicates that
modulation of gene expression probably reflects a good compromise
between energy saving and adjustment to a rapidly evolving environment.
Modulation of gene expression can occur at the transcriptional or
translational level following mutations or the movement of mobile
genetic elements and may involve induction by the antibiotic. In the
latter case, the antibiotic can have a triple activity: as an
antibacterial agent, as an inducer of resistance to itself, and as an
inducer of the dissemination of resistance determinants. We will review
certain mechanisms, all reversible, that bacteria have elaborated to
achieve antibiotic resistance by the fine-tuning of the expression of
genetic information.