Bacteria carrying mobile colistin resistance genes and their control measures, an updated review

Qi Zhang1

  • 1Centre for Eye and Vision Research, Hong Kong Science Park, Hong Kong, China. qi.zhang.cevr@gmail.com.

Archives of Microbiology
|November 8, 2024
PubMed

Insights

Mobile colistin resistance (MCRs) enzymes are a major threat to last-resort antibiotic efficacy. This review details MCRs

Area of Science:

  • Microbiology and Infectious Diseases
  • Molecular Biology
  • Antimicrobial Resistance

Background:

  • Colistin is a critical last-resort antibiotic for multidrug-resistant bacterial infections.
  • Plasmid-encoded mobile colistin resistance (MCRs) enzymes confer resistance by modifying the bacterial outer membrane.
  • The emergence and spread of MCRs pose a significant global health threat.

Purpose of the Study:

  • To review and critically discuss recent advancements in the distribution and pathogenesis of mcr-positive bacteria.
  • To analyze the ecology of mcr genes and their impact on clinical treatment.
  • To explore available control measures for infections caused by mcr-positive bacteria.

Main Methods:

  • Comprehensive literature review of recent studies on MCRs.
  • Analysis of data on the distribution, pathogenesis, and ecology of mcr genes.
  • Critical discussion of current and emerging control strategies.

Main Results:

  • MCRs significantly compromise colistin's clinical effectiveness.
  • MCR genes are mobile and can co-exist with other antibiotic resistance genes.
  • Understanding MCRs' mechanisms and spread is crucial for effective treatment.

Conclusions:

  • MCRs represent a major challenge to combating multidrug-resistant bacterial infections.
  • Further research into MCRs' ecology and control is essential.
  • This review provides a comprehensive perspective for developing future therapeutic approaches.

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