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Drug resistance

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ultimately doomed to failure. Without alternative strategies, the acquisition of drug resistance by pathogenic microorganisms looms as possibly one of the most significant public health threats facing humanity in the 21st century. Some of the best alternative sources to reduce the chance of antibiotic resistance are probiotics, prebiotics, dietary fibers, enzymes, organic acids, phytogenics.
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evolutionary fitness as compared to susceptible pathogens. This is one of the reasons drug resistance adaptations are rarely seen in environments where antibiotics are absent. However, in the presence of antibiotics, the survival advantage conferred off-sets the high metabolic cost and allows resistant strains to proliferate.
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In short, the lack of concerted effort by governments and the pharmaceutical industry, together with the innate capacity of microbes to develop resistance at a rate that outpaces development of new drugs, suggests that existing strategies for developing viable, long-term anti-microbial therapies are
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Drug resistance has a high metabolic price in pathogens for which this concept is relevant (bacteria, endoparasites, and tumor cells.) In viruses, an equivalent "cost" is genomic complexity. The high metabolic cost means that, in the absence of antibiotics, a resistant pathogen will have decreased
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which is a key transporter of medications on the cellular level. If MDR1 is overexpressed, drug resistance increases. Therefore, ABCB1 levels can be monitored. In patients with high levels of ABCB1 expression, the use of secondary treatments, like metformin, have been used in conjunction with the
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by sending molecules of those antibiotics out of the bacterial cell. Sometimes a combination of different classes of antibiotics may be used synergistically; that is, they work together to effectively fight bacteria that may be resistant to one of the antibiotics alone.
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specific, any mutation in these molecules will interfere with or negate its destructive effect, resulting in antibiotic resistance. Furthermore, there is mounting concern over the abuse of antibiotics in the farming of livestock, which in the
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may be capable of surviving drug treatment. Drug-resistant traits are accordingly inherited by subsequent offspring, resulting in a population that is more drug-resistant. Unless the drug used makes sexual reproduction or
520:(the group of enzymes responsible for breaking down beta-lactams). Beta-lactam bacterial resistance can also be dealt with by administering beta-lactam antibiotics with drugs that block beta-lactamases such as 80:
Bacteria are capable of not only altering the enzyme targeted by antibiotics, but also by the use of enzymes to modify the antibiotic itself and thus neutralize it. Examples of target-altering pathogens are
242:, and dips. The chemicals contained in these preparations, besides harming beneficial organisms, may intentionally or inadvertently target organisms that have the potential to develop resistance. 1417:
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Reading: The Resistance Phenomenon in Microbes and Infectious Disease Vectors: Implications for Human Health and Strategies for Containment -- Workshop Summary - The National Academies Press
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Ghasabi M, Mansoori B, Mohammadi A, Duijf PH, Shomali N, Shirafkan N, Mokhtarzadeh A, Baradaran B (2019). "MicroRNAs in cancer drug resistance: Basic evidence and clinical applications".
500:, which represents a widespread problem nowadays, drugs designed to block the mechanisms of bacterial antibiotic resistance are used. For example, bacterial resistance against 1460: 626:
Alfarouk, KO; Stock, CM; Taylor, S; Walsh, M; Muddathir, AK; Verduzco, D; Bashir, AH; Mohammed, OY; Elhassan, GO; Harguindey, S; Reshkin, SJ; Ibrahim, ME; Rauch, C (2015).
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The development of antibiotic resistance in particular stems from the drugs targeting only specific bacterial molecules (almost always proteins). Because the drug is
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Ramos-Peñafiel C, Olarte-Carrillo I, Cerón-Maldonado R, Rozen-Fuller E, Kassack-Ipiña JJ, Meléndez-Mier G, Collazo-Jaloma J, Martínez-Tovar A (September 2018).
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and is a response to pressures imposed on any living organism. Individual organisms vary in their sensitivity to the drug used and some with greater
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Institute of Medicine (US) Forum on Emerging Infections; Knobler, S. L.; Lemon, S. M.; Najafi, M.; Burroughs, T. (2003). "Summary and Assessment".
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so that the antibiotics can work without getting destroyed by the bacteria first. Researchers have recognized the need for new drugs that inhibit
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In the domestic environment, drug-resistant strains of organism may arise from seemingly safe activities such as the use of
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Plasmid encode enzymes that chemically alter the drug (e.g., by acetylation or phosphorylation), thereby inactivating it.
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have also been shown to affect acquired drug resistance in cancer cells and this can be used for therapeutic purposes.
