Exploring molecular mechanisms of drug resistance in bacteria and progressions in CRISPR/Cas9-based genome expurgation solutions

K.E. Vivekanandan , P. Vinoth Kumar , R.C. Jaysree , T. Rajeshwari

Global Medical Genetics ›› 2025, Vol. 12 ›› Issue (02) : 100042

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Global Medical Genetics ›› 2025, Vol. 12 ›› Issue (02) :100042 DOI: 10.1016/j.gmg.2025.100042
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Exploring molecular mechanisms of drug resistance in bacteria and progressions in CRISPR/Cas9-based genome expurgation solutions
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Abstract

Antibiotic resistance in bacteria is a critical global health challenge, driven by molecular mechanisms such as genetic mutations, efflux pumps, enzymatic degradation of antibiotics, target site modifications, and biofilm formation. Horizontal gene transfer (HGT) further accelerates the spread of resistance genes across bacterial populations. These mechanisms contribute to the emergence of multidrug-resistant (MDR) strains, rendering conventional antibiotics ineffective. Recent advancements in CRISPR/Cas9-based genome editing offer innovative solutions to combat drug resistance. CRISPR/Cas9 enables precise targeting of resistance genes, facilitating their deletion or inactivation, and provides a potential method to eliminate resistance-carrying plasmids. Furthermore, phage-delivered CRISPR systems show promise in selectively killing resistant bacteria while leaving susceptible strains unaffected. Despite challenges such as efficient delivery, off-target effects, and potential bacterial resistance to CRISPR itself, ongoing research and technological innovations hold promise for using CRISPR-based antimicrobials to reverse bacterial drug resistance and develop more effective therapies. These abstract highlights the molecular mechanisms underlying bacterial drug resistance and explores how CRISPR/Cas9 technology could revolutionize treatment strategies against resistant pathogens.

Keywords

Molecular mechanisms / Drug resistance / Bacteria / CRISPR/Cas9 / Genome editing / Advancements

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K.E. Vivekanandan, P. Vinoth Kumar, R.C. Jaysree, T. Rajeshwari. Exploring molecular mechanisms of drug resistance in bacteria and progressions in CRISPR/Cas9-based genome expurgation solutions. Global Medical Genetics, 2025, 12(02): 100042 DOI:10.1016/j.gmg.2025.100042

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Ethics statement

Not applicable.

Funding

The corresponding author thank the PSG Management for providing infrastructure and covering the expenses for the other consumables.

CRediT authorship contribution statement

KEV- Writing Original draft preparation, conceptualization, Investigation, Data analysis, PVK- Data conceptualization, Supervision, Resources. JC-, Writing and Data conceptualization. RJ- Data conceptualization, editing.

Data availability

All datasets generated or analysed during this study are included in the manuscript.

Declaration of Competing Interest

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: K.E.Vivekanandan reports financial support was provided by PSG College of Arts and Science. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Acknowledgement

KEV is highly thankful to the PSG College of Arts and Science, Coimbatore Management for providing the necessary facilities to carry out the work.

Consent for publication

The contributing authors declare no consent towards the publication of the manuscript.

References

[1]

C.L. Ventola, The antibiotic resistance crisis: part 1: causes and threats, Pharm. Ther. 45 (6) (2020) 277-283.

[2]

C.J. Murray, K.S. Ikuta, F. Sharara, L. Swetschinski, G.R. Aguilar, A. Gray, et al., Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis, Lancet 399(10325) (2022) 629-655, https://doi.org/10.1016/S0140-6736(21)02724-0.

[3]

E. Tacconelli, E. Carrara, A. Savoldi, S. Harbarth, M. Mendelson, D.L. Monnet, et al., Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis, Lancet Infect. Dis. 22 (1) (2022) 142-150, https://doi.org/10.1016/S1473-3099(21)00457-X.

[4]

G.D. Wright, Mechanisms of resistance to antibiotics, Curr. Opin. Chem. Biol. 66 (2022) 56-62, https://doi.org/10.1016/j.cbpa.2021.11.004.

[5]

R.L. Dy, C. Richter, G.P.C. Salmond, P.C. Fineran, Remarkable mechanisms in microbes to resist phage infections, Annu Rev. Virol. 7 (1) (2020) 307-331, https://doi.org/10.1146/annurev-virology-010320-051826.

