The Role of Nitroreductases in Resistance to Nitroimidazoles
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In: Biology, Vol. 10, No. 5, 01.05.2021.
Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - The Role of Nitroreductases in Resistance to Nitroimidazoles
AU - Thomas, Carol
AU - Gwenin, Christopher D
PY - 2021/5/1
Y1 - 2021/5/1
N2 - Antimicrobial resistance is a major challenge facing modern medicine, with an estimated 700,000 people dying annually and a global cost in excess of $100 trillion. This has led to an increased need to develop new, effective treatments. This review focuses on nitroimidazoles, which have seen a resurgence in interest due to their broad spectrum of activity against anaerobic Gram-negative and Gram-positive bacteria. The role of nitroreductases is to activate the antimicrobial by reducing the nitro group. A decrease in the activity of nitroreductases is associated with resistance. This review will discuss the resistance mechanisms of different disease organisms, including , and , and how these impact the effectiveness of specific nitroimidazoles. Perspectives in the field of nitroimidazole drug development are also summarised.
AB - Antimicrobial resistance is a major challenge facing modern medicine, with an estimated 700,000 people dying annually and a global cost in excess of $100 trillion. This has led to an increased need to develop new, effective treatments. This review focuses on nitroimidazoles, which have seen a resurgence in interest due to their broad spectrum of activity against anaerobic Gram-negative and Gram-positive bacteria. The role of nitroreductases is to activate the antimicrobial by reducing the nitro group. A decrease in the activity of nitroreductases is associated with resistance. This review will discuss the resistance mechanisms of different disease organisms, including , and , and how these impact the effectiveness of specific nitroimidazoles. Perspectives in the field of nitroimidazole drug development are also summarised.
KW - antimicrobial resistance
KW - metronidazole
KW - mitromidazole
KW - nim genes
KW - nitroreductases
U2 - 10.3390/biology10050388
DO - 10.3390/biology10050388
M3 - Article
C2 - 34062712
VL - 10
JO - Biology
JF - Biology
SN - 2079-7737
IS - 5
ER -