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Tackling the outer membrane: facilitating compound entry into Gram-negative bacterial pathogens

Deepanshi Saxena, Rahul Maitra, Rakhi Bormon, Marta Czekańska, Joscha Meiers, Alexander Titz, Sandeep Kumar Verma, Sidharth Chopra

npj Antimicrobials and Resistance, 2023

204 citations

Abstract

Emerging resistance to all available antibiotics highlights the need to develop new antibiotics with novel mechanisms of action. Most of the currently used antibiotics target Gram-positive bacteria while Gram-negative bacteria easily bypass the action of most drug molecules because of their unique outer membrane. This additional layer acts as a potent barrier restricting the entry of compounds into the cell. In this scenario, several approaches have been elucidated to increase the accumulation of compounds into Gram-negative bacteria. This review includes a brief description of the physicochemical properties that can aid compounds to enter and accumulate in Gram-negative bacteria and covers different strategies to target or bypass the outer membrane-mediated barrier in Gram-negative bacterial pathogens.

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