[6]

B. Álvarez, L. Fernández, D. Gutiérrez, B. Iglesias, A. Rodríguez, P. García, Phage therapy as a promising approach to reduce antibiotic use in animal production, Antibiotics 10 (5) (2021) 564, https://doi.org/10.3390/antibiotics10050564.

[7]

H. Goudarzi, M. Eslami, I. Farahani, S. Hasanpour, A. Mirzazadeh, S. Shahrokh, et al., CRISPR-Cas system in the antibiotic-resistant bacteria: a novel approach to combat multidrug-resistance, Front Microbiol 13 (2022) 905807, https://doi.org/10.3389/fmicb.2022.905807.

[8]

J.M.A. Blair, M.A. Webber, A.J. Baylay, D.O. Ogbolu, L.J. Piddock, Molecular mechanisms of antibiotic resistance, Nat. Rev. Microbiol 20 (5) (2022) 356-365, https://doi.org/10.1038/s41579-022-00689-6.

[9]

X.Z. Li, P. Plésiat, H. Nikaido, The challenge of efflux-mediated antibiotic resistance in Gram-negative bacteria, Clin. Microbiol Rev. 34 (1) (2021), https://doi.org/10.1128/CMR.00031-20.

[10]

N. Hoiby, O. Ciofu, T. Bjarnsholt, Pseudomonas aeruginosa biofilms in cystic fibrosis, Future Microbiol 15 (1) (2020) 25-31, https://doi.org/10.2217/fmb-2019-0111.

[11]

C.J.H. von Wintersdorff, J. Penders, J.M. van Niekerk, N.D. Mills, S. Majumder, L.B. van Alphen, et al., Dissemination of antimicrobial resistance in microbial communities through horizontal gene transfer, Front Microbiol. 11 (2020) 20, https://doi.org/10.3389/fmicb.2020.00150.

[12]

D. Du, X. Wang-Kan, A. Neuberger, H.W. van Veen, K.M. Pos, L.J.V. Piddock, et al. Multidrug efflux pumps: structure, function and regulation, Nat. Rev., Microbiol 19 (6) (2021) 431-442, https://doi.org/10.1038/s41579-021-00501-6.

[13]

S. Schuster, M. Vavra, W.V. Kern, Evidence of a role of the multidrug efflux pump AcrAB-TolC in resistance to chlorhexidine in Escherichia coli, J. Antimicrob. Chemother. 75 (10) (2020) 2754-2762, https://doi.org/10.1093/jac/dkaa248.

[14]

X.Z. Li, P. Plesiat, H. Nikaido, Efflux-mediated drug resistance in bacteria: an update, Drugs 82 (13) (2022) 1529-1561, https://doi.org/10.1007/s40265-022-01772-x.

[15]

K.A. Hassan, B. Islam, Q. Liu, L. Li, C.L. Chan, S.M. Jackson, et al., Broad substrate specificity of the MATE multidrug efflux pump NorM from Pseudomonas aeruginosa, Antimicrob. Agents Chemother. 64 (1) (2020).

[16]

V. Thakur, A. Uniyal, V. Tiwari, Efflux pump inhibitors for bacterial infections: what is next? Future Microbiol 16 (5) (2021) 349-353, https://doi.org/10.2217/fmb-2020-0321.

[17]

H. Nikaido,Structure and mechanism of RND-type multidrug efflux pumps, Adv. Enzym. Relat. Areas Mol. Biol. 95 (2021) 201-229, https://doi.org/10.1002/9781119819232.ch5.

[18]

A. Gupta, X. Dai, J.J. Chalmers, M. Shah, Mechanisms of resistance against the efflux pump AcrAB-TolC in Escherichia coli, ACS Infect. Dis. 6 (11) (2020) 2799-2812, https://doi.org/10.1021/acsinfecdis.0c00362.

[19]

K. Hegstad, R.M. Nilsen, R.L. Marvig, P. Espedal, S. Foss, G.S. Simonsen, et al., Increased expression of efflux pumps in Pseudomonas aeruginosa biofilms, Micro Pathog. 149 (2020) 104523, https://doi.org/10.1016/j.micpath.2020.104523.

