When Humans Met Superbugs: Strategies to Tackle Bacterial Resistances to Antibiotics

Biomol Concepts. 2018 Dec 31;9(1):216-226. doi: 10.1515/bmc-2018-0021.

Abstract

Bacterial resistance to antibiotics poses enormous health and economic burdens to our society, and it is of the essence to explore old and new ways to deal with these problems. Here we review the current status of multi-resistance genes and how they spread among bacteria. We discuss strategies to deal with resistant bacteria, namely the search for new targets and the use of inhibitors of protein-protein interactions, fragment-based methods, or modified antisense RNAs. Finally, we discuss integrated approaches that consider bacterial populations and their niches, as well as the role of global regulators that activate and/or repress the expression of multiple genes in fluctuating environments and, therefore, enable resistant bacteria to colonize new niches. Understanding how the global regulatory circuits work is, probably, the best way to tackle bacterial resistance.

Keywords: Antibiotic resistance; bacterial colonization; niches; superbugs; tensegrity.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology
  • Bacteria / drug effects
  • Bacteria / genetics
  • Bacteria / pathogenicity
  • Bacterial Infections / drug therapy
  • Bacterial Infections / epidemiology
  • Bacterial Infections / microbiology*
  • Bacterial Infections / transmission
  • Drug Discovery / methods
  • Drug Discovery / trends
  • Drug Resistance, Bacterial*
  • Humans

Substances

  • Anti-Bacterial Agents