1. Microbial resistance: The role of efflux pump superfamilies and their respective substrates
- Author
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Ítalo Rodrigues Garcia, Francisca Adilfa de Oliveira Garcia, Pedro Silvino Pereira, Henrique Douglas Melo Coutinho, Abolghasem Siyadatpanah, Roghayeh Norouzi, Polrat Wilairatana, Maria de Lourdes Pereira, Veeranoot Nissapatorn, Saulo Relison Tintino, and Fabiola Fernandes Galvão Rodrigues
- Subjects
Bacterial Proteins ,Drug Resistance, Multiple, Bacterial ,Humans ,Membrane Transport Proteins ,Biological Transport ,Drug Resistance, Microbial ,General Medicine ,Microbial Sensitivity Tests ,General Pharmacology, Toxicology and Pharmaceutics ,Carrier Proteins ,General Biochemistry, Genetics and Molecular Biology ,Anti-Bacterial Agents - Abstract
The microorganism resistance to antibiotics has become one of the most worrying issues for science due to the difficulties related to clinical treatment and the rapid spread of diseases. Efflux pumps are classified into six groups of carrier proteins that are part of the different types of mechanisms that contribute to resistance in microorganisms, allowing their survival. The present study aimed to carry out a bibliographic review on the superfamilies of carriers in order to understand their compositions, expressions, substrates, and role in intrinsic resistance. At first, a search for manuscripts was carried out in the databases Medline, Pubmed, ScienceDirect, and Scielo, using as descriptors: efflux pump, expression, pump inhibitors and efflux superfamily. For article selection, two criteria were taken into account: for inclusion, those published between 2000 and 2020, including textbooks, and for exclusion, duplicates and academic collections. In this research, 139,615 published articles were obtained, with 312 selected articles and 7 book chapters that best met the aim. From the comprehensive analysis, it was possible to consider that the chromosomes and genetic elements can contain genes encoding efflux pumps and are responsible for multidrug resistance. Even though this is a well-explored topic in the scientific community, understanding the behavior of antibiotics as substrates that increase the expression of pump-encoding genes has challenged medicine. This review study succinctly summarizes the most relevant features of these systems, as well as their contribution to multidrug resistance.
- Published
- 2021