[20]

O. Lomovskaya, H.I. Zgurskaya, M. Totrov, W.J. Watkins, Efflux pumps as targets for new antibacterial therapies, Biochem Pharm. 198 (2022) 114941, https://doi.org/10.1016/j.bcp.2022.114941.

[21]

A.Y. Peleg, D.C. Hooper, Hospital-acquired infections due to gram-negative bacteria, N. Engl. J. Med 362 (19) (2020) 1804-1813, https://doi.org/10.1056/NEJMra0910290.

[22]

B.D. Schindler, G.W. Kaatz, Multidrug efflux pumps in Firmicutes: an evolving resistance mechanism, Future Microbiol 16 (8) (2021) 647-660, https://doi.org/10.2217/fmb-2020-0314.

[23]

W.C. Reygaert, Efflux pump inhibitors: targeting the bacterial response to antibiotic exposure, J. Antimicrob. Chemother. 76 (3) (2021) 627-632, https://doi.org/10.1093/jac/dkaa524.

[24]

H. Nikaido, J.M. Pagès, Broad-specificity efflux pumps and their role in multidrug resistance of Gram-negative bacteria, FEMS Microbiol Rev. 46 (4) (2022), https://doi.org/10.1093/femsre/fuac016.

[25]

O. Lomovskaya, W.J. Watkins, Efflux pumps: their role in antibacterial drug discovery, Curr. Med Chem. 28 (21) (2021) 4304-4327, https://doi.org/10.2174/0929867328666210126151615.

[26]

A.S. Chaudhary, A review of global initiatives to fight antibiotic resistance and recent antibiotics' discovery, Acta Pharm. Sin. B 10 (11) (2020) 1145-1164, https://doi.org/10.1016/j.apsb.2020.09.010.

[27]

M.S. Ramirez, M.E. Tolmasky, Aminoglycoside modifying enzymes, Drug Resist Updat 54 (2020) 100732, https://doi.org/10.1016/j.drup.2020.100732.

[28]

S.B. Vakulenko, S. Mobashery, Versatility of aminoglycosides and prospects for their future, Clin. Microbiol Rev. 26 (1) (2021) 230-249, https://doi.org/10.1128/CMR.00073-21.

[29]

J. Davis, A.P. Tomaras, T. Roemer, Antimicrobial resistance: the roles of gene silencing, enzyme regulation and plasmid biology, Curr. Opin. Microbiol 55 (2022) 29-37, https://doi.org/10.1016/j.mib.2020.03.006.

[30]

S. Schwarz, S. Fiedler, A.P. Johnson, N. Woodford, Acquired resistance to chloramphenicol, quinolones, and streptogramins, Vet. Microbiol 171 (3-4) (2020) 170-179, https://doi.org/10.1016/j.vetmic.2020.03.002.

[31]

J. Davis, A.P. Tomaras, T. Roemer, Antimicrobial resistance: the roles of gene silencing, enzyme regulation and plasmid biology, Curr. Opin. Microbiol 55 (2022) 29-37, https://doi.org/10.1016/j.mib.2020.03.006.

[32]

S. Garneau-Tsodikova, K.J. Labby, Mechanisms of resistance to aminoglycoside antibiotics: overview and perspectives, MedChemComm 11 (1) (2020) 22-37, https://doi.org/10.1039/C9MD00230A.

[33]

K.M. Papp-Wallace, A. Endimiani, M.A. Taracila, R.A. Bonomo, Carbapenems: Past, present and future, Antimicrob. Agents Chemother. 64 (4) (2020), https://doi.org/10.1128/AAC.01369-19.

[34]

D.M. Livermore, Beta-lactamase-mediated resistance in gram-negative bacteria, Clin. Microbiol Infect. 26 (1) (2020) 34-42, https://doi.org/10.1016/j.cmi.2019.10.012.

[35]

H. Kato, M. Hayashi, N. Shibata, et al., Identification of aminoglycoside-modifying enzymes in clinical isolates of Enterobacteriaceae: focus on the importance of the 3-N-acetyltransferase gene, Micro Drug Resist 27 (1) (2021) 97-104, https://doi.org/10.1089/mdr.2020.0136.

