Colistin and its role in the Era of antibiotic resistance: an extended review (2000-2019)
Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbap...
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Published in | Emerging microbes & infections Vol. 9; no. 1; pp. 868 - 885 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Taylor & Francis
01.01.2020
Taylor & Francis Ltd Taylor & Francis Group |
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Abstract | Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins; often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics that can defeat these "superbugs". All of these has prompted the reconsideration of old drugs such as polymyxins that were reckoned too toxic for clinical use. Only two polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available. Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR Gram-negative pathogens due to the development of extensively drug-resistant GNB. Unfortunately, rapid global resistance towards colistin has emerged following its resurgence. Different mechanisms of colistin resistance have been characterized, including intrinsic, mutational, and transferable mechanisms.
In this review, we intend to discuss the progress over the last two decades in understanding the alternative colistin mechanisms of action and different strategies used by bacteria to develop resistance against colistin, besides providing an update about what is previously recognized and what is novel concerning colistin resistance. |
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AbstractList | Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria
(MDR-GNB) presents significant health problems worldwide, since the vital available and
effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones,
aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins;
often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics
that can defeat these “superbugs”. All of these has prompted the reconsideration of old
drugs such as polymyxins that were reckoned too toxic for clinical use. Only two
polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available.
Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR
Gram-negative pathogens due to the development of extensively drug-resistant GNB.
Unfortunately, rapid global resistance towards colistin has emerged following its
resurgence. Different mechanisms of colistin resistance have been characterized, including
intrinsic, mutational, and transferable mechanisms.
In this review, we intend to discuss the progress over the last two decades in
understanding the alternative colistin mechanisms of action and different strategies used
by bacteria to develop resistance against colistin, besides providing an update about what
is previously recognized and what is novel concerning colistin resistance. Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins; often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics that can defeat these "superbugs". All of these has prompted the reconsideration of old drugs such as polymyxins that were reckoned too toxic for clinical use. Only two polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available. Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR Gram-negative pathogens due to the development of extensively drug-resistant GNB. Unfortunately, rapid global resistance towards colistin has emerged following its resurgence. Different mechanisms of colistin resistance have been characterized, including intrinsic, mutational, and transferable mechanisms.In this review, we intend to discuss the progress over the last two decades in understanding the alternative colistin mechanisms of action and different strategies used by bacteria to develop resistance against colistin, besides providing an update about what is previously recognized and what is novel concerning colistin resistance.Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins; often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics that can defeat these "superbugs". All of these has prompted the reconsideration of old drugs such as polymyxins that were reckoned too toxic for clinical use. Only two polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available. Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR Gram-negative pathogens due to the development of extensively drug-resistant GNB. Unfortunately, rapid global resistance towards colistin has emerged following its resurgence. Different mechanisms of colistin resistance have been characterized, including intrinsic, mutational, and transferable mechanisms.In this review, we intend to discuss the progress over the last two decades in understanding the alternative colistin mechanisms of action and different strategies used by bacteria to develop resistance against colistin, besides providing an update about what is previously recognized and what is novel concerning colistin resistance. Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins; often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics that can defeat these "superbugs". All of these has prompted the reconsideration of old drugs such as polymyxins that were reckoned too toxic for clinical use. Only two polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available. Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR Gram-negative pathogens due to the development of extensively drug-resistant GNB. Unfortunately, rapid global resistance towards colistin has emerged following its resurgence. Different mechanisms of colistin resistance have been characterized, including intrinsic, mutational, and transferable mechanisms. In this review, we intend to discuss the progress over the last two decades in understanding the alternative colistin mechanisms of action and different strategies used by bacteria to develop resistance against colistin, besides providing an update about what is previously recognized and what is novel concerning colistin resistance. Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins; often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics that can defeat these “superbugs”. All of these has prompted the reconsideration of old drugs such as polymyxins that were reckoned too toxic for clinical use. Only two polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available. Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR Gram-negative pathogens due to the development of extensively drug-resistant GNB. Unfortunately, rapid global resistance towards colistin has emerged following its resurgence. Different mechanisms of colistin resistance have been characterized, including intrinsic, mutational, and transferable mechanisms.In this review, we intend to discuss the progress over the last two decades in understanding the alternative colistin mechanisms of action and different strategies used by bacteria to develop resistance against colistin, besides providing an update about what is previously recognized and what is novel concerning colistin resistance. ABSTRACTIncreasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital available and effective antibiotics, including; broad-spectrum penicillins, fluoroquinolones, aminoglycosides, and β-lactams, such as; carbapenems, monobactam, and cephalosporins; often fail to fight MDR Gram-negative pathogens as well as the absence of new antibiotics that can defeat these “superbugs”. All of these has prompted the reconsideration of old drugs such as polymyxins that were reckoned too toxic for clinical use. Only two polymyxins, polymyxin E (colistin) and polymyxin B, are currently commercially available. Colistin has re-emerged as a last-hope treatment in the mid-1990s against MDR Gram-negative pathogens due to the development of extensively drug-resistant GNB. Unfortunately, rapid global resistance towards colistin has emerged following its resurgence. Different mechanisms of colistin resistance have been characterized, including intrinsic, mutational, and transferable mechanisms.In this review, we intend to discuss the progress over the last two decades in understanding the alternative colistin mechanisms of action and different strategies used by bacteria to develop resistance against colistin, besides providing an update about what is previously recognized and what is novel concerning colistin resistance. |
Author | Zhong, Lan-Lan Tian, Guo-Bao Yang, Yongqiang Doi, Yohei El-Sayed Ahmed, Mohamed Abd El-Gawad Shen, Cong |
Author_xml | – sequence: 1 givenname: Mohamed Abd El-Gawad orcidid: 0000-0001-7428-8949 surname: El-Sayed Ahmed fullname: El-Sayed Ahmed, Mohamed Abd El-Gawad organization: Department of Microbiology and Immunology, Faculty of Pharmaceutical Sciences and Drug Manufacturing, Misr University for Science and Technology (MUST) – sequence: 2 givenname: Lan-Lan surname: Zhong fullname: Zhong, Lan-Lan organization: Key Laboratory of Tropical Diseases Control, Sun Yat-sen University, Ministry of Education – sequence: 3 givenname: Cong orcidid: 0000-0003-2677-3960 surname: Shen fullname: Shen, Cong organization: Key Laboratory of Tropical Diseases Control, Sun Yat-sen University, Ministry of Education – sequence: 4 givenname: Yongqiang surname: Yang fullname: Yang, Yongqiang organization: Key Laboratory of Tropical Diseases Control, Sun Yat-sen University, Ministry of Education – sequence: 5 givenname: Yohei surname: Doi fullname: Doi, Yohei organization: Department of Microbiology and Infectious Diseases, Fujita Health University, School of Medicine – sequence: 6 givenname: Guo-Bao surname: Tian fullname: Tian, Guo-Bao email: tiangb@mail.sysu.edu.cn, guobaotian@gmail.com organization: Key Laboratory of Tropical Diseases Control, Sun Yat-sen University, Ministry of Education |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32284036$$D View this record in MEDLINE/PubMed |
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Snippet | Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital... Increasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since the vital... ABSTRACTIncreasing antibiotic resistance in multidrug-resistant (MDR) Gram-negative bacteria (MDR-GNB) presents significant health problems worldwide, since... |
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SubjectTerms | Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Antibiotics Colistin Colistin - pharmacology Colistin - therapeutic use Drug resistance Drug Resistance, Multiple, Bacterial Gram-Negative Bacteria - drug effects Gram-Negative Bacteria - pathogenicity Gram-Negative Bacterial Infections - drug therapy Gram-Negative Bacterial Infections - microbiology heteroresistance Humans MCR-1 multidrug resistance Multidrug resistant organisms Pathogens Review two-component systems |
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Title | Colistin and its role in the Era of antibiotic resistance: an extended review (2000-2019) |
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