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Bacteria carrying mobile colistin resistance genes and their control measures, an updated review
1Centre for Eye and Vision Research, Hong Kong Science Park, Hong Kong, China. qi.zhang.cevr@gmail.com.
Abstract:
The plasmid encoded mobile colistin resistance (MCRs) enzyme poses a significant challenge to the clinical efficacy of colistin, which is frequently employed as a last resort antibiotic for treating infections caused by multidrug resistant bacteria. This transferase catalyzes the addition of positively charged phosphoethanolamine to lipid A of the outer membrane of gram-negative bacteria, thereby facilitating the acquired colistin resistance. This review aims to summarize and critically discuss recent advancements in the distribution and pathogenesis of mcr-positive bacteria, as well as the various control measures available for treating these infections. In addition, the ecology of mcr genes, colistin-resistance mechanism, co-existence with other antibiotic resistant genes, and their impact on clinical treatment are also analyzed to address the colistin resistance crisis. These insights provide a comprehensive perspective on MCRs and serve as a valuable reference for future therapeutic approaches to effectively combat mcr-positive bacterial infections.
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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