[36]

Y. Zhang, Y. Yao, R. Zhang, et al., Mechanisms of chloramphenicol resistance and the presence of chloramphenicol acetyltransferase in Salmonella spp. in China, Antibiot. (Basel) 10 (10) (2021) 1208, https://doi.org/10.3390/antibiotics10101208.

[37]

N. Uddin, M. Zubair, K. Siddiqui, O. Bafakeeh, T. Alharbi, Enzymatic resistance mechanisms in gram-negative bacteria: an overview of the role of beta- lactamases, aminoglycoside-modifying enzymes, and fluoroquinolone-resistance genes, Int J. Antimicrob. Agents 60 (2) (2022) 106657, https://doi.org/10.1016/j.ijantimicag.2022.106657.

[38]

J. Rodriguez-Bano, B. Moya, L. Alcala, et al., Risk factors for acquisition of extended-spectrum β-lactamase-producing Escherichia coli in hospitalized patients, Clin. Microbiol Infect. 27 (1) (2021) 128-134, https://doi.org/10.1016/j.cmi.2020.05.019.

[39]

N. Woodford, D.W. Wareham, Epidemiology of resistance among Enterobacteriaceae: implications for therapy, Infect. Dis. Clin. North Am. 36 (4) (2022) 887-908, https://doi.org/10.1016/j.idc.2022.07.007.

[40]

D.M. Livermore, N. Woodford, The beta-lactamase threat in the 21st century, J. Intern Med 292 (4) (2022) 448-468, https://doi.org/10.1111/joim.13448.

[41]

Y. Wang, C. Yang, S. Zhang, et al., Strategies for the development of beta-lactam antibiotics that are resistant to beta-lactamases, J. Antibiot. 74 (6) (2021) 410-419, https://doi.org/10.1038/s41429-021-00428-4.

[42]

M. Lee, A.Y. Peleg, Combination therapy for the treatment of multidrug-resistant infections, Infect. Dis. Clin. North Am. 35 (3) (2021) 699-717, https://doi.org/10.1016/j.idc.2021.05.004.

[43]

H. Kato, K. Yamada, T. Tada, et al., Penicillin-binding protein 2a is an important factor for the survival of methicillin-resistant Staphylococcus aureus in the presence of β-lactam antibiotics, J. Infect. Chemother. 26 (7) (2020) 723-728, https://doi.org/10.1016/j.jiac.2019.12.013.

[44]

S.A. Chisholm, J. Beal, S. Wyllie, et al., Methylation of 23S rRNA in macrolide-resistant Streptococcus pneumoniae: implications for understanding the role of the ribosome, Antimicrob. Agents Chemother. 64 (3) (2020).

[45]

J. Wang, Y. Zhu, J. Guo, et al., Mechanisms of fluoroquinolone resistance in clinical isolates of Escherichia coli: a review, Front Microbiol 13 (2022) 855237, https://doi.org/10.3389/fmicb.2022.855237.

[46]

A. Dhand, M. Mangal, J. Kaur, et al., Vancomycin resistance in Enterococcus faecium: mechanisms and management, Infect. Drug Resist 14 (2021) 3381-3392, https://doi.org/10.2147/IDR.S318047.

[47]

H. Strahl, J. Errington, The cell wall of Gram-positive bacteria: a new perspective on an old topic, Nat. Rev. Microbiol 18 (8) (2020) 558-566, https://doi.org/10.1038/s41579-020-00410-1.

[48]

J. Da Costa, A. Rojas, G. Peirano, et al., Alteration of antibiotic target sites and its contribution to resistance in bacterial pathogens, Antibiot. (Basel) 11 (9) (2022) 1145, https://doi.org/10.3390/antibiotics.

[49]

L.J. Piddock, Multidrug-resistance efflux pumps? Not just a problem for antibiotics, Nat. Rev. Microbiol 15 (6) (2017) 328-341, https://doi.org/10.1038/nrmicro.2017.20.

[50]

S. Khoshnood, F. Zali, H.R. Ghaffari, et al., Enzymatic degradation and modification of antibiotics: mechanisms and implications for antimicrobial resistance, J. Antimicrob. Chemother. 76 (1) (2021) 29-41, https://doi.org/10.1093/jac/dkaa377.

[51]

Y. Chen, J. Chen, S. Hu, et al., The role of horizontal gene transfer in the spread of antibiotic resistance in bacteria, Microbiol Res 254 (2021) 126889, https://doi.org/10.1016/j.micres.2021.126889.

