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Article
| Open AccessStructural basis of broad-spectrum β-lactam resistance in Staphylococcus aureus
Cryo-electron microscopy structures of Staphylococcus aureus BlaR1 reveal dynamic signalling states regulating broad spectrum β-lactam antibiotic resistance through cleavage of the transcriptional repressor BlaI and induced expression of the β-lactamase blaZ and the β-lactam-resistant cell-wall transpeptidase mecA.
- J. Andrew N. Alexander
- , Liam J. Worrall
- & Natalie C. J. Strynadka
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Article
| Open AccessMultiple pathways for SARS-CoV-2 resistance to nirmatrelvir
Nirmatrelvir, an oral antiviral targeting the 3CL protease of SARS-CoV-2, has been demonstrated to be clinically useful against COVID-19, but viral resistance to the drug was found to arise readily via multiple pathways in vitro.
- Sho Iketani
- , Hiroshi Mohri
- & David D. Ho
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Article |
Antibiotic combinations reduce Staphylococcus aureus clearance
Different pairs of antibiotics show qualitatively different bacterial clearance interactions—some pairs show reciprocal suppression whereby the drug mixture efficacy is weaker than the individual drugs alone, and the clearance efficacy decreases as more drugs are added.
- Viktória Lázár
- , Olga Snitser
- & Roy Kishony
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Article
| Open AccessEmergence of methicillin resistance predates the clinical use of antibiotics
Methicillin-resistant strains of Staphylococcus aureus appeared in European hedgehogs in the pre-antibiotic era as a co-evolutionary adaptation to antibiotic-producing dermatophytes and have spread within the local hedgehog populations and between hedgehogs and secondary hosts.
- Jesper Larsen
- , Claire L. Raisen
- & Anders R. Larsen
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Article |
A synthetic antibiotic class overcoming bacterial multidrug resistance
Structure-guided design and component-based synthesis are used to produce iboxamycin, a novel ribosome-binding antibiotic with potent activity against Gram-positive and Gram-negative bacteria.
- Matthew J. Mitcheltree
- , Amarnath Pisipati
- & Andrew G. Myers
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Article |
Novel bile acid biosynthetic pathways are enriched in the microbiome of centenarians
The microbiota of centenarians (aged 100 years and older) comprise gut microorganisms that are capable of generating unique secondary bile acids, including isoallolithocholic acid, a bile acid with potent antimicrobial effects against Gram-positive—but not Gram-negative—multidrug-resistant pathogens.
- Yuko Sato
- , Koji Atarashi
- & Kenya Honda
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Letter |
Microbiota-derived lantibiotic restores resistance against vancomycin-resistant Enterococcus
The gut commensal Blautia producta secretes a lantibiotic that reduces colonization of the gut by the major pathogen vancomycin-resistant Enterococcus faecium, and transplantation of microbiota with high abundance of the lantibiotic gene enhances resistance to colonization in mice.
- Sohn G. Kim
- , Simone Becattini
- & Eric G. Pamer
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Article |
Interconnected microbiomes and resistomes in low-income human habitats
An analysis of bacterial community structure and antibiotic resistance gene content of interconnected human faecal and environmental samples from two low-income communities in Latin America was carried out using a combination of functional metagenomics, 16S sequencing and shotgun sequencing; resistomes across habitats are generally structured along ecological gradients, but key resistance genes can cross these boundaries, and the authors assessed the usefulness of excreta management protocols in the prevention of resistance gene dissemination.
- Erica C. Pehrsson
- , Pablo Tsukayama
- & Gautam Dantas
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Article |
A new antibiotic kills pathogens without detectable resistance
From a new species of β-proteobacteria, an antibiotic called teixobactin that does not generate resistance has been characterized; the antibiotic has two different lipid targets in different bacterial cell wall synthesis components, which may explain why resistance was not observed.
- Losee L. Ling
- , Tanja Schneider
- & Kim Lewis
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Letter |
Bacterial phylogeny structures soil resistomes across habitats
Functional metagenomic selections for resistance to 18 antibiotics in 18 different soils reveal that bacterial community composition is the primary determinant of soil antibiotic resistance gene content.
- Kevin J. Forsberg
- , Sanket Patel
- & Gautam Dantas
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Outlook |
Antibiotic resistance: An infectious arms race
Winning the fight against infectious bacteria requires staying ahead of the organisms' uncanny ability to flank our frontal assaults. By Karyn Hede.
- Karyn Hede
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Outlook |
Drug development: A combined effort
Combinations of anti-TB drugs are difficult to overcome because they attack Mycobacterium tuberculosis in different ways.
- Amy Maxmen
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Research Highlights |
Rivers' antibiotic resistance threat
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News |
DNA sequencers stymie superbug spread
Whole-genome analysis helps identify source of MRSA outbreak on infant ward
- Ewen Callaway
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News |
Antibiotic resistance racing downriver
A river that runs through Colorado's plains carries two different genes that protect microbes from antibiotics.
- Naomi Lubick
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Comment |
Get pigs off antibiotics
Frank Aarestrup explains how he helped Denmark to cut the use of antibiotics in its livestock by 60%, and calls on the rest of the world to follow suit.
- Frank Aarestrup
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News |
Genome analysis homes in on malaria-drug resistance
Researchers find genetic changes that may reduce effectiveness of artemisinin.
- Melissa Lee Phillips
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Letter |
High-throughput decoding of antitrypanosomal drug efficacy and resistance
Five current human African trypanosomiasis drugs are used for genome-scale RNA interference target sequencing screens in Trypanosoma brucei, and reveal the transporters, organelles, enzymes and metabolic pathways that function to facilitate antitrypanosomal drug action.
- Sam Alsford
- , Sabine Eckert
- & David Horn
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News |
Totally drug-resistant TB emerges in India
Discovery of a deadly form of TB highlights crisis of 'mismanagement'.
- Katherine Rowland
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Outlook |
Drugs: Lines of defence
Antiviral treatments are a critical component of an effective healthcare response to influenza, but drug resistance to the treatment-of-choice has public health officials searching for other options.
- Roxanne Palmer
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Outlook |
Perspective: Recognizing resistance
The hepatitis C virus is endemic among injection drug users, who could harbour treatment-resistant viruses. We need to adapt to this reality, says Diana Sylvestre
- Diana Sylvestre
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Research Highlights |
Gene for malarial drug dodging
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Research Highlights |
Evolutionary biology: Colourful bacterial resistance
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Research Highlights |
Virology: Back-up resistance
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News & Views |
Priming the antimalarial pipeline
Emerging resistance to existing antimalarial drugs could nullify efforts to eliminate this deadly disease. The discovery of thousands of agents active against malaria parasites offers hope for developing new drugs.
- David A. Fidock
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Correspondence |
Public database for HIV drug resistance in southern Africa
- Tulio de Oliveira
- , Robert W. Shafer
- & Christopher Seebregts