2018
DOI: 10.1039/c7md00528h
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Narrow-spectrum antibacterial agents

Abstract: While broad spectrum antibiotics play an invaluable role in the treatment of bacterial infections, there are some drawbacks to their use, namely selection for and spread of resistance across multiple bacterial species, and the detrimental effect they can have upon the host microbiome. If the causitive agent of the infection is known, the use of narrow-spectrum antibacterial agents has the potential to mitigate some of these issues. This review outlines the advantages and challenges of narrow-spectrum antibacte… Show more

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Cited by 173 publications
(162 citation statements)
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“…If the causative agent of the infection is known, the use of narrow-spectrum antibiotics can alleviate some of these problems. The development of narrow-spectrum antibiotics that do not cause cross-resistance in non-targeted microbes and elicit less collateral damage upon the host microbiome is an attractive approach to fight multidrug-resistance infections [ 12 ]. It is also expected that new drugs will be non-toxic in vivo at therapeutic doses.…”
Section: Introductionmentioning
confidence: 99%
“…If the causative agent of the infection is known, the use of narrow-spectrum antibiotics can alleviate some of these problems. The development of narrow-spectrum antibiotics that do not cause cross-resistance in non-targeted microbes and elicit less collateral damage upon the host microbiome is an attractive approach to fight multidrug-resistance infections [ 12 ]. It is also expected that new drugs will be non-toxic in vivo at therapeutic doses.…”
Section: Introductionmentioning
confidence: 99%
“…These screens resulted in the discovery of many antibiotics exhibiting both broad spectrum, such as streptomycin (19), and mycobacterium-specific activity, including isoniazid, pyrazinamide, ethionamide, ethambutol (4), and bedaquiline (20). Recently, Gramspecific (21)(22)(23)(24) and pathogen-specific (25,26) antibiotic discovery were also proven to be successful, leading to the identification of narrow spectrum compounds, including some that are active only against A. baumannii (27)(28)(29). As more candidate compounds are revealed through screening, there will be a need for better methods to elucidate their mechanism of action (MOA) in A. baumannii.…”
mentioning
confidence: 99%
“…The most active compounds (11b, 11d, and 11g) had an activity similar to that of the reference antibiotic, exhibited very low cytotoxicity, and were inactive against the other bacteria assayed. This makes them potential leads for the development of narrow spectrum antibiotics against M. tuberculosis, where long-term treatments with broad spectrum antibiotics entail an increased risk of damaging the gut microbiota and promoting the appearance of resistant genes [45].…”
Section: Discussionmentioning
confidence: 99%