Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms

Polymyxins, a class of cyclic peptide antibiotics, have become the last line of defense against gram-negative bacterial infections as the number of multidrug-resistant bacteria continues to rise. Heteroresistance refers to the presence of subpopulations within the same strain with varying sensitivit...

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Main Authors: LI Yanbing, ZHOU Menglan, XU Yingchun
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2024-11-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0159
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author LI Yanbing
ZHOU Menglan
XU Yingchun
author_facet LI Yanbing
ZHOU Menglan
XU Yingchun
author_sort LI Yanbing
collection DOAJ
description Polymyxins, a class of cyclic peptide antibiotics, have become the last line of defense against gram-negative bacterial infections as the number of multidrug-resistant bacteria continues to rise. Heteroresistance refers to the presence of subpopulations within the same strain with varying sensitivities to antibiotics, which cannot be detected by standard clinical tests and may result in treatment failure. In several common gram-negative bacteria, mutations in the PhoPQ and PmrAB two-component systems are key contributors to polymyxin heteroresistance. This review aims to summarize recent research on the mechanisms of polymyxin heteroresistance in gram-negative bacteria, so as to provide insights for developing rapid detection methods and improving clinical treatment strategies.
format Article
id doaj-art-5456b68bcbe54de39fcbb2a35439ae43
institution Kabale University
issn 1674-9081
language zho
publishDate 2024-11-01
publisher Editorial Office of Medical Journal of Peking Union Medical College Hospital
record_format Article
series Xiehe Yixue Zazhi
spelling doaj-art-5456b68bcbe54de39fcbb2a35439ae432025-02-08T07:47:34ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812024-11-0116117718310.12290/xhyxzz.2024-0159Progress in the Study of Polymyxin Heteroresistance Molecular MechanismsLI YanbingZHOU MenglanXU YingchunPolymyxins, a class of cyclic peptide antibiotics, have become the last line of defense against gram-negative bacterial infections as the number of multidrug-resistant bacteria continues to rise. Heteroresistance refers to the presence of subpopulations within the same strain with varying sensitivities to antibiotics, which cannot be detected by standard clinical tests and may result in treatment failure. In several common gram-negative bacteria, mutations in the PhoPQ and PmrAB two-component systems are key contributors to polymyxin heteroresistance. This review aims to summarize recent research on the mechanisms of polymyxin heteroresistance in gram-negative bacteria, so as to provide insights for developing rapid detection methods and improving clinical treatment strategies.https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0159polymyxinsheteroresistancegram-negative bacteriamolecular mechanism
spellingShingle LI Yanbing
ZHOU Menglan
XU Yingchun
Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms
Xiehe Yixue Zazhi
polymyxins
heteroresistance
gram-negative bacteria
molecular mechanism
title Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms
title_full Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms
title_fullStr Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms
title_full_unstemmed Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms
title_short Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms
title_sort progress in the study of polymyxin heteroresistance molecular mechanisms
topic polymyxins
heteroresistance
gram-negative bacteria
molecular mechanism
url https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0159
work_keys_str_mv AT liyanbing progressinthestudyofpolymyxinheteroresistancemolecularmechanisms
AT zhoumenglan progressinthestudyofpolymyxinheteroresistancemolecularmechanisms
AT xuyingchun progressinthestudyofpolymyxinheteroresistancemolecularmechanisms