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Types Of Resistance : Mechanisms Of Antibiotic Resistance

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Mechanisms of Resistance
Mechanisms of Antibiotic Resistance

The principle of antibiotic resistance revolve around how antibiotics work. Antibiotics target certain structures on bacteria such as their cell wall, proteins, and nucleic acids that results in the disruption and/or inhibition of their growth. These disturbances can sometimes lead to bacterial death. In order to survive, bacteria have developed countermeasures to fight against the harmful drugs. This was carried out by targeting the antibiotics themselves. The way antibiotics function is based on their chemical structure. Because many antibiotics have similar structures, they are also grouped in that way. Each class (or family) have similarities in their structure and in turn, have similarities in their target of action. Consequently, these similarities make it easy for the bacteria to construct resistance to different and multiple classes of antibiotics. Mechanisms that will be discussed all involve bacteria’s ability to prevent antibiotics from reaching its target by means of target alteration, drug detoxification, impermeability and efflux.

Target Alteration

Target alteration refers to modifications made on the antibiotic molecule. The modification can be due to point mutations in the genes encoding the target site, enzymes that change binding sites by acetylation, phosphorylation, adenylation, or replacement/bypass of the original target (1). A good example of resistance due to point mutation is fluoroquinolone resistance. This drug acts on DNA gyrase and topoisomerase IV, both of which are vital for bacterial DNA replication. The mutation lies within the genes that encode for both DNA gyrase and topoisomerase. With its target modified, fluoroquinolone can no longer inhibit bacterial DNA replication.

Modification can be done chemically by adding certain compounds together or by outright destroying them. Bacteria employ these actions by producing enzymes that chemically modify antibiotics by acetylation, phosphorylation, and adenylation (1). This mechanism is seen in both gram negative and gram positive organisms as with the case of aminoglycoside resistance. This class of antibiotic is frequently used to treat infections caused by

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