Biotechnology Bulletin ›› 2023, Vol. 39 ›› Issue (6): 102-108.doi: 10.13560/j.cnki.biotech.bull.1985.2022-1058

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Research Progress in the Molecular Mechanism of MCR-1 Mediated Polymyxin Resistance

CHEN Yong1, LI Ya-xin2, WANG Ya-xuan2, LIANG Lu-jie2, FENG Si-yuan2, Tian Guo-bao2,3()   

  1. 1. School of Laboratory Medicine, Chengdu Medical College, Chengdu 610500
    2. Department of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080
    3. Department of Immunology, School of Medicine, Sun Yat-sen University, Shenzhen 518107
  • Received:2022-08-25 Online:2023-06-26 Published:2023-07-07
  • Contact: Tian Guo-bao E-mail:tiangb@mail.sysu.edu.cn

Abstract:

The emergence of the polymyxin resistance gene mcr-1 has brought new challenges to the treatment of clinical infections. mcr-1 has been reported from 61 different countries or territories on 6 continents after its discovery. In order to curb the spreading of mcr-1, Chinese Ministry of Agriculture and Rural Affairs proposed a compulsory official banning of polymyxin as a feed additives. Although previous studies have shown that the withdrawal of polymyxin from an animal feed additive may effectively reduce the prevalence of mcr-1 positive bacteria in animal, environmental and human samples, the mcr-1 prevalence fluctuated at a low level. Up to now, 34 mcr-1 variants and 9 different MCR family proteins have been found. It remains to be seen whether they will evolve into a more prevalent MCR subtypes. In addition, recent studies have explored the molecular mechanism of mcr-1-mediated polymyxin resistance and its effect on the bacterial cell wall. This article briefly reviews the latest progress of mcr-1 on epidemic, drug resistance mechanism, and mechanism affecting bacterial fitness cost, aiming to provide a reference for curbing the spread of the polymyxin resistance gene mcr-1.

Key words: antibiotics, mcr-1, polymyxin, drug resistance, plasmids