articleFrontiers in MicrobiologyFeb 24, 2026GOLD OA

Breaking the outer membrane barrier: structure, targets, and antimicrobial strategies for Gram-negative bacteria

Jilin University · Stomatology Hospital

PubMed
Indexed incrossrefdoajpubmed

Abstract

Multidrug resistance in Gram-negative bacteria has become a significant global public health challenge, threatening human health and clinical treatment outcomes. The unique outer membrane structure of these pathogens greatly limits antibiotic penetration, serving as the core mechanism of resistance. This paper systematically analyses antimicrobial strategies targeting the outer membrane of Gram-negative bacteria, mainly including: (1) directly disrupting the outer membrane structure and enhancing drug permeability; (2) inhibiting the biosynthesis or transport pathways of key outer membrane components; (3) using natural pathways to facilitate drug entry into the cell; (4) inhibiting efflux pumps to block efflux…

Citation impact

6
total citations
FWCI
45.90
Percentile
100%
References
140
Too recent for citation history.

Authors

4

Topics & keywords

Keywords
  • Bacterial outer membrane
  • Efflux
  • Antimicrobial
  • Bacteria
  • Antibiotic resistance
  • Drug delivery
  • Multiple drug resistance
  • Drug resistance
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