Waclaw B
SUPA, School of Physics and Astronomy, University of Edinburgh, Peter Guthrie Tait Road, Edinburgh, EH9 3FD, UK.
Adv Exp Med Biol. 2016;915:49-67. doi: 10.1007/978-3-319-32189-9_5.
Resistance to antibiotics is an important and timely problem of contemporary medicine. Rapid evolution of resistant bacteria calls for new preventive measures to slow down this process, and a longer-term progress cannot be achieved without a good understanding of the mechanisms through which drug resistance is acquired and spreads in microbial populations. Here, we discuss recent experimental and theoretical advances in our knowledge how the dynamics of microbial populations affects the evolution of antibiotic resistance . We focus on the role of spatial and temporal drug gradients and show that in certain situations bacteria can evolve de novo resistance within hours. We identify factors that lead to such rapid onset of resistance and discuss their relevance for bacterial infections.
抗生素耐药性是当代医学中一个重要且紧迫的问题。耐药菌的快速进化需要新的预防措施来减缓这一进程,并且如果不能很好地理解耐药性在微生物群体中产生和传播的机制,就无法取得更长期的进展。在此,我们讨论了关于微生物群体动态如何影响抗生素耐药性进化的最新实验和理论进展。我们聚焦于空间和时间药物梯度的作用,并表明在某些情况下,细菌能在数小时内进化出全新的耐药性。我们确定了导致这种快速耐药性产生的因素,并讨论了它们与细菌感染的相关性。