[52]

J.M. Blair, M.A. Webber, A.J. Baylay, D.O. Ogbolu, L.J. Piddock, Molecular mechanisms of antibiotic resistance, Nat. Rev. Microbiol 13 (1) (2015) 42-51, https://doi.org/10.1038/nrmicro3380.

[53]

J.M. Munita, C.A. Arias, Mechanisms of antibiotic resistance, Microbiol Spectr. 4 (2) (2016), https://doi.org/10.1128/microbiolspec.VMBF-0016-2015.

[54]

S.M. Diene, J.M. Rolain, Mechanisms of bacterial resistance: focus on efflux pumps, drug permeability, and target modification, Future Microbiol 9 (10) (2014) 1279-1293, https://doi.org/10.2217/fmb.14.91.

[55]

U. Hofer, Reduced permeability as a mechanism of antimicrobial resistance in Gram-negative bacteria, Nat. Rev. Microbiol 20 (1) (2022) 7, https://doi.org/10.1038/s41579-021-00631-7.

[56]

A.H. Delcour, Outer membrane permeability and antibiotic resistance, Biochim Biophys. Acta 1794 (5) (2009) 808-816, https://doi.org/10.1016/j.bbapap.2008.11.005.

[57]

J.M. Pages, C.E. James, M. Winterhalter, The porin and the permeating antibiotic: a selective diffusion barrier in Gram-negative bacteria, Nat. Rev. Microbiol 6 (12) (2008) 893-903.

[58]

X.Z. Li, P. Plésiat, H. Nikaido, The challenge of efflux-mediated antibiotic resistance in Gram-negative bacteria, Clin. Microbiol Rev. 28 (2) (2015) 337-418, https://doi.org/10.1128/CMR.00117-14.

[59]

J.M. Blair, M.A. Webber, A.J. Baylay, D.O. Ogbolu, L.J. Piddock, Molecular mechanisms of antibiotic resistance, Nat. Rev. Microbiol 13 (1) (2015) 42-51, https://doi.org/10.1038/nrmicro3380.

[60]

O. Lomovskaya, K.A. Bostian, Practical applications and feasibility of efflux pump inhibitors in the clinic—a vision for applied use, Biochem Pharm. 71 (7) (2006) 910-918, https://doi.org/10.1016/j.bcp.2005.12.005.

[61]

A.H. Delcour, Outer membrane permeability and antibiotic resistance, Biochim Biophys. Acta 1794 (5) (2009) 808-816, https://doi.org/10.1016/j.bbapap.2008.11.005.

[62]

P.S. Stewart, Mechanisms of antibiotic resistance in bacterial biofilms, Int J. Med Microbiol 292 (2) (2002) 107-113, https://doi.org/10.1078/1438-4221-00196.

[63]

J.W. Costerton, P.S. Stewart, E.P. Greenberg, Bacterial biofilms: a common cause of persistent infections, Science 284 (5418) (1999) 1318-1322, https://doi.org/10.1126/science.284.5418.1318.

[64]

S.R. Partridge, S.M. Kwong, N. Firth, S.O. Jensen, Mobile genetic elements associated with antimicrobial resistance, Clin. Microbiol Rev. 31 (4) (2018).

[65]

R.S. McInnes, G.E. McCallum, L.E. Lamberte, W. van Schaik, Horizontal transfer of antibiotic resistance genes in the human gut microbiome, Curr. Opin. Microbiol 53 (2020) 35-43.

[66]

J.M. Munita, C.A. Arias, Mechanisms of antibiotic resistance, Microbiol Spectr. 4 (2) (2016), https://doi.org/10.1128/microbiolspec.VMBF-0016-2015.

[67]

M.W. Pesesky, T. Hussain, M. Wallace, S. Patel, S. Andleeb, C.D. Burnham, et al., Evaluation of transfer and stability of antibiotic resistance in bacterial biofilms, Antimicrob. Agents Chemother. 63 (8) (2019).

[68]

J.A. Perry, G.D. Wright, The antibiotic resistance "mobilome": searching for the link between environment and clinic, Front Microbiol 4 (2013) 138.

