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Updated: Feb 11, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Antimicrobial resistance mechanisms and potential synthetic treatments
Junaid Ali1,1, Qasim A Rafiq2,2, Elizabeth Ratcliffe1,1
1Department of Chemical Engineering, Centre for Biological Engineering, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK.
Abstract:
Since the discovery of antibiotics by Sir Alexander Fleming they have been used throughout medicine and play a vital role in combating microorganisms. However, with their vast use, development of resistance has become more prevalent and their use is currently under threat. Antibiotic resistance poses a global threat to human and animal health, with many bacterial species having developed some form of resistance and in some cases within a year of first exposure to antimicrobial agents. This review aims to examine some of the mechanisms behind resistance. Additionally, re-engineering organisms, re-sensitizing bacteria to antibiotics and gene-editing techniques such as the clustered regularly interspaced short palindromic repeats-Cas9 system are providing novel approaches to combat bacterial resistance. To that extent, we have reviewed some of these novel and innovative technologies.
Insights
Antibiotic resistance is a growing global threat. Novel strategies like organism re-engineering and gene editing, including CRISPR-Cas9, offer promising solutions to combat resistant bacteria.
Area of Science:
- Microbiology
- Genetics
- Biotechnology
Background:
- Antibiotics are crucial for treating bacterial infections but their efficacy is threatened by widespread antibiotic resistance.
- Bacterial resistance to antimicrobial agents is a significant global health concern affecting both human and animal populations.
- Resistance can emerge rapidly, sometimes within a year of a new antimicrobial's introduction.
Purpose of the Study:
- To review the mechanisms underlying antibiotic resistance.
- To examine novel and innovative technologies for combating antibiotic resistance.
- To explore strategies such as organism re-engineering, bacterial re-sensitization, and gene editing.
Main Methods:
- Literature review of scientific articles and research papers on antibiotic resistance mechanisms.
- Analysis of emerging technologies and their potential applications in overcoming resistance.
- Focus on gene-editing techniques, specifically the clustered regularly interspaced short palindromic repeats-Cas9 (CRISPR-Cas9) system.
Main Results:
- Identified various mechanisms through which bacteria develop resistance to antibiotics.
- Highlighted the potential of re-engineering microorganisms to combat resistance.
- Discussed the application of gene-editing tools like CRISPR-Cas9 as a novel approach.
Conclusions:
- Antibiotic resistance is a complex challenge requiring innovative solutions.
- Emerging technologies offer new avenues for developing effective strategies against resistant bacteria.
- Further research into organism re-engineering and gene editing is crucial for future antimicrobial therapies.
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