Farhang Parsa Alba, Cotten Katherine L, Smith Jamie C, Davis Kimberly M
W. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Curr Top Microbiol Immunol. 2025 Aug 9. doi: 10.1007/82_2024_284.
The rising prevalence of antibiotic resistance is rendering certain antibiotics ineffective in treating bacterial infections of public health importance. Deepening our understanding of how these drugs induce bacterial cell death, and whether antibiotics trigger a cell death program compared to direct killing, could help generate novel antibiotics or modify existing therapeutic approaches to improve clinical outcomes. Among the most widely used bactericidal antibiotics (beta-lactams, aminoglycosides, and fluoroquinolones), the primary drug-target interactions, and how they induce cell death, are well characterized. Additionally, there has been a recent debate as to whether a generalized bacterial cell death mechanism exists, shared among bactericidal antibiotics. The hypothesized mechanism, referred to as the common reactive oxygen species (ROS) pathway in this chapter, argues that certain bactericidal antibiotics have off-target effects that increase ROS generation in an iron- and oxygen-dependent manner. Moreover, this spike in ROS is thought to also contribute to induced bacterial cell death. Here we will discuss the target-specific mechanisms of distinct classes of bactericidal antibiotics, how these promote bacterial cell death, and the data that both support and refute the existence of a common cell death pathway.
抗生素耐药性的日益普遍正使某些抗生素在治疗具有公共卫生重要性的细菌感染方面失效。深入了解这些药物如何诱导细菌细胞死亡,以及与直接杀伤相比,抗生素是否触发细胞死亡程序,可能有助于研发新型抗生素或改进现有治疗方法以改善临床结果。在最广泛使用的杀菌抗生素(β-内酰胺类、氨基糖苷类和氟喹诺酮类)中,主要的药物-靶点相互作用以及它们如何诱导细胞死亡已得到充分表征。此外,最近关于是否存在一种在杀菌抗生素中共享的普遍细菌细胞死亡机制存在争议。在本章中被称为常见活性氧(ROS)途径的假设机制认为,某些杀菌抗生素具有脱靶效应,以铁和氧依赖的方式增加ROS的产生。此外,这种ROS的激增也被认为有助于诱导细菌细胞死亡。在这里,我们将讨论不同类别的杀菌抗生素的靶点特异性机制、它们如何促进细菌细胞死亡,以及支持和反驳共同细胞死亡途径存在的数据。