articleNature MicrobiologyJan 13, 2025HYBRID OA

ESKAPE pathogens rapidly develop resistance against antibiotics in development in vitro

HUN-REN Szegedi Biológiai Kutatóközpont · Institute of Biochemistry · +5 more institutions

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Abstract

Despite ongoing antibiotic development, evolution of resistance may render candidate antibiotics ineffective. Here we studied in vitro emergence of resistance to 13 antibiotics introduced after 2017 or currently in development, compared with in-use antibiotics. Laboratory evolution showed that clinically relevant resistance arises within 60 days of antibiotic exposure in Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa, priority Gram-negative ESKAPE pathogens. Resistance mutations are already present in natural populations of pathogens, indicating that resistance in nature can emerge through selection of pre-existing bacterial variants. Functional metagenomics showed…

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