MCR-1: a promising target for structure-based design of inhibitors to tackle polymyxin resistance

Drug Discov Today. 2019 Jan;24(1):206-216. doi: 10.1016/j.drudis.2018.07.004. Epub 2018 Jul 20.

Abstract

The spread of a novel mobile colistin resistance gene (mcr1) has jeopardised the use of polymyxins, last-resort antibiotics that are used increasingly to treat infections caused by multidrug-resistant (MDR) Gram-negative pathogens. In early 2017, the WHO reported the global spread of mcr1 within a few years after its initial discovery in China. The protein encoded by mcr1 is a putative 60-kDa phosphoethanolamine (pEtN) transferase, MCR-1, and has been studied extensively since its discovery. Herein, we present a comprehensive review of MCR-1 covering its structure, function, and mechanism, to call for the rational drug design of molecular inhibitors of MCR-1 to use in colistin-based combination therapies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacteria / drug effects
  • Drug Resistance, Bacterial / physiology*
  • Escherichia coli Proteins / chemistry
  • Escherichia coli Proteins / physiology*
  • Microbial Sensitivity Tests
  • Polymyxins / pharmacology*
  • Protein Conformation
  • Transferases / chemistry
  • Transferases / physiology*

Substances

  • Anti-Bacterial Agents
  • Escherichia coli Proteins
  • MCR-1 protein, E coli
  • Polymyxins
  • Transferases