2011
DOI: 10.1128/cmr.00030-10
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Challenges of Antibacterial Discovery

Abstract: SUMMARY The discovery of novel small-molecule antibacterial drugs has been stalled for many years. The purpose of this review is to underscore and illustrate those scientific problems unique to the discovery and optimization of novel antibacterial agents that have adversely affected the output of the effort. The major challenges fall into two areas: (i) proper target selection, particularly the necessity of pursuing molecular targets that are not prone to rapid resistance development, and (ii) improv… Show more

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Cited by 1,155 publications
(1,030 citation statements)
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References 386 publications
(360 reference statements)
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“…The 4462, 4497, 6078, and 7578 antibodies were iodinated using the Iodogen method (ThermoFisher). Protein A-deficient S. aureus USA300 bacteria, cultured on tryptic soy agar with 5% defibrinated blood at 37°C for 20 h, were washed with PBS, fixed with 2% paraformaldehyde in PBS, washed again and resuspended at 8 × 10 5 CFU/mL in PBS.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…The 4462, 4497, 6078, and 7578 antibodies were iodinated using the Iodogen method (ThermoFisher). Protein A-deficient S. aureus USA300 bacteria, cultured on tryptic soy agar with 5% defibrinated blood at 37°C for 20 h, were washed with PBS, fixed with 2% paraformaldehyde in PBS, washed again and resuspended at 8 × 10 5 CFU/mL in PBS.…”
Section: Methodsmentioning
confidence: 99%
“…5 The recent increase in MDR infections has revitalized interest in antibody-based approaches to antibiotic discovery, 6 with molecules targeting both Gram-positive and Gram-negative pathogens an active area of discovery. The use of animal serum containing antibodies that target bacterial antigens was a common therapeutic approach pre-dating the development of small molecule antibiotics, 7 but technological advances in antibody discovery, including B-cell cloning from human patients, 8 has invigorated research into monoclonal antibody (mAb)-based antibiotics.…”
Section: Introductionmentioning
confidence: 99%
“…The "golden age" of antimicrobial breakthrough lasted 60 years from the discovery of penicillin in 1928 and supplied the large majority of the drugs in current use [1]. However, bacteria naturally develop resistance, and contributory factors include: the limited number of therapeutic targets that antimicrobials act on; the greater need due to the demands of modern medicine and aging populations; their misuse and overuse; most importantly, the failure to find new antimicrobials to restock the pipeline [2].…”
Section: Introductionmentioning
confidence: 99%
“…Thus, there is a great need to develop new mechanisms by which Gramnegative antibacterial agents can combat bacterial antibiotic resistance. 3,4 One of the emerging targets in Gram-negative bacteria is LpxC, an essential enzyme in the lipid A biosynthetic pathway. Because LpxC does not show homology to any mammalian protein, it is a promising antibiotic target for developing novel therapeutics against multidrug-resistant Gram-negative pathogens.…”
mentioning
confidence: 99%