在抗生素治疗期间出现异常附带敏感性反应的进化驱动因素
Sander K Casier1, Bram Lories1, Hans P Steenackers2
1Department of Microbial and Molecular Systems, Centre of Microbial and Plant Genetics, KU Leuven, Leuven, Belgium.
Nature ecology & evolution
|August 22, 2025
概括
一种抗生素的耐药性增加了对另一种抗生素的敏感性, 然而,由于受病原体遗传和环境影响的可变结果,其临床使用受到限制.
科学领域:
- 微生物学
- 传染性疾病
- 药理学
背景情况:
- 抗生素耐药性是一个日益严重的全球健康威胁,
- 对抗抗药性和延长现有抗菌药物的有效性至关重要.
- 附带敏感性是一种对一种药物的耐药性增加了对另一种药物的敏感性,
研究的目的:
- 审查担保敏感性结果的变化驱动因素.
- 探索将附带敏感性转化为有效的临床应用的策略.
- 讨论结合疗法中的附带敏感性动态的影响.
主要方法:
- 专注于抗菌治疗中的附带敏感性的文献综述.
- 影响抗性突变选择和附带反应的因素分析.
- 讨论病原体的遗传背景和环境条件的影响.
主要成果:
- 由于随机性,环境因素和病原体遗传学,附带敏感性结果可以显著变化,从敏感性到交叉耐药性.
- 抗性突变可能会有不同的附带效应,受细胞环境的影响,可能会改变或逆转附带反应.
- 多种药物耐药性选择的动态可能有助于治疗结果的变化.
结论:
- 了解和减轻附带敏感性的变化是其临床转换的关键.
- 建议采取策略来规避这种变异性,以利用附带敏感性来对抗抗生素耐药性.
- 基于附带敏感性原则的组合和循环治疗的合理设计是必不可少的.
相关概念视频
Transduction
98
Among the three main modes of HGT—transformation, conjugation, and transduction—transduction is unique in that it is mediated by bacteriophages, or bacterial viruses.Transduction occurs in two ways. Generalized transduction occurs during the lytic cycle of a bacteriophage infection. In this process, bacteriophages infect bacterial cells, replicate within them, and ultimately cause cell lysis, releasing newly assembled virions. Occasionally, random fragments of the bacterial genome...
98
Development of Antibiotic Resistance
197
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
197
Antibiotic Selection
55.2K
Overview
55.2K
Defense Against Bacterial Pathogens
1.5K
The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
1.5K
Combined Effects of Drugs: Synergism
4.7K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
4.7K
Allergic Drug Reactions
978
Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
978


