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Ant

ibact
eri
alr
esi
stancei
nBact
eri
a

Antibact erialresistancei nbact eriaoccur sduet o


drugi nact i
v at
ion.Bact eri
ahav eev ol
v ed
sophi st
icat edmechani sm ofr esistancei ncluding
drugef fluxpumpi tpr ovidesbasel iner esistancethat
helpsemer genceoff ur t
herr esist
ancemechani sm
suchast argetmodi fi
cat i
ont argetsi t
ei smodi f
iedby
bacter i
awhi chi nhibi
tsbi ndingofdr ugmol eculeto
bindingsi te&bact eri
apr oduceshy drolyt
icenzy mes
suchasi nact i
v ati
onofgenecodi ngenzy mesof
Ami nogl ycosidesandB-l act
amaseenzy me
producedbybact eriawhi chbr eaksB-l actame
ri
ngbact eriahaveev olvedsophi st
icatedmechani smsof
r
esi
stancei
ncl
udi
ngdr
ugef
fl
uxpumpi
t
Provi
desbaseli
neresi
stancethathel
psemer genceof
fur
therr
esist
ancemechani smssuchast ar
getsite
modifi
cat
ion,t
argetsi
teismodifi
edbybact eri
awhich
i
nhibi
tsbindi
ngofdrugmol ecul
etotargetprotei
n,
Bacter
iaproduceshy
drolyt
icenzy
messuchas
.acety
ltr
ansfer
asesi
nacti
vateAminogl
ycosi
des&B-
l
actamaseenzy meproducedbybacter
iawhi
chinact
ivat
es
B-Lactamering
Howt
ocombatAnt
ibi
oti
csResi
stance
Oneappr oacht odev elopt ot
allysynt hetic
chemicalstowhi chbact eri
awer enotexposed
duri
ngev oluti
on" Fluroquinolones"ar egood
exampleoft hisappr oachev enf orthese
compoundsmut ati
onalmodi fi
cationoft argetis
possi
bleHowev ert argetisanessent ialprotein
whichrequirespr ecisechangesi ncr i
ticalresidue
suchmut ationsoccur srarel
ytheseadv anced
compoundsar eaf f
ect edbyupr egul ati
onmut ant
s
ofmultidrugef f
luxpumpt hecont rolofbact eri
al
drugeffl
uxpump.
Thecont rolofbact eri
aldrugef fluxpumpi sa
compl exstructuralandgenet i
cst udieshav e
all
owedt hebet t
erunder standingoft ranspor t
mechani sm ofef fl
uxpump, includesi dentifi
cation
ofami noacidr esiduesf orrati
onaldesi gnofdr ug
thatmaybeabl etoevadeef f
luxpumpsi gnifi
cant
effort
shav ebeenmadet odev elopEPI sev en
consideredincombat ingt heXDRi n
M. t
uberculosis,Howev ernoneofbact er
ialEPI s
testedhav eev erenteredintoacl i
nicaltr
ials.in
anti
bact
erialt
her
apywehav
etoov
ercomenegat
ive
eff
ectscausedMDRpumps
Tocombathy
drol
yti
cenzy
meswehav e
combi
nat
ionofdr
ugsuchassul
bact
am+Ampi
cil
l
in
Sul
bact
am(
B-l
act
amasei
nhi
bit
or)
&
Ampi
cil
li
n(peni
cil
li
n)cel
lwal
linhi
bit
or
Ifbact
eriaoncer esi
sttoadv ancedsy nthet
ic
moleculesuchasFl uroquinoloneital
sor esi
stt
oal
l
l
owercl assanti
bioti
csbecauseofmut ati
onsso
avoidadvancedgener ati
onant ibi
oti
csuse&useof
properdose&f requency(Rat i
onaldose)somehow
combatr esi
stancetosomeext ent
Ref
erence:ht
tps:
//doI
.or
g/1073pnas.
69.
82110
ht
tps:
//doi
.or
g/102165/
11317030-
000000.
..
ht
tps:
//doi
.or
g/10.
1026/
j.
1365-
2672.
925s.
.

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