Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence

Multidrug efflux pumps can be involved in bacterial resistance to antibiotics at different levels. Some efflux pumps are constitutively expressed at low levels and contribute to intrinsic resistance. In addition, their overexpression may allow higher levels of resistance. This overexpression can be...

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Main Authors: Manuel Alcalde-Rico, Sara Hernando-Amado, Paula Blanco, Jose L Martinez
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-09-01
Series:Frontiers in Microbiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fmicb.2016.01483/full
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author Manuel Alcalde-Rico
Sara Hernando-Amado
Paula Blanco
Jose L Martinez
author_facet Manuel Alcalde-Rico
Sara Hernando-Amado
Paula Blanco
Jose L Martinez
author_sort Manuel Alcalde-Rico
collection DOAJ
description Multidrug efflux pumps can be involved in bacterial resistance to antibiotics at different levels. Some efflux pumps are constitutively expressed at low levels and contribute to intrinsic resistance. In addition, their overexpression may allow higher levels of resistance. This overexpression can be transient, in the presence of an effector (phenotypic resistance), or constitutive when mutants in the regulatory elements of the expression of efflux pumps are selected (acquired resistance). Efflux pumps are present in all cells, from human to bacteria and are highly conserved, which indicates that they are ancient elements in the evolution of different organisms. Consequently, it has been suggested that, besides antibiotic resistance, bacterial multidrug efflux pumps would likely contribute to other relevant process of the microbial physiology. In the current article, we discuss some specific examples of the role that efflux pumps may have in the bacterial virulence of animals' and plants' pathogens, including the processes of intercellular communication. Based in these evidences, we propose that efflux pumps are at the crossroad between resistance and virulence of bacterial pathogens. Consequently, the comprehensive study of multidrug efflux pumps requires addressing these functions, which are of relevance for the bacterial-host interactions during infection.
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spelling doaj.art-628671ecceb749e587c55e8d2cbbc3d72022-12-22T03:22:25ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2016-09-01710.3389/fmicb.2016.01483215898Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulenceManuel Alcalde-Rico0Sara Hernando-Amado1Paula Blanco2Jose L Martinez3Centro Nacional de BiotecnologíaCentro Nacional de BiotecnologíaCentro Nacional de BiotecnologíaCentro Nacional de BiotecnologíaMultidrug efflux pumps can be involved in bacterial resistance to antibiotics at different levels. Some efflux pumps are constitutively expressed at low levels and contribute to intrinsic resistance. In addition, their overexpression may allow higher levels of resistance. This overexpression can be transient, in the presence of an effector (phenotypic resistance), or constitutive when mutants in the regulatory elements of the expression of efflux pumps are selected (acquired resistance). Efflux pumps are present in all cells, from human to bacteria and are highly conserved, which indicates that they are ancient elements in the evolution of different organisms. Consequently, it has been suggested that, besides antibiotic resistance, bacterial multidrug efflux pumps would likely contribute to other relevant process of the microbial physiology. In the current article, we discuss some specific examples of the role that efflux pumps may have in the bacterial virulence of animals' and plants' pathogens, including the processes of intercellular communication. Based in these evidences, we propose that efflux pumps are at the crossroad between resistance and virulence of bacterial pathogens. Consequently, the comprehensive study of multidrug efflux pumps requires addressing these functions, which are of relevance for the bacterial-host interactions during infection.http://journal.frontiersin.org/Journal/10.3389/fmicb.2016.01483/fullVirulenceAntibiotic resistance mechanismsmultidrug efflux pumpsquorum sensing (QS)Global regulation
spellingShingle Manuel Alcalde-Rico
Sara Hernando-Amado
Paula Blanco
Jose L Martinez
Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
Frontiers in Microbiology
Virulence
Antibiotic resistance mechanisms
multidrug efflux pumps
quorum sensing (QS)
Global regulation
title Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
title_full Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
title_fullStr Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
title_full_unstemmed Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
title_short Multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
title_sort multidrug efflux pumps at the crossroad between antibiotic resistance and bacterial virulence
topic Virulence
Antibiotic resistance mechanisms
multidrug efflux pumps
quorum sensing (QS)
Global regulation
url http://journal.frontiersin.org/Journal/10.3389/fmicb.2016.01483/full
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AT paulablanco multidrugeffluxpumpsatthecrossroadbetweenantibioticresistanceandbacterialvirulence
AT joselmartinez multidrugeffluxpumpsatthecrossroadbetweenantibioticresistanceandbacterialvirulence