The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges

Since 2015, the discovery of colistin resistance genes has been limited to the characterization of new mobile colistin resistance (<i>mcr</i>) gene variants. However, given the complexity of the mechanisms involved, there are many colistin-resistant bacterial strains whose mechanism rema...

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Main Authors: Mouna Hamel, Jean-Marc Rolain, Sophie Alexandra Baron
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/9/2/442
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author Mouna Hamel
Jean-Marc Rolain
Sophie Alexandra Baron
author_facet Mouna Hamel
Jean-Marc Rolain
Sophie Alexandra Baron
author_sort Mouna Hamel
collection DOAJ
description Since 2015, the discovery of colistin resistance genes has been limited to the characterization of new mobile colistin resistance (<i>mcr</i>) gene variants. However, given the complexity of the mechanisms involved, there are many colistin-resistant bacterial strains whose mechanism remains unknown and whose exploitation requires complementary technologies. In this review, through the history of colistin, we underline the methods used over the last decades, both old and recent, to facilitate the discovery of the main colistin resistance mechanisms and how new technological approaches may help to improve the rapid and efficient exploration of new target genes. To accomplish this, a systematic search was carried out via PubMed and Google Scholar on published data concerning polymyxin resistance from 1950 to 2020 using terms most related to colistin. This review first explores the history of the discovery of the mechanisms of action and resistance to colistin, based on the technologies deployed. Then we focus on the most advanced technologies used, such as MALDI-TOF-MS, high throughput sequencing or the genetic toolbox. Finally, we outline promising new approaches, such as omics tools and CRISPR-Cas9, as well as the challenges they face. Much has been achieved since the discovery of polymyxins, through several innovative technologies. Nevertheless, colistin resistance mechanisms remains very complex.
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spelling doaj.art-066557d2958c434392485f8dabeec1302023-12-11T17:49:08ZengMDPI AGMicroorganisms2076-26072021-02-019244210.3390/microorganisms9020442The History of Colistin Resistance Mechanisms in Bacteria: Progress and ChallengesMouna Hamel0Jean-Marc Rolain1Sophie Alexandra Baron2IRD, APHM, MEPHI, Faculté de Médecine et de Pharmacie, Aix Marseille University, CEDEX 05, 13385 Marseille, FranceIRD, APHM, MEPHI, Faculté de Médecine et de Pharmacie, Aix Marseille University, CEDEX 05, 13385 Marseille, FranceIRD, APHM, MEPHI, Faculté de Médecine et de Pharmacie, Aix Marseille University, CEDEX 05, 13385 Marseille, FranceSince 2015, the discovery of colistin resistance genes has been limited to the characterization of new mobile colistin resistance (<i>mcr</i>) gene variants. However, given the complexity of the mechanisms involved, there are many colistin-resistant bacterial strains whose mechanism remains unknown and whose exploitation requires complementary technologies. In this review, through the history of colistin, we underline the methods used over the last decades, both old and recent, to facilitate the discovery of the main colistin resistance mechanisms and how new technological approaches may help to improve the rapid and efficient exploration of new target genes. To accomplish this, a systematic search was carried out via PubMed and Google Scholar on published data concerning polymyxin resistance from 1950 to 2020 using terms most related to colistin. This review first explores the history of the discovery of the mechanisms of action and resistance to colistin, based on the technologies deployed. Then we focus on the most advanced technologies used, such as MALDI-TOF-MS, high throughput sequencing or the genetic toolbox. Finally, we outline promising new approaches, such as omics tools and CRISPR-Cas9, as well as the challenges they face. Much has been achieved since the discovery of polymyxins, through several innovative technologies. Nevertheless, colistin resistance mechanisms remains very complex.https://www.mdpi.com/2076-2607/9/2/442polymyxinscolistin historymechanisms of action and resistancetechnological approachesinnovative technologies
spellingShingle Mouna Hamel
Jean-Marc Rolain
Sophie Alexandra Baron
The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges
Microorganisms
polymyxins
colistin history
mechanisms of action and resistance
technological approaches
innovative technologies
title The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges
title_full The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges
title_fullStr The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges
title_full_unstemmed The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges
title_short The History of Colistin Resistance Mechanisms in Bacteria: Progress and Challenges
title_sort history of colistin resistance mechanisms in bacteria progress and challenges
topic polymyxins
colistin history
mechanisms of action and resistance
technological approaches
innovative technologies
url https://www.mdpi.com/2076-2607/9/2/442
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