[Efflux pumps: their role in Staphylococcus aureus antibiotic resistance]
A Doléans-Jordheim1, S Michalet, E Bergeron
1Laboratoire de microbiologie, Unité RTI2B UP SP 2007.03.135, ISPB, Université Claude Bernard Lyon 1, Université de Lyon, Lyon. anne.jordheim@recherche.univ-lyon1.fr
Abstract:
Efflux pumps located in the bacterial membranes are responsible for low level resistance to antibiotics, considered not to be relevant in the clinic and thus often neglected. However, these pumps contribute to the emergence of high level antibiotic resistance mechanisms, which are responsible for severe complications during the treatment of infectious diseases. Therefore it is necessary to take into account these pumps while developing novel antibacterial agents. Among these new research strategies, the development of efflux pump inhibitors seems to be an attractive approach to restore the activity of some "classical" antibiotics and to limit the emergence of multiresistant strains associated with hospital-acquired infections. In this review, we focalise on Staphylococcus aureus efflux pumps and their potential inhibitors.
Insights
Bacterial efflux pumps, though often overlooked, significantly contribute to antibiotic resistance. Inhibiting these pumps is a promising strategy to restore antibiotic effectiveness and combat multidrug-resistant infections.
Area of Science:
- Microbiology
- Pharmacology
- Infectious Diseases
Background:
- Bacterial efflux pumps mediate low-level antibiotic resistance, often neglected in clinical settings.
- These pumps are crucial in the development of high-level antibiotic resistance and treatment complications.
- Understanding efflux pump mechanisms is vital for developing new antibacterial strategies.
Purpose of the Study:
- To review the role of Staphylococcus aureus efflux pumps in antibiotic resistance.
- To explore the potential of efflux pump inhibitors (EPIs) in combating bacterial infections.
- To highlight EPIs as a strategy to restore antibiotic activity and limit multidrug resistance.
Main Methods:
- Literature review focusing on Staphylococcus aureus efflux pumps.
- Analysis of research strategies for developing efflux pump inhibitors.
- Evaluation of the impact of efflux pumps on antibiotic efficacy.
Main Results:
- Efflux pumps play a significant role in the emergence of high-level antibiotic resistance.
- Inhibiting efflux pumps can restore the activity of existing antibiotics.
- Efflux pump inhibitors offer a potential solution against multidrug-resistant strains.
Conclusions:
- Efflux pumps are critical targets for novel antibacterial agent development.
- Developing efflux pump inhibitors is a viable approach to combatting hospital-acquired infections.
- Targeting Staphylococcus aureus efflux pumps can help overcome antibiotic resistance challenges.
Related Concept Videos
Mechanism of Antibiotic Resistance in MRSA
Development of Antibiotic Resistance
Clinical Significance of Antibiotic Resistance
Carrier-Mediated Transport
Active transport involves two types of membrane-spanning transporters: uptake and efflux. Uptake transporters are expressed in the small...
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Gene Regulation in Microbial Communities: Quorum Sensing


