Bacteriophage and Bacterial Susceptibility, Resistance, and Tolerance to Antibiotics.

Bacteriophage and Bacterial Susceptibility, Resistance, and Tolerance to Antibiotics.
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DOI:
10.3390/pharmaceutics14071425
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发表时间:
2022-07-07
期刊:
影响因子:
5.4
通讯作者:
Bollyky, Paul L.
Bollyky, Paul L.
中科院分区:
医学2区
文献类型:
--
作者:
Chen, Qingquan;Dharmaraj, Tejas;Cai, Pamela C.;Burgener, Elizabeth B.;Haddock, Naomi L.;Spakowitz, Andy J.;Bollyky, Paul L.

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噬菌体,感染细菌并在细菌内复制的病毒,以复杂的方式影响细菌对抗生素的反应。最近使用裂解性噬菌体治疗细菌感染(噬菌体疗法)的研究表明,噬菌体可以促进对化学抗生素的敏感性,并且噬菌体/抗生素协同作用是可能的。然而,溶解性和溶原性噬菌体都可以导致抗微生物剂耐药性。特别是,一些细菌通过转导和其他机制介导抗生素抗性基因在细菌之间的水平转移。此外,慢性感染丝状菌可以促进抗菌药物耐受性,使细菌能够在抗生素面前坚持下去。特别是,丝状菌作为细菌生物膜的结构元素,并防止抗生素的渗透。随着时间的推移,这些对抗生素耐受性的贡献有利于抗性克隆的选择。在这里,我们回顾了最近的见解噬菌体贡献抗生素敏感性,耐药性和耐受性。我们讨论了这些影响所涉及的机制,并解决其对细菌适应性的影响。
Bacteriophages, viruses that infect and replicate within bacteria, impact bacterial responses to antibiotics in complex ways. Recent studies using lytic bacteriophages to treat bacterial infections (phage therapy) demonstrate that phages can promote susceptibility to chemical antibiotics and that phage/antibiotic synergy is possible. However, both lytic and lysogenic bacteriophages can contribute to antimicrobial resistance. In particular, some phages mediate the horizontal transfer of antibiotic resistance genes between bacteria via transduction and other mechanisms. In addition, chronic infection filamentous phages can promote antimicrobial tolerance, the ability of bacteria to persist in the face of antibiotics. In particular, filamentous phages serve as structural elements in bacterial biofilms and prevent the penetration of antibiotics. Over time, these contributions to antibiotic tolerance favor the selection of resistance clones. Here, we review recent insights into bacteriophage contributions to antibiotic susceptibility, resistance, and tolerance. We discuss the mechanisms involved in these effects and address their impact on bacterial fitness.
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