Cell-Wall Recycling of the Gram-Negative Bacteria and the Nexus to Antibiotic Resistance

Chem Rev. 2018 Jun 27;118(12):5952-5984. doi: 10.1021/acs.chemrev.8b00277. Epub 2018 May 30.

Abstract

The importance of the cell wall to the viability of the bacterium is underscored by the breadth of antibiotic structures that act by blocking key enzymes that are tasked with cell-wall creation, preservation, and regulation. The interplay between cell-wall integrity, and the summoning forth of resistance mechanisms to deactivate cell-wall-targeting antibiotics, involves exquisite orchestration among cell-wall synthesis and remodeling and the detection of and response to the antibiotics through modulation of gene regulation by specific effectors. Given the profound importance of antibiotics to the practice of medicine, the assertion that understanding this interplay is among the most fundamentally important questions in bacterial physiology is credible. The enigmatic regulation of the expression of the AmpC β-lactamase, a clinically significant and highly regulated resistance response of certain Gram-negative bacteria to the β-lactam antibiotics, is the exemplar of this challenge. This review gives a current perspective to this compelling, and still not fully solved, 35-year enigma.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Bacterial Proteins / chemistry
  • Bacterial Proteins / metabolism
  • Catalytic Domain
  • Cell Wall / chemistry
  • Cell Wall / metabolism*
  • Drug Resistance, Bacterial / drug effects
  • Glycosyltransferases / chemistry
  • Glycosyltransferases / metabolism
  • Gram-Negative Bacteria / metabolism*
  • Hexosaminidases / chemistry
  • Hexosaminidases / metabolism
  • Penicillin-Binding Proteins / chemistry
  • Penicillin-Binding Proteins / metabolism
  • beta-Lactamases / chemistry
  • beta-Lactamases / metabolism

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Penicillin-Binding Proteins
  • Glycosyltransferases
  • Hexosaminidases
  • AmpC beta-lactamases
  • beta-Lactamases