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Updated: Jul 9, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Molecular basis of resistance to cytochrome bc1 inhibitors
Nick Fisher1, Brigitte Meunier
1Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK.
Abstract:
Inhibitors of the mitochondrial respiratory chain enzyme cytochrome bc1 (respiratory complex III) have been developed as antimicrobial agents. They are used in agriculture to control plant pathogenic fungi and in medicine against human pathogens, such as the malaria parasite Plasmodium falciparum, or Pneumocystis jiroveci (an opportunistic pathogenic fungus life-threatening in immuno-compromised patients). These respiratory inhibitors are thus effective against a broad range of important pathogens. Unfortunately, the problem of acquired resistance has rapidly emerged. A growing number of pathogen isolates resistant to inhibitor treatment have been reported, and this resistance is often linked to mutation within cytochrome b, one of the essential catalytic subunits of the complex. Saccharomyces cerevisiae is an invaluable model in order to assess the impact of the mutations on the sensitivity to the drugs, on the respiratory capacity and the fitness of cells. In this minireview, the inhibitors, their mode of action, and the mutations implicated in resistance and studied in yeast are briefly reviewed. Four mutations that are of particular importance in medicine and in agriculture are briefly reviewed and described in more detail and the molecular basis of resistance and of evolution of the mutations is discussed succinctly.
Insights
Antimicrobial agents targeting the cytochrome bc1 complex are effective against pathogens but resistance is emerging. Mutations in cytochrome b are often responsible for this resistance, with yeast models helping to study these changes.
Area of Science:
- Biochemistry
- Microbiology
- Molecular Biology
Background:
- Cytochrome bc1 (respiratory complex III) inhibitors are developed as antimicrobial agents.
- These inhibitors are effective against plant pathogenic fungi and human pathogens like Plasmodium falciparum and Pneumocystis jiroveci.
- Acquired resistance to these inhibitors is a significant challenge, often linked to mutations in the cytochrome b subunit.
Purpose of the Study:
- To review inhibitors of the mitochondrial respiratory chain enzyme cytochrome bc1.
- To discuss their mode of action and the mutations causing resistance.
- To analyze the impact of specific mutations on drug sensitivity, respiratory capacity, and cell fitness using Saccharomyces cerevisiae as a model.
Main Methods:
- Review of existing literature on cytochrome bc1 inhibitors and resistance mechanisms.
- Analysis of mutations within the cytochrome b gene.
- Utilizing Saccharomyces cerevisiae as a model organism to study mutation effects.
Main Results:
- Resistance to cytochrome bc1 inhibitors is frequently associated with mutations in the cytochrome b gene.
- Specific mutations have been identified that impact drug sensitivity, respiratory function, and cellular fitness.
- Yeast models provide valuable insights into the molecular basis of resistance.
Conclusions:
- Cytochrome bc1 inhibitors are broad-spectrum antimicrobials facing resistance issues.
- Understanding mutation-driven resistance is crucial for developing effective therapeutic strategies.
- Saccharomyces cerevisiae serves as a key model for studying resistance mechanisms and guiding future drug development.
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