The potential impact of coinfection on antimicrobial chemotherapy and drug resistance.

Abstract:

:Across a range of pathogens, resistance to chemotherapy is a growing problem in both public health and animal health. Despite the ubiquity of coinfection, and its potential effects on within-host biology, the role played by coinfecting pathogens on the evolution of resistance and efficacy of antimicrobial chemotherapy is rarely considered. In this review, we provide an overview of the mechanisms of interaction of coinfecting pathogens, ranging from immune modulation and resource modulation, to drug interactions. We discuss their potential implications for the evolution of resistance, providing evidence in the rare cases where it is available. Overall, our review indicates that the impact of coinfection has the potential to be considerable, suggesting that this should be taken into account when designing antimicrobial drug treatments.

journal_name

Trends Microbiol

journal_title

Trends in microbiology

authors

Birger RB,Kouyos RD,Cohen T,Griffiths EC,Huijben S,Mina MJ,Volkova V,Grenfell B,Metcalf CJE

doi

10.1016/j.tim.2015.05.002

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

537-544

issue

9

eissn

0966-842X

issn

1878-4380

pii

S0966-842X(15)00106-7

journal_volume

23

pub_type

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