The challenge of efflux-mediated antibiotic resistance in Gram-negative bacteria

XZ Li, P Plésiat, H Nikaido - Clinical microbiology reviews, 2015 - journals.asm.org
The global emergence of multidrug-resistant Gram-negative bacteria is a growing threat to
antibiotic therapy. The chromosomally encoded drug efflux mechanisms that are ubiquitous …

Update on the discovery of efflux pump inhibitors against critical priority gram-negative bacteria

N Compagne, A Vieira Da Cruz, RT Müller… - Antibiotics, 2023 - mdpi.com
Antimicrobial resistance (AMR) has become a major problem in public health leading to an
estimated 4.95 million deaths in 2019. The selective pressure caused by the massive and …

Physiological functions of bacterial “multidrug” efflux pumps

PJF Henderson, C Maher, LDH Elbourne… - Chemical …, 2021 - ACS Publications
Bacterial multidrug efflux pumps have come to prominence in human and veterinary
pathogenesis because they help bacteria protect themselves against the antimicrobials …

[HTML][HTML] Bacterial multidrug efflux pumps: mechanisms, physiology and pharmacological exploitations

J Sun, Z Deng, A Yan - Biochemical and biophysical research …, 2014 - Elsevier
Multidrug resistance (MDR) refers to the capability of bacterial pathogens to withstand lethal
doses of structurally diverse drugs which are capable of eradicating non-resistant strains …

Broad-specificity efflux pumps and their role in multidrug resistance of Gram-negative bacteria

H Nikaido, JM Pagès - FEMS microbiology reviews, 2012 - academic.oup.com
Antibiotic resistance mechanisms reported in Gram-negative bacteria are causing a
worldwide health problem. The continuous dissemination of 'multidrug-resistant'(MDR) …

Heterogeneity in efflux pump expression predisposes antibiotic-resistant cells to mutation

I El Meouche, MJ Dunlop - Science, 2018 - science.org
Antibiotic resistance is often the result of mutations that block drug activity; however, bacteria
also evade antibiotics by transiently expressing genes such as multidrug efflux pumps. A …

Efflux-mediated drug resistance in bacteria: an update

XZ Li, H Nikaido - Drugs, 2009 - Springer
Drug efflux pumps play a key role in drug resistance and also serve other functions in
bacteria. There has been a growing list of multidrug and drug-specific efflux pumps …

Recent advances toward a molecular mechanism of efflux pump inhibition

TJ Opperman, ST Nguyen - Frontiers in microbiology, 2015 - frontiersin.org
Multidrug resistance (MDR) in Gram-negative pathogens, such as the Enterobacteriaceae
and Pseudomonas aeruginosa, poses a significant threat to our ability to effectively treat …

Structures of the multidrug exporter AcrB reveal a proximal multisite drug-binding pocket

R Nakashima, K Sakurai, S Yamasaki, K Nishino… - Nature, 2011 - nature.com
AcrB and its homologues are the principal multidrug transporters in Gram-negative
bacteria,,,,, and are important in antibiotic drug tolerance,. AcrB is a homotrimer that acts as …

Structural basis for the inhibition of bacterial multidrug exporters

R Nakashima, K Sakurai, S Yamasaki, K Hayashi… - Nature, 2013 - nature.com
The multidrug efflux transporter AcrB and its homologues are important in the multidrug
resistance of Gram-negative pathogens,. However, despite efforts to develop efflux …