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Breaking the outer membrane barrier: structure, targets, and antimicrobial strategies for Gram-negative bacteria - PubMed

7 hours ago
  • #Drug development
  • #Gram-negative bacteria
  • #Antimicrobial resistance
  • Multidrug resistance in Gram-negative bacteria is a significant global public health challenge.
  • The outer membrane structure of Gram-negative bacteria limits antibiotic penetration, contributing to resistance.
  • Antimicrobial strategies include disrupting the outer membrane, inhibiting biosynthesis of key components, and using natural pathways for drug entry.
  • Recent developments include BAM complex inhibitors like darobactin and xenorceptides, which block outer membrane protein assembly.
  • Iron carrier-conjugated drugs, such as cefiderocol, have shown clinical success against multidrug-resistant bacteria.
  • Challenges in drug development include poor selectivity, potential toxicity, and evolving resistance mechanisms.
  • Future research should focus on understanding outer membrane biosynthesis to develop safer and more effective antimicrobials.