Microbial resistance: The role of efflux pump superfamilies and their respective substrates
Ítalo Rodrigues Garcia1, Francisca Adilfa de Oliveira Garcia2, Pedro Silvino Pereira1
1Department of Biological Sciences, Regional University of Cariri, 63105-000, Brazil.
Abstract:
The microorganism resistance to antibiotics has become one of the most worrying issues for science due to the difficulties related to clinical treatment and the rapid spread of diseases. Efflux pumps are classified into six groups of carrier proteins that are part of the different types of mechanisms that contribute to resistance in microorganisms, allowing their survival. The present study aimed to carry out a bibliographic review on the superfamilies of carriers in order to understand their compositions, expressions, substrates, and role in intrinsic resistance. At first, a search for manuscripts was carried out in the databases Medline, Pubmed, ScienceDirect, and Scielo, using as descriptors: efflux pump, expression, pump inhibitors and efflux superfamily. For article selection, two criteria were taken into account: for inclusion, those published between 2000 and 2020, including textbooks, and for exclusion, duplicates and academic collections. In this research, 139,615 published articles were obtained, with 312 selected articles and 7 book chapters that best met the aim. From the comprehensive analysis, it was possible to consider that the chromosomes and genetic elements can contain genes encoding efflux pumps and are responsible for multidrug resistance. Even though this is a well-explored topic in the scientific community, understanding the behavior of antibiotics as substrates that increase the expression of pump-encoding genes has challenged medicine. This review study succinctly summarizes the most relevant features of these systems, as well as their contribution to multidrug resistance.
Insights
Microorganism antibiotic resistance is a major concern. Efflux pumps, crucial for microbial survival, contribute significantly to multidrug resistance, posing challenges to effective clinical treatments.
Area of Science:
- Microbiology
- Molecular Biology
- Pharmacology
Background:
- Antibiotic resistance in microorganisms is a growing global health crisis.
- Efflux pumps are key mechanisms enabling microbial survival against antibiotics.
- These pumps are carrier proteins facilitating the expulsion of antimicrobial compounds.
Purpose of the Study:
- To conduct a comprehensive bibliographic review of efflux pump superfamilies.
- To elucidate their composition, gene expression, substrates, and role in intrinsic resistance.
- To understand the contribution of efflux pumps to multidrug resistance.
Main Methods:
- Systematic literature search across Medline, Pubmed, ScienceDirect, and Scielo databases.
- Keywords included 'efflux pump', 'expression', 'pump inhibitors', and 'efflux superfamily'.
- Inclusion criteria: articles published 2000-2020 and textbooks; exclusion criteria: duplicates and academic collections.
Main Results:
- Analysis of 312 selected articles and 7 book chapters from an initial pool of 139,615.
- Chromosomes and genetic elements harbor genes encoding efflux pumps, driving multidrug resistance.
- Antibiotics acting as substrates can upregulate the expression of these resistance genes.
Conclusions:
- Efflux pumps are critical determinants of multidrug resistance in microorganisms.
- Understanding the interplay between antibiotics and pump expression is vital for combating resistance.
- Efflux pump systems represent a significant challenge in modern medicine and drug development.
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