Non-genetic mechanisms communicating antibiotic resistance: rethinking strategies for antimicrobial drug design

Omar M El-Halfawy1, Miguel A Valvano

  • 1University of Western Ontario, Center for Human Immunology, Departments of Microbiology and Immunology, and Medicine, London, Ontario, Canada.

Abstract

Insights

Small molecules, like indole and polyamines, can increase bacterial antibiotic resistance by altering cell envelope permeability. Understanding these non-genetic mechanisms is key to developing new antimicrobial strategies against multidrug-resistant bacteria.

Area of Science:

  • Microbiology
  • Bacterial Physiology
  • Antimicrobial Resistance

Background:

  • Multidrug-resistant bacterial infections pose a global health threat.
  • Intrinsic antibiotic resistance is often linked to bacterial cell envelope impermeability, not just enzymes.
  • The molecular basis and spread of intrinsic resistance are not fully understood.

Purpose of the Study:

  • To review the role of small molecules in modulating intrinsic antibiotic resistance.
  • To explore how bacterial-secreted or environmental small molecules influence antibiotic susceptibility.
  • To highlight non-genetic mechanisms contributing to antibiotic resistance.

Main Methods:

  • Literature review focusing on small molecules impacting bacterial antibiotic resistance.
  • Analysis of small molecules acting as infochemicals (e.g., indole, polyamines, ammonia, Pseudomonas quinolone signal).
  • Examination of small molecules in various environments (e.g., plant hormones, human tissues).

Main Results:

  • Small molecules, including metabolic byproducts, can increase or decrease bacterial resistance levels.
  • These molecules act as infochemicals, modulating bacterial responses to antibiotics.
  • Non-genetic mechanisms, mediated by small molecules, contribute significantly to intrinsic resistance.

Conclusions:

  • Non-genetic mechanisms of antibiotic response modulation challenge current understanding of intrinsic resistance.
  • Chemical signals mediating increased intrinsic resistance offer novel targets for antimicrobial drug development.
  • Understanding these communication pathways is crucial for combating the spread of antibiotic resistance.

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