
Drugs for Superbugs: Antibiotic Discovery, Modes of Action And Mechanisms of Resistance

Antibiotics have proven to be powerful drugs for the control of infectious diseases and remain one of the most significant discoveries in modern medicine. The development of antimicrobial resistance is the consequence of decades of constant selective pressure via the underuse, overuse and misuse of therapeutic molecules, which highly benefit the extraordinary genetic capacities of microorganisms. The remarkable plasticity of bacterial genomes in addition to the capacity to acquire and transmit genetic determinants of resistance are conserved evolution strategies and have exacerbated the worldwide resistance problem.
The resistance of pathogenic bacteria to individual antibiotics is a great problem by itself. However, the emergence of multidrug-resistant strains represents an increasing complication in the treatment of bacterial infections. The worldwide spread of multidrug-resistant microorganisms is increasingly drawing the attention of global surveillance authorities, being undoubtedly rated as a major threat in the 21st century. Each year, circa 13 million deaths in the world are attributed to the emergence of new infectious diseases or to new resistance determinants. A harsh prediction for the close future is that the treatment of certain types of severe infections will come to a therapeutic dead end. This situation raises the fear of a "post-antibiotic era" of resistant superbugs, a prediction that is made more real each day. This is particularly critical for Gram-negative bacteria.The quest for new antimicrobials to overcome resistance problems has long been a top research priority. However, scientific difficulties and low financial returns have led to the withdrawal of many pharmaceutical companies from antibiotic R&D. On the other hand, academia is still highly prolific in R&D on antibiotic discovery from the most diverse sources, their modes of action and mechanisms of resistance.
The role of antibiotics cannot be overestimated. Actions for improving their clinical performance and/or developing more sophisticated systems to effectively treat infectious diseases are needed. Nowadays, we know that bacteria will resist and persist all kinds of antibiotics. This is easy to understand if we consider that bacteria, during the course of their evolution, faced situations even more difficult than antibiotic exposure. Additionally, this becomes worst when bacteria act as a community, as a biofilm.
It is our aim that this event can provide an opportunity to representatives of academia, industry and health services to discuss and advance our current knowledge on how to control microorganisms.
We welcome discussions of the following topics at the event:
- Drug discovery and development—from natural sources to (bio)synthesis;
- Drug repurposing for antimicrobial therapy;
- Antibiotic recycling and resistance modifiers;
- Virtual screening;
- Susceptibility testing;
- Mechanisms of action;
- Anti-virulence;
- Pharmacological parameters, including in vitro or in vivo modelling studies;
- Novel delivery systems for antimicrobials;
- Mechanisms of resistance—from natural to acquired;
- Cross-resistance;
- Ohmics in antibiotic action and resistance;
- Epidemiology and the emergence of antimicrobial resistant pathogens;
- Clinical trials and clinical cases of antimicrobial resistance;
- Antibiotics and interfaces.

Speaker: Nehal I. Abu-Lail
Presentation Title: Atomic force microscopy investigations of the outer membranes of persister multidrug resistant (MDR) Escherichia coli
Ms. Lois Liu
Ms. Kristine Wang
MDPI Branch Office, Beijing
E-mail: eca2022@mdpi.com