[69]

M.J. Culyba, C.Y. Mo, R.M. Kohli, Targets for combating the evolution of acquired antibiotic resistance, Biochemistry 54 (23) (2015) 3573-3582.

[70]

C.J. von Wintersdorff, J. Penders, J.M. van Niekerk, N.D. Mills, S. Majumder, L.B. van Alphen, et al., Dissemination of antimicrobial resistance in microbial ecosystems through horizontal gene transfer, Front Microbiol 7 (2016) 173.

[71]

L.S. Frost, R. Leplae, A.O. Summers, A. Toussaint, Mobile genetic elements: the agents of open source evolution, Nat. Rev. Microbiol 3 (9) (2005) 722-732.

[72]

J. Davies, D. Davies, Origins and evolution of antibiotic resistance, Microbiol Mol. Biol. Rev. 74 (3) (2010) 417-433.

[73]

S. Domingues, K. Harms, W.F. Fricke, P.J. Johnsen, G.J. da Silva, K.M. Nielsen, Natural transformation facilitates transfer of transposons, integrons and gene cassettes between bacterial species, PLoS Pathog. 8 (8) (2012).

[74]

X.Z. Li, C.A. Elkins, H.I. Zgurskaya, Efflux-mediated antimicrobial resistance in bacteria:mechanisms, regulation and clinical implications, Springer Nature, 2016.

[75]

P. Singh, M. Thakur, G. Goel, Investigating the role of bacteriophages in tackling antimicrobial resistance through bacterial genome editing, Front Microbiol 11 (2020) 1935.

[76]

S.J. Tazzyman, S. Bonhoeffer, Why there are no essential genes on plasmids, Mol. Biol. Evol. 31 (2) (2014) 455-461.

[77]

T.M. Ghaly, J.L. Geoghegan, S.G. Tetu, M.R. Gillings, The effect of antibiotic exposure in a human impacted environment on the prevalence of integron- mediated antimicrobial resistance, Curr. Res Micro Sci. 1 (2020) 12-18.

[78]

M.H. Nicolas-Chanoine, X. Bertrand, J.Y. Madec, Escherichia coli ST131, an intriguing clonal group, Clin. Microbiol Rev. 27 (3) (2014) 543-574.

[79]

J.M. Blair, M.A. Webber, A.J. Baylay, D.O. Ogbolu, L.J. Piddock, Molecular mechanisms of antibiotic resistance, Nat. Rev. Microbiol 13 (1) (2015) 42-51.

[80]

N.A. Lerminiaux, A.D. Cameron, Horizontal transfer of antibiotic resistance genes in clinical environments, Can. J. Microbiol 65 (1) (2019) 34-44.

[81]

L. Poirel, J.Y. Madec, A. Lupo, A.K. Schink, N. Kieffer, P. Nordmann, et al., Antimicrobial resistance in Escherichia coli, Microbiol Spectr. 6 (6) (2018), https://doi.org/10.1128/microbiolspec.ARBA-0026-2017.

[82]

D.A. Baltrus, Exploring the costs of horizontal gene transfer, Trends Ecol. Evol. 28 (8) (2013) 489-495.

[83]

A. San Millan, Evolution of plasmid-mediated antibiotic resistance in the clinical context, Trends Microbiol 26 (12) (2018) 978-985.

[84]

K.L. Palmer, V.N. Kos, M.S. Gilmore, Horizontal gene transfer and the genomics of enterococcal antibiotic resistance, Curr. Opin. Microbiol 13 (5) (2010) 632-639.

[85]

L. Zhang, L.L. Kinkel, G. Newton, B. Zhang, M.N. Schroth, Transfer of antibiotic resistance to other bacteria in soil, J. Environ. Sci. Technol. 48 (4) (2014) 2417-2425.

[86]

A.G. McArthur, G.D. Wright, Biochemistry of bacterial resistance, in: J. W. Lengeler, G. Drews, H.G. Schlegel (Eds.), Biology of the prokaryotes, Blackwell Science, 2004, pp. 345-364.

[87]

E.Y. Furuya, F.D. Lowy, Antimicrobial-resistant bacteria in the community setting, Nat. Rev. Microbiol 4 (1) (2006) 36-45.

[88]

F. De la Cruz, J. Davies, Horizontal gene transfer and the origin of species: lessons from bacteria, Trends Microbiol 8 (3) (2000) 128-133.

