Centro Nacional de Biotecnología, CSIC, Madrid, Spain.
Ramón y Cajal Institute for Health Research (IRYCIS), Department of Microbiology, Ramón y Cajal University Hospital, CIBER en Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Microb Biotechnol. 2023 Oct;16(10):1900-1923. doi: 10.1111/1751-7915.14310. Epub 2023 Jul 7.
As recognized by several international agencies, antibiotic resistance is nowadays one of the most relevant problems for human health. While this problem was alleviated with the introduction of new antibiotics into the market in the golden age of antimicrobial discovery, nowadays few antibiotics are in the pipeline. Under these circumstances, a deep understanding on the mechanisms of emergence, evolution and transmission of antibiotic resistance, as well as on the consequences for the bacterial physiology of acquiring resistance is needed to implement novel strategies, beyond the development of new antibiotics or the restriction in the use of current ones, to more efficiently treat infections. There are still several aspects in the field of antibiotic resistance that are not fully understood. In the current article, we make a non-exhaustive critical review of some of them that we consider of special relevance, in the aim of presenting a snapshot of the studies that still need to be done to tackle antibiotic resistance.
正如几个国际机构所认识到的,抗生素耐药性如今是人类健康最相关的问题之一。虽然在抗菌药物发现的黄金时代引入新的抗生素缓解了这个问题,但如今很少有抗生素在研发中。在这种情况下,需要深入了解抗生素耐药性的出现、进化和传播机制,以及获得耐药性对细菌生理学的影响,以实施新的策略,除了开发新的抗生素或限制现有抗生素的使用之外,还需要更有效地治疗感染。在抗生素耐药性领域仍有几个方面尚未完全了解。在本文中,我们对其中一些我们认为特别重要的方面进行了非详尽的批判性综述,旨在展示为解决抗生素耐药性仍需进行的研究的快照。