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耐临床相关抗生素的葡萄球菌机制。

Mechanism of staphylococcal resistance to clinically relevant antibiotics.

机构信息

Department of Biochemistry and Microbiology, University of Chemistry and Technology, Technicka 3, Prague 16628, Czech Republic.

出版信息

Drug Resist Updat. 2024 Nov;77:101147. doi: 10.1016/j.drup.2024.101147. Epub 2024 Aug 31.

Abstract

Staphylococcus aureus, a notorious pathogen with versatile virulence, poses a significant challenge to current antibiotic treatments due to its ability to develop resistance mechanisms against a variety of clinically relevant antibiotics. In this comprehensive review, we carefully dissect the resistance mechanisms employed by S. aureus against various antibiotics commonly used in clinical settings. The article navigates through intricate molecular pathways, elucidating the mechanisms by which S. aureus evades the therapeutic efficacy of antibiotics, such as β-lactams, vancomycin, daptomycin, linezolid, etc. Each antibiotic is scrutinised for its mechanism of action, impact on bacterial physiology, and the corresponding resistance strategies adopted by S. aureus. By synthesising the knowledge surrounding these resistance mechanisms, this review aims to serve as a comprehensive resource that provides a foundation for the development of innovative therapeutic strategies and alternative treatments for S. aureus infections. Understanding the evolving landscape of antibiotic resistance is imperative for devising effective countermeasures in the battle against this formidable pathogen.

摘要

金黄色葡萄球菌是一种具有多种毒力的臭名昭著的病原体,由于其能够针对各种临床相关抗生素发展出耐药机制,因此对当前的抗生素治疗构成了重大挑战。在这篇全面的综述中,我们仔细剖析了金黄色葡萄球菌对抗生素的耐药机制,这些抗生素是临床常用的抗生素。本文通过复杂的分子途径,阐述了金黄色葡萄球菌逃避抗生素治疗效果的机制,如β-内酰胺类、万古霉素、达托霉素、利奈唑胺等。我们对每种抗生素的作用机制、对细菌生理学的影响以及金黄色葡萄球菌采用的相应耐药策略进行了详细的分析。通过综合这些耐药机制的知识,本文旨在为开发针对金黄色葡萄球菌感染的创新治疗策略和替代治疗方法提供一个全面的资源,为理解抗生素耐药性的不断发展提供了基础。制定对抗这种强大病原体的有效对策至关重要。

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