Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery

Resistance to β-lactam antibiotics is rapidly growing, substantially due to the spread of serine-β-lactamases (SBLs) and metallo-β-lactamases (MBLs), which efficiently catalyse β-lactam hydrolysis. Combinations of a β-lactam antibiotic with an SBL inhibitor have been clinically successful; however,...

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Main Authors: Yang, Y, Yan, Y-H, Schofield, CJ, McNally, A, Zong, Z, Li, G-B
Format: Journal article
Language:English
Published: Cell Press 2023
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author Yang, Y
Yan, Y-H
Schofield, CJ
McNally, A
Zong, Z
Li, G-B
author_facet Yang, Y
Yan, Y-H
Schofield, CJ
McNally, A
Zong, Z
Li, G-B
author_sort Yang, Y
collection OXFORD
description Resistance to β-lactam antibiotics is rapidly growing, substantially due to the spread of serine-β-lactamases (SBLs) and metallo-β-lactamases (MBLs), which efficiently catalyse β-lactam hydrolysis. Combinations of a β-lactam antibiotic with an SBL inhibitor have been clinically successful; however, no MBL inhibitors have been developed for clinical use. MBLs are a worrying resistance vector because they catalyse hydrolysis of all β-lactam antibiotic classes, except the monobactams, and they are being disseminated across many bacterial species worldwide. Here we review the classification, structures, substrate profiles, and inhibition mechanisms of MBLs, highlighting current clinical problems due to MBL-mediated resistance and progress in understanding and combating MBL-mediated resistance.
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spelling oxford-uuid:8ad2957c-dd13-4e80-9190-cec59655f31b2024-02-27T08:28:49ZMetallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discoveryJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8ad2957c-dd13-4e80-9190-cec59655f31bEnglishSymplectic ElementsCell Press2023Yang, YYan, Y-HSchofield, CJMcNally, AZong, ZLi, G-BResistance to β-lactam antibiotics is rapidly growing, substantially due to the spread of serine-β-lactamases (SBLs) and metallo-β-lactamases (MBLs), which efficiently catalyse β-lactam hydrolysis. Combinations of a β-lactam antibiotic with an SBL inhibitor have been clinically successful; however, no MBL inhibitors have been developed for clinical use. MBLs are a worrying resistance vector because they catalyse hydrolysis of all β-lactam antibiotic classes, except the monobactams, and they are being disseminated across many bacterial species worldwide. Here we review the classification, structures, substrate profiles, and inhibition mechanisms of MBLs, highlighting current clinical problems due to MBL-mediated resistance and progress in understanding and combating MBL-mediated resistance.
spellingShingle Yang, Y
Yan, Y-H
Schofield, CJ
McNally, A
Zong, Z
Li, G-B
Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery
title Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery
title_full Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery
title_fullStr Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery
title_full_unstemmed Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery
title_short Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery
title_sort metallo β lactamase mediated antimicrobial resistance and progress in inhibitor discovery
work_keys_str_mv AT yangy metalloblactamasemediatedantimicrobialresistanceandprogressininhibitordiscovery
AT yanyh metalloblactamasemediatedantimicrobialresistanceandprogressininhibitordiscovery
AT schofieldcj metalloblactamasemediatedantimicrobialresistanceandprogressininhibitordiscovery
AT mcnallya metalloblactamasemediatedantimicrobialresistanceandprogressininhibitordiscovery
AT zongz metalloblactamasemediatedantimicrobialresistanceandprogressininhibitordiscovery
AT ligb metalloblactamasemediatedantimicrobialresistanceandprogressininhibitordiscovery