Intrinsic resistance
Resistance due to inherent structural or functional characteristics
Absence of a target is an example of …
intrinsic or acquired
intrinsic resistance
Acquired resistance
Acquisition of the ability to resist a drug that previously affected the microbe
HGT and mutations are examples of …
intrinsic or acquired
acquired
Four main mechanisms of antibiotic resistance
Increased drug efflux
Reduced drug uptake
Inactivation of drug
Changes in target (target modification)
How can drug uptake be reduced?
Two alternatives
Changes in membrane composition
Changes in porin expression
How can drug efflux be increased?
Acquisition or upregulation of efflux pumps
How can drugs be inactivated?
Three alternatives
Hydrolysis via enzymes
Chemical alterations (acetylation, phosphorylation, adenylation)
Target mimicry
How can changes in the target occur?
Five alternatives
Mutations
Enzymatic alteration
Target protection
Target replacement
Overproduction