Low concentrations of antimicrobial agents and their effects on bacterial virulence: A comprehensive literature

Eda Delik1, Burcu Emine Tefon-Öztürk1

  • 1Biology Department, Faculty of Science, Akdeniz University, Antalya, Türkiye.

PubMed

Insights

Antimicrobial resistance is rising due to more than just antibiotics. Low concentrations of biocides and heavy metals also drive resistance and affect bacterial virulence, necessitating further study.

Area of Science:

  • Microbiology
  • Environmental Science
  • Public Health

Background:

  • Antibiotic resistance is a growing global health threat.
  • Factors beyond antibiotics, including biocides and heavy metals, contribute to resistance.
  • Resistance selection can occur at sub-inhibitory concentrations, requiring further investigation.

Purpose of the Study:

  • To review the impact of non-antibiotic agents on bacterial resistance.
  • To explore how biocides, heavy metals, and bioactive components influence bacterial virulence.
  • To highlight the risks associated with low-concentration exposures to these agents.

Main Methods:

  • Comprehensive literature review of existing studies.
  • Analysis of research on antimicrobial agents, heavy metals, and bioactive components.
  • Synthesis of findings on resistance development and virulence modulation.

Main Results:

  • Sub-inhibitory concentrations of various agents promote antibiotic resistance.
  • These agents can alter bacterial virulence factors like biofilm formation and gene expression.
  • Evidence suggests a link between non-antibiotic agents and increased bacterial pathogenicity.

Conclusions:

  • Non-antibiotic agents are significant contributors to antimicrobial resistance.
  • Understanding their effects on bacterial virulence is crucial for future public health strategies.
  • Further research is needed to mitigate the risks posed by these widespread environmental contaminants.

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