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所有抗生素耐药菌都是一样的吗?

Are all antibiotic persisters created equal?

机构信息

Department of Microbiology and Immunology, Albert Einstein College of Medicine, New York, NY, United States.

出版信息

Front Cell Infect Microbiol. 2022 Aug 17;12:933458. doi: 10.3389/fcimb.2022.933458. eCollection 2022.

Abstract

Antibiotic persisters are a sub-population of bacteria able to survive in the presence of bactericidal antibiotic despite the lack of heritable drug resistance mechanisms. This phenomenon exists across many bacterial species and is observed for many different antibiotics. Though these bacteria are often described as "multidrug persisters" very few experiments have been carried out to determine the homogeneity of a persister population to different drugs. Further, there is much debate in the field as to the origins of a persister cell. Is it formed spontaneously? Does it form in response to stress? These questions are particularly pressing in the field of  , where persisters may play a crucial role in the required length of treatment and the development of multidrug resistant organisms. Here we aim to interpret the known mechanisms of antibiotic persistence and how they may relate to improving treatments for , exposing the gaps in knowledge that prevent us from answering the question: Are all antibiotic persisters created equal?

摘要

抗生素耐药菌是细菌的一个亚群,尽管缺乏遗传耐药机制,但在杀菌抗生素存在的情况下仍能存活。这种现象存在于许多细菌物种中,并且可以观察到许多不同的抗生素。尽管这些细菌通常被描述为“多药耐药菌”,但很少有实验来确定对不同药物的耐药菌群体的同质性。此外,在耐药菌细胞的起源方面,该领域存在很多争议。它是自发形成的吗?它是对压力的反应吗?这些问题在抗生素领域尤为紧迫,在该领域,耐药菌可能在治疗所需的时间和多药耐药生物的发展中发挥关键作用。在这里,我们旨在解释抗生素耐药性的已知机制,以及它们如何与改善抗生素治疗相关,揭示阻止我们回答以下问题的知识空白:所有抗生素耐药菌都是平等产生的吗?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3b/9428696/5daf7fa6f0d7/fcimb-12-933458-g001.jpg

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