Antimicrobials as promoters of genetic variation

Jesús Blázquez1, Alejandro Couce, Jerónimo Rodríguez-Beltrán

  • 1Centro Nacional de Biotecnología, Madrid, Spain. blazquez@cnb.csic.es

Insights

Antibiotics, even at low doses, can increase bacterial genetic variation and promote antibiotic resistance. This occurs through mutation and oxidative stress, accelerating the emergence of drug-resistant bacteria.

Area of Science:

  • Microbiology
  • Genetics
  • Pharmacology

Background:

  • Antibiotic resistance is a major global health threat.
  • Mechanisms of resistance include selection of resistant variants and horizontal gene transfer.
  • The role of antibiotics themselves in driving resistance is increasingly recognized.

Purpose of the Study:

  • To review and discuss recent advances in understanding how antibiotics induce genetic variation.
  • To explore the mechanisms by which antibiotics promote antibiotic resistance.
  • To highlight the relevance of these findings in the context of emerging drug resistance.

Main Methods:

  • Literature review of recent scientific publications.
  • Analysis of studies investigating antibiotic-induced mutagenesis.
  • Discussion of pathways involving oxidative stress, SOS response, and DNA damage.

Main Results:

  • Antibiotics, particularly at sub-lethal concentrations, act as mutagens.
  • Mechanisms include increased free radicals, oxidative stress, SOS response activation, and direct DNA damage.
  • Environmental factors can potentiate the mutagenic effects of antibiotics.

Conclusions:

  • Antibiotics actively contribute to the emergence of antibiotic resistance by increasing bacterial genetic variation.
  • Understanding these mechanisms is crucial for developing strategies to combat antibiotic resistance.
  • Further research is needed to fully elucidate the interplay between antibiotics, environmental factors, and resistance development.

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