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耐甲氧西林金黄色葡萄球菌中的抗生素耐药性

Antimicrobial Resistance in spp.

机构信息

Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing, 100193, China.

Department of Veterinary Microbiology and Preventive Medicine, College of Veterinary Medicine, Iowa State University, Ames, IA 50011.

出版信息

Microbiol Spectr. 2018 Apr;6(2). doi: 10.1128/microbiolspec.ARBA-0013-2017.

Abstract

is a major foodborne pathogen and has become increasingly resistant to clinically important antimicrobials. To cope with the selection pressure from antimicrobial use in both veterinary and human medicine, has developed multiple mechanisms for antibiotic resistance, including modification or mutation of antimicrobial targets, modification or inactivation of antibiotics, and reduced drug accumulation by drug efflux pumps. Some of these mechanisms confer resistance to a specific class of antimicrobials, while others give rise to multidrug resistance. Notably, new antibiotic resistance mechanisms continuously emerge in , and some examples include the recently discovered multidrug resistance genomic islands harboring multiple genes involved in the resistance to aminoglycosides and macrolides, a novel Cfr(C) conferring resistance to phenicols and other drugs, and a potent multidrug efflux pump CmeABC variant (RE-CmeABC) that shows a significantly enhanced function in multidrug resistance and is associated with exceedingly high-level resistance to fluoroquinolones. These newly emerged resistance mechanisms are horizontally transferable and greatly facilitate the adaptation of in the food-producing environments where antibiotics are frequently used. In this article, we will discuss how resists the action of various classes of antimicrobials, with an emphasis on newly discovered mechanisms.

摘要

是一种主要的食源性致病菌,已经对临床上重要的抗菌药物变得越来越具有耐药性。为了应对兽医和人类医学中抗菌药物使用带来的选择压力,已经发展出多种抗生素耐药机制,包括抗菌药物靶标修饰或突变、抗生素修饰或失活以及通过药物外排泵减少药物积累。其中一些机制赋予了对特定类别的抗菌药物的耐药性,而另一些则导致了多药耐药性。值得注意的是,新的抗生素耐药机制在不断出现,其中一些例子包括最近发现的含有多个参与氨基糖苷类和大环内酯类耐药基因的多药耐药基因组岛、一种新型 Cfr(C) 赋予对苯氧乙醇和其他药物的耐药性、以及一种功能强大的多药外排泵 CmeABC 变体(RE-CmeABC),它在多药耐药性方面表现出显著增强的功能,并且与氟喹诺酮类药物的极高水平耐药性相关。这些新出现的耐药机制是水平转移的,极大地促进了 在抗生素经常使用的食品生产环境中的适应。本文将讨论 如何抵抗各种类别的抗菌药物的作用,重点介绍新发现的机制。

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