Unraveling antimicrobial resistance using metabolomics

Drug Discov Today. 2022 Jun;27(6):1774-1783. doi: 10.1016/j.drudis.2022.03.015. Epub 2022 Mar 24.

Abstract

The emergence of antimicrobial resistance (AMR) in bacterial pathogens represents a global health threat. The metabolic state of bacteria is associated with a range of genetic and phenotypic resistance mechanisms. This review provides an overview of the roles of metabolic processes that are associated with AMR mechanisms, including energy production, cell wall synthesis, cell-cell communication, and bacterial growth. These metabolic processes can be targeted with the aim of re-sensitizing resistant pathogens to antibiotic treatments. We discuss how state-of-the-art metabolomics approaches can be used for comprehensive analysis of microbial AMR-related metabolism, which may facilitate the discovery of novel drug targets and treatment strategies.

Keywords: Antibiotics; Antimicrobial resistance; Bacterial metabolism; Metabolomics.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents* / pharmacology
  • Anti-Bacterial Agents* / therapeutic use
  • Bacteria
  • Drug Resistance, Bacterial*
  • Metabolomics

Substances

  • Anti-Bacterial Agents