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Multidrug-resistance efflux pumps - not just for resistance. Export

Nat Rev Microbiol, Vol. 4, No. 8. (Aug 2006), pp. 629-636.

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atp-binding bac bacteria bacterial carrier cassette coli drug escherichia from_jabref membrane microbial multidrug multiple outer physiology proteins resistance resistance-associated sensitivity terial tests transport transporters virulence

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It is well established that multidrug-resistance efflux pumps encoded by bacteria can confer clinically relevant resistance to antibiotics. It is now understood that these efflux pumps also have a physiological role(s). They can confer resistance to natural substances produced by the host, including bile, hormones and host-defence molecules. In addition, some efflux pumps of the resistance nodulation division (RND) family have been shown to have a role in the colonization and the persistence of bacteria in the host. Here, I present the accumulating evidence that multidrug-resistance efflux pumps have roles in bacterial pathogenicity and propose that these pumps therefore have greater clinical relevance than is usually attributed to them.


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