Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics

In the 19th century, the discovery of penicillin revolutionized medicine, saving millions from infectious diseases. People believed that they had won the war against infections. However, the misuse and abuse of antimicrobial agents are accompanied by major ramifications like antimicrobial resistanc...

Full description

Saved in:
Bibliographic Details
Main Authors: Kar Jing Chong, Huang Feng, Vengadesh Letchumanan, Masita Arip, Omotayo Fatokun, Lazuardi Mochamad, Chin Tat Ng, Sasikala Chinnapan, Malarvili Selvaraja
Format: Article
Language:English
Published: HH Publisher 2024-08-01
Series:Progress in Microbes and Molecular Biology
Online Access:https://journals.hh-publisher.com/index.php/pmmb/article/view/1054
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832541421980090368
author Kar Jing Chong
Huang Feng
Vengadesh Letchumanan
Masita Arip
Omotayo Fatokun
Lazuardi Mochamad
Chin Tat Ng
Sasikala Chinnapan
Malarvili Selvaraja
author_facet Kar Jing Chong
Huang Feng
Vengadesh Letchumanan
Masita Arip
Omotayo Fatokun
Lazuardi Mochamad
Chin Tat Ng
Sasikala Chinnapan
Malarvili Selvaraja
author_sort Kar Jing Chong
collection DOAJ
description In the 19th century, the discovery of penicillin revolutionized medicine, saving millions from infectious diseases. People believed that they had won the war against infections. However, the misuse and abuse of antimicrobial agents are accompanied by major ramifications like antimicrobial resistance, creating drug-resistant superbugs. This issue is concerning worldwide, as dwindling effective antibiotics lead to rising healthcare costs, re-hospitalization, and disease severity. Consequently, multiple initiatives have been undertaken to address these phenomena, including the development of antimicrobials with novel modes of action. Without novel discoveries of newer antimicrobial agents, we may face the risk of entering a post-antibiotic era where uncomplicated infections become untreatable. Ultimately, the morbidity and mortality rate would rise higher than in the pre-antibiotic era. This study highlights the recent developments in antimicrobials over the past five years and explores the strategies employed by the new generation of drugs to act against resistance. For example, we discuss the treatment of Carbapenem-resistant Enterobacteriaceae, such as Klebsiella pneumoniae Carbapenamase-producing Gram-negative bacteria, by using meropenem-vaborbactam. Plazomicin, lacking a hydroxyl group, effectively combats metallo-beta-lactamase, which meropenem-vaborbactam is unable to address. It is also preferred over tobramycin and gentamicin due to its hydroxyethyl group. Furthermore, we explore the conjugation of nanoparticles with antibiotics, which demonstrated synergistic effects and positive outcomes on different bacterial resistance. Mechanisms include increased drug adhesion to bacterial cell walls, generating oxidative stress, and causing mistranslation by detaching ribosomes from tRNA. Additionally, the IspH inhibitors like 4’-flurouridine targeting the MEP pathway which is also included in the discussion. This report thoroughly examines newer generations and classes of antibiotics, highlighting the improvements made by scientists to combat bacterial resistance effectively.
format Article
id doaj-art-9192b55d7ef440b9b7a32d7faad87e3d
institution Kabale University
issn 2637-1049
language English
publishDate 2024-08-01
publisher HH Publisher
record_format Article
series Progress in Microbes and Molecular Biology
spelling doaj-art-9192b55d7ef440b9b7a32d7faad87e3d2025-02-04T08:39:37ZengHH PublisherProgress in Microbes and Molecular Biology2637-10492024-08-017110.36877/pmmb.a0000447Tackling Microbial Resistance and Emerging Pathogens with Next-Generation AntibioticsKar Jing ChongHuang FengVengadesh LetchumananMasita AripOmotayo FatokunLazuardi MochamadChin Tat NgSasikala ChinnapanMalarvili Selvaraja In the 19th century, the discovery of penicillin revolutionized medicine, saving millions from infectious diseases. People believed that they had won the war against infections. However, the misuse and abuse of antimicrobial agents are accompanied by major ramifications like antimicrobial resistance, creating drug-resistant superbugs. This issue is concerning worldwide, as dwindling effective antibiotics lead to rising healthcare costs, re-hospitalization, and disease severity. Consequently, multiple initiatives have been undertaken to address these phenomena, including the development of antimicrobials with novel modes of action. Without novel discoveries of newer antimicrobial agents, we may face the risk of entering a post-antibiotic era where uncomplicated infections become untreatable. Ultimately, the morbidity and mortality rate would rise higher than in the pre-antibiotic era. This study highlights the recent developments in antimicrobials over the past five years and explores the strategies employed by the new generation of drugs to act against resistance. For example, we discuss the treatment of Carbapenem-resistant Enterobacteriaceae, such as Klebsiella pneumoniae Carbapenamase-producing Gram-negative bacteria, by using meropenem-vaborbactam. Plazomicin, lacking a hydroxyl group, effectively combats metallo-beta-lactamase, which meropenem-vaborbactam is unable to address. It is also preferred over tobramycin and gentamicin due to its hydroxyethyl group. Furthermore, we explore the conjugation of nanoparticles with antibiotics, which demonstrated synergistic effects and positive outcomes on different bacterial resistance. Mechanisms include increased drug adhesion to bacterial cell walls, generating oxidative stress, and causing mistranslation by detaching ribosomes from tRNA. Additionally, the IspH inhibitors like 4’-flurouridine targeting the MEP pathway which is also included in the discussion. This report thoroughly examines newer generations and classes of antibiotics, highlighting the improvements made by scientists to combat bacterial resistance effectively. https://journals.hh-publisher.com/index.php/pmmb/article/view/1054
spellingShingle Kar Jing Chong
Huang Feng
Vengadesh Letchumanan
Masita Arip
Omotayo Fatokun
Lazuardi Mochamad
Chin Tat Ng
Sasikala Chinnapan
Malarvili Selvaraja
Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics
Progress in Microbes and Molecular Biology
title Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics
title_full Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics
title_fullStr Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics
title_full_unstemmed Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics
title_short Tackling Microbial Resistance and Emerging Pathogens with Next-Generation Antibiotics
title_sort tackling microbial resistance and emerging pathogens with next generation antibiotics
url https://journals.hh-publisher.com/index.php/pmmb/article/view/1054
work_keys_str_mv AT karjingchong tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT huangfeng tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT vengadeshletchumanan tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT masitaarip tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT omotayofatokun tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT lazuardimochamad tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT chintatng tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT sasikalachinnapan tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics
AT malarviliselvaraja tacklingmicrobialresistanceandemergingpathogenswithnextgenerationantibiotics