[89]

A.H. Van Hoek, D. Mevius, B. Guerra, P. Mullany, A.P. Roberts, H.J. Aarts, Acquired antibiotic resistance genes: an overview, Front Microbiol 2 (2011) 203.

[90]

C.M. Thomas, K.M. Nielsen, Mechanisms of and barriers to, horizontal gene transfer between bacteria, Nat. Rev. Microbiol 3 (9) (2005) 711-721.

[91]

A. Carattoli, Plasmids and the spread of resistance, Int J. Med Microbiol 303 (6-7) (2013) 298-304.

[92]

C.L. Gyles, P. Boerlin, Horizontally transferred genetic elements and their role in pathogenesis of bacterial disease, Vet. Pathol. 51 (2) (2014) 328-340.

[93]

R.I. Aminov, Horizontal gene exchange in environmental microbiota, Front Microbiol 2 (2011) 158.

[94]

L. De Gelder, J.M. Ponciano, P. Joyce, E.M. Top, Stability of a promiscuous plasmid in different hosts: no guarantee for a long-term relationship, Microbiology 153 (2) (2007) 452-463.

[95]

E. Zankari, H. Hasman, S. Cosentino, M. Vestergaard, S. Rasmussen, O. Lund, et al. Identification of acquired antimicrobial resistance genes, J. Antimicrob., Chemother. 67 (11) (2012) 2640-2644.

[96]

B. Hooban, A. Joyce, K. Fitzhenry, C. Chique, L. Rogers, F. Crispie, et al., The role of horizontal gene transfer in the evolution of the human gut microbiome, Genome Biol. 21 (1) (2020) 1-11.

[97]

T.U. Berendonk, C.M. Manaia, C. Merlin, D. Fatta-Kassinos, E. Cytryn, F. Walsh, et al. Tackling antibiotic resistance: the environmental framework, Nat. Rev., Microbiol 13 (5) (2015) 310-317.

[98]

T.Q. Nguyen, A. Choudhary, B.E. Heo, S. Jeon, C. Moon, Y. Park, J. Jang, CRISPR Interference-Based Inhibition of MAB_0055c Expression Alters Drug Sensitivity in Mycobacterium abscessus, Microbiol. Spectr. 11 (3) (2023) e0063123, https://doi.org/10.1128/spectrum.00631-23.

[99]

P.I. Thakore, M.P. Gemberling, C.E. Nelson, M.L. Oliver, C.A. Gersbach, D.C. Rouse, J.B. Kwon, RNA-guided transcriptional silencing in vivo with S. aureus CRISPR-Cas9 repressors, Nat. Commun. 9 (1) (2018), https://doi.org/10.1038/s41467-018-04048-4.

[100]

M.L. Luo, R.T. Leenay, C.L. Beisel, A.S. Mullis, Repurposing endogenous type I CRISPR-Cas systems for programmable gene repression, Nucleic Acids Res. 43 (1) (2014) 674-681, https://doi.org/10.1093/nar/gku971.

[101]

F. Chen, F. Chen, C. Wang, Z. Wang, Z. Wang, L. Xu, J.C. White, B. Xing, M. Tao, Z. Wang, M. Tao, H. Du, C. Wang, L. Xu, H. Du, Nitrogen-Doped Carbon Dots Facilitate CRISPR/Cas for Reducing Antibiotic Resistance Genes in the Environment, J. Agric. Food Chem. 72 (7) (2024) 3397-3405.

[102]

M. Kuroda, T. Ohta, H. Hayashi, A. Wada, F. Takeuchi, H. Mori, et al., Whole genome sequencing of methicillin-resistant Staphylococcus aureus, Lancet 357 (9264) (2001) 1225-1240.

[103]

S.J. Sorensen, M. Bailey, L.H. Hansen, N. Kroer, S. Wuertz, Studying plasmid horizontal transfer in situ: a critical review, Nat. Rev. Microbiol 3 (9) (2005) 700-710.

[104]

H.W. Stokes, M.R. Gillings, Gene flow, mobile genetic elements and the recruitment of antibiotic resistance genes into Gram-negative pathogens, FEMS Microbiol Rev. 35 (5) (2011) 790-819.

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