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Duckenfield, Joan (2011-12-30). "Antibiotic Resistance Due to Modern Agricultural Practices: An Ethical Perspective".
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This article is about pathogen resistance to the effects of drugs. For human resistance to the effects of drugs, see
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alone accounts for three times the volume dispensed to humans – leading to development of super-resistant bacteria.
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in bacteria inhibited by sulfonamides. Instead, like mammalian cells, they turn to utilizing preformed folic acid.
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challenge clinical care and drive research. When an organism is resistant to more than one drug, it is said to be
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impossible in the entire target population, resistance to the drug will inevitably follow. This can be seen in
1701:"Compensation of the Metabolic Costs of Antibiotic Resistance by Physiological Adaptation in Escherichia coli" 2879: 2504: 2432: 195:, and is termed horizontal gene transfer in which there is a direct exchange of genes, particularly in the 3009: 2622: 799: 2357: 2176: 2156: 269: 525: 2869: 2617: 2611: 58: 2138: 2999: 2934: 2636: 2146: : A web server for predicting inhibitors against drug tolerant M. Tuberculosis, published in 579: 135: 62: 54: 2685: 2447: 2442: 2352: 2270: 105: 448:
Bacteria change shape of the outer membrane porin proteins, preventing drug from entering cell.
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Gillespie SH, McHugh TD (September 1997). "The biological cost of antimicrobial resistance".
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The four main mechanisms by which microorganisms exhibit resistance to antimicrobials are:
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Händel, Nadine; Schuurmans, J. Merijn; Brul, Stanley; ter Kuile, Benno H. (August 2013).
226:, tooth-brushing and mouthwashing, the use of antibiotics, disinfectants and detergents, 1760: 1053: 2844: 2794: 2695: 2508: 2487: 2387: 2308: 2220: 2085: 2050: 1977: 1952: 1838: 1813: 1789: 1762: 1733: 1700: 1595: 1560: 1512: 1487: 1442: 1399: 1248: 1208: 1191: 1012: 930: 895: 871: 844: 749: 654: 627: 171: 2026: 2001: 1887: 1862: 1676: 1652:"Biological cost of rifampin resistance from the perspective of Staphylococcus aureus" 1651: 1650:
Wichelhaus TA, Böddinghaus B, Besier S, Schäfer V, Brade V, Ludwig A (November 2002).
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Bacteria make an altered penicillin-binding proteins, that do not bind to the drug.
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Fisher, Jed F.; Mobashery, Shahriar (2010). "Enzymology of Bacterial Resistance".
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Plasmid encode beta-lactamase, which open the beta-lactam ring, inactivating it.
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B. This protein stimulates the growth of cancer cells which are drug-resistant.
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Tegos GP, Haynes M, Strouse JJ, Khan MM, Bologa CG, Oprea TI, Sklar LA (2011).
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Binds to 30S Ribosome subunit, inhibiting protein synthesis by blocking tRNA
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Bacteria make an altered DNA topoisomerase that does not binds to the drug.
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Plasmid encode an enzyme that acetylate the drug, thereby inactivating it.
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Comprehensive Natural Products II. Volume 8: Enzymes and Enzyme Mechanisms
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Inhibit the enzyme dihydrofolate reduces, blocking the folic acid pathway
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Binds to penicillin-binding proteins, Inhibiting peptidoglycan synthesis
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Binds to penicillin-binding proteins, Inhibiting peptidoglycan synthesis
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Binds to penicillin-binding proteins, Inhibiting peptidoglycan synthesis
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Bacteria make an altered 30S ribosomes that does not bind to the drug.
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Bacteria make a form of 50S ribosome that does not binds to the drug.
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Bacteria make an altered polymerase that does not binds to the drug.
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Binds to the RNA polymerase; inhibiting initiation of RNA synthesis
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Bind to 50S ribosome subunit, inhibiting formation of peptide bonds
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tumors where some cells may develop resistance to the drugs used in
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Drug inactivation or modification: e.g., enzymatic deactivation of
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Binds to DNA topoisomerase, an enzyme essential for DNA synthesis
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Bacteria make an altered enzyme that does not binds to the drug.
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or condition. The term is used in the context of resistance that
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in some penicillin-resistant bacteria through the production of
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World Journal of Gastrointestinal Pharmacology and Therapeutics
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New membrane transport system prevent drug from entering cell.
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Jha, Rajesh; Das, Razib; Oak, Sophia; Mishra, Pravin (2020).
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or cancers have "acquired", that is, resistance has evolved.
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is the reduction in effectiveness of a medication such as an
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Binds to 30S Ribosome subunit, inhibiting protein synthesis
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Binds to 30S Ribosome subunit, inhibiting protein synthesis
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Bind to 50S ribosome subunit, inhibiting protein synthesis
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Bind to 50S ribosome subunit, inhibiting protein synthesis
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10.1603/0022-2585(2008)45[1092:BAMAOD]2.0.CO;2
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Drug, toxin, or chemical resistance is a consequence of
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Beta-lactam antibiotics (penicillin and cephalosporin)
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Beta-lactam antibiotics (penicillin and cephalosporin)
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New membrane transport system pumps drug out of cell.
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BURDEN of Resistance and Disease in European Nations
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Lin, Derek M; Koskella, Britt; Lin, Henry C (2017).
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are posing massive problems for health authorities.
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An illustrative diagram explaining drug resistance.
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tolerance 2911: 2909: 2902: 2897: 2895:Lists of drugs 2892: 2887: 2882: 2877: 2872: 2867: 2865: 2861: 2860: 2858: 2857: 2852: 2847: 2842: 2836: 2833: 2832: 2830: 2829: 2824: 2818: 2816: 2814:Drug discovery 2806: 2805: 2803: 2802: 2797: 2791: 2789: 2779: 2778: 2776: 2775: 2770: 2765: 2759: 2757: 2743: 2742: 2740: 2739: 2734: 2729: 2724: 2718: 2716: 2706: 2705: 2703: 2698: 2693: 2688: 2683: 2681: 2668: 2662: 2661: 2659: 2658: 2656:Bioequivalence 2653: 2647: 2644: 2643: 2641: 2640: 2630: 2625: 2620: 2615: 2604: 2602: 2594: 2593: 2591: 2590: 2585: 2580: 2575: 2570: 2565: 2555: 2549: 2547: 2540: 2534: 2533: 2530: 2529: 2527: 2526: 2521: 2516: 2490: 2485: 2479: 2477: 2469: 2468: 2466: 2465: 2450: 2445: 2440: 2435: 2430: 2424: 2422: 2414: 2413: 2411: 2410: 2400: 2398:Adverse effect 2395: 2390: 2385: 2373: 2371: 2363: 2362: 2360: 2355: 2350: 2345: 2343:Mode of action 2340: 2335: 2333: 2326: 2320: 2319: 2317: 2316: 2311: 2306: 2301: 2295: 2292: 2291: 2289: 2288: 2283: 2278: 2273: 2268: 2263: 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217:arthropods 2637:Clearance 2633:Excretion 2452:Methods ( 2077:2150-5349 1725:0066-4804 1471:1 October 1175:1 October 1050:Morelle R 922:2049-1891 906:(1): 51. 746:1187-7863 709:1 October 514:nafcillin 504:(such as 480:Treatment 382:Rifampin 236:sunblocks 160:MicroRNAs 140:cancerous 123:evolution 51:pathogens 2755:genetics 2727:Pharmacy 2714:Medicine 2524:Affinity 2483:Efficacy 2421:Analysis 2403:Toxicity 2153:CancerDR 2144:MDRIpred 2095:28828194 1987:21470111 1938:12493781 1848:14160224 1799:30176891 1743:23716056 1686:12384339 1565:13656026 1557:28951954 1522:19678712 1447:27422270 1439:19058634 1404:20734025 1396:17006819 1339:CBC News 1100:12849777 1058:BBC News 1036:BBC News 1017:52092652 1009:30146724 975:BBC News 940:33866972 881:33066185 830:22649806 754:55736918 664:26180516 564:See also 550:bacteria 488:encodes 228:shampoos 2665:Related 2608:(L)ADME 2562:Initial 2546:Metrics 2493:Potency 2476:Metrics 2378:Binding 2348:Binding 2216:Agonist 2086:5547374 2036:1155924 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Index

Drug tolerance

antimicrobial
antineoplastic
disease
pathogens
Antimicrobial resistance
antineoplastic resistance
multidrug-resistant
European Union
Staphylococcus aureus
enterococci
Streptococcus
Pseudomonas aeruginosa
Acinetobacter baumannii
evolution
fitness
cell-division
horizontal gene transfer
cancerous
chemotherapy
fibroblasts
tumors
WNT16
MicroRNAs
Malaria
South East Asia
sub-Saharan Africa
Plasmodium falciparum
Leprosy

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