Strategies against methicillin-resistant Staphylococcus aureus persisters

Chronic Staphylococcus aureus infections are complicated by frequent relapses not only from the development of drug resistance to conventional antibiotics, but also through the formation of persister bacterial cells. Bacterial persisters are in a transient, metabolically inactive state, making conve...

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Veröffentlicht in:Future medicinal chemistry 2018-04, Vol.10 (7), p.779-794
Hauptverfasser: Kim, Wooseong, Hendricks, Gabriel L, Tori, Katerina, Fuchs, Beth B, Mylonakis, Eleftherios
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container_end_page 794
container_issue 7
container_start_page 779
container_title Future medicinal chemistry
container_volume 10
creator Kim, Wooseong
Hendricks, Gabriel L
Tori, Katerina
Fuchs, Beth B
Mylonakis, Eleftherios
description Chronic Staphylococcus aureus infections are complicated by frequent relapses not only from the development of drug resistance to conventional antibiotics, but also through the formation of persister bacterial cells. Bacterial persisters are in a transient, metabolically inactive state, making conventional antibiotics that target essential cellular growth processes ineffective, resulting in high clinical failure rates of antibiotic chemotherapy. The development of new antibiotics against persistent S. aureus is an urgent issue. Over the last decade, new strategies to identify S. aureus persister-active compounds have been proposed. This review summarizes the proposed targets, antipersister compounds and innovative methods that may augment conventional antibiotics against S. aureus persisters. The reviewed antipersister strategies can be summarized as two broad categories; directly targeting growth-independent targets and potentiating existing, ineffective antibiotics by aiding uptake or accessibility.
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subjects Animals
Anti-Bacterial Agents - pharmacology
Antineoplastic Agents - pharmacology
Bacterial Proteins - metabolism
Cell Membrane Permeability - drug effects
Disease Models, Animal
Drug Approval - legislation & jurisprudence
Drug Discovery
Drug Repositioning
Humans
Methicillin-Resistant Staphylococcus aureus - drug effects
Microbial Sensitivity Tests
Peptide Hydrolases - metabolism
Review
Staphylococcal Infections - drug therapy
Staphylococcal Infections - microbiology
United States
United States Food and Drug Administration
title Strategies against methicillin-resistant Staphylococcus aureus persisters
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