Tetracycline Antibiotics: Mode of Action, Applications, Molecular Biology, and Epidemiology of Bacterial Resistance
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SUMMARY: Tetracyclines were discovered in the 1940s and exhibited activity against a wide range of microorganisms including gram-positive and gram-negative bacteria, chlamydiae, mycoplasmas, rickettsiae, and protozoan parasites. They are inexpensive antibiotics, which have been used extensively in the prophlylaxis and therapy of human and animal infections and also at subtherapeutic levels in animal feed as growth promoters. The first tetracycline-resistant bacterium, Shigella dysenteriae, was isolated in 1953. Tetracycline resistance now occurs in an increasing number of pathogenic, opportunistic, and commensal bacteria. The presence of tetracycline-resistant pathogens limits the use of these agents in treatment of disease. Tetracycline resistance is often due to the acquisition of new genes, which code for energy-dependent efflux of tetracyclines or for a protein that protects bacterial ribosomes from the action of tetracyclines. Many of these genes are associated with mobile plasmids or transposons and can be distinguished from each other using molecular methods including DNA-DNA hybridization with oligonucleotide probes and DNA sequencing. A limited number of bacteria acquire resistance by mutations, which alter the permeability of the outer membrane porins and/or lipopolysaccharides in the outer membrane, change the regulation of innate efflux systems, or alter the 16S rRNA. New tetracycline derivatives are being examined, although their role in treatment is not clear. Changing the use of tetracyclines in human and animal health as well as in food production is needed if we are to continue to use this class of broad-spectrum antimicrobials through the present century.
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Many RPP determinants are located on mobile genetic elements, which may have facilitated their spread throughout the eubacteria via lateral gene transfer.
“Accordingly, many of the RPP determinants are located on mobile genetic elements which may have facilitated their spread throughout the eubacteria via lateral gene transfer events (reviewed in reference 10).”
From Ribosomal Protection Proteins and Their Mechanism ofTetracyclineResistance (2003) · cites this paper as [10]
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Distribution and mobility of the tetracycline resistance determinant tetQ
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Ciprofloxacin does not inhibit mitochondrial functions but other antibiotics do
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Class D and E tetracycline resistance determinants in gram-negative bacteria from catfish ponds
DePaola, A., & Roberts, M. C. (1995) · Molecular and Cellular Probes · doi:10.1016/s0890-8508(95)91572-9 · Cited by 63 · see citing works
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Non-hospital consumption of antibiotics in Spain: 1987–1997
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Characterization of antibiotic resistance in Streptococcus suis
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Self-citationAntibacterial Chemotherapeutic Agents
Dax, S. L. (1997) · Springer eBooks · doi:10.1007/978-94-009-0097-4 · Cited by 55 · see citing works
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A Common Mechanism of Cellular Death Induced by Bactericidal Antibiotics
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Update on acquired tetracycline resistance genes
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Self-citationDisease Manifestations and Pathogenic Mechanisms of Group A Streptococcus
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Tet-On Systems For