Living with sulfonamides: a diverse range of mechanisms observed in bacteria

Appl Microbiol Biotechnol. 2020 Dec;104(24):10389-10408. doi: 10.1007/s00253-020-10982-5. Epub 2020 Nov 11.

Abstract

Sulfonamides are the oldest class of synthetic antibiotics still in use in clinical and veterinary settings. The intensive utilization of sulfonamides has been leading to the widespread contamination of the environment with these xenobiotic compounds. Consequently, in addition to pathogens and commensals, also bacteria inhabiting a wide diversity of environmental compartments have been in contact with sulfonamides for almost 90 years. This review aims at giving an overview of the effect of sulfonamides on bacterial cells, including the strategies used by bacteria to cope with these bacteriostatic agents. These include mechanisms of antibiotic resistance, co-metabolic transformation, and partial or total mineralization of sulfonamides. Possible implications of these mechanisms on the ecosystems and dissemination of antibiotic resistance are also discussed. KEY POINTS: • Sulfonamides are widespread xenobiotic pollutants; • Target alteration is the main sulfonamide resistance mechanism observed in bacteria; • Sulfonamides can be modified, degraded, or used as nutrients by some bacteria.

Keywords: Antibiotic resistance; Biodegradation; Biotransformation; Xenobiotic.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Bacteria
  • Biodegradation, Environmental
  • Drug Resistance, Microbial
  • Ecosystem*
  • Sulfonamides*

Substances

  • Anti-Bacterial Agents
  • Sulfonamides