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The Challenges Of Bacterial Resistance And Natural Antibiotics

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Discuss how recent advances in medicinal chemistry have addressed the challenges of bacterial resistance to natural antibiotics ABSTRACT Since the discovery of penicillin in 1928 many discipline’s, including medicinal chemistry, have worked on natural antibiotics and the rise of bacterial resistance to them. In the last 15 years medicinal chemistry has worked to combat the challenges of bacterial resistance that has emerged in the form of efflux pumps, degradation enzymes and/or modification of targets. Advancements in structure determination has given a larger number of high resolution structures for bacterial proteins that can be run in structure-based drug design programs. High-throughput screening (HTS) has advanced so that hit to lead compounds also have cellular activity, although this is predominantly giving output for Gram-positive bacterial targets. Difficulties lie in fully understanding the mechanism of action and permeation of new drugs. However, new understanding of translocation proteins, such as porins, has meant that new drugs have been designed for homologous uptake channels or modified to be recognised by different bacterial uptake pathways. Recent research has also worked to alter the mechanism of action of older antibiotics by administering them with non-antimicrobial drugs that have synergistic or additive effects, which may be a longer term solution that limits the emergence of resistance to new drugs and extend the effective lifetime of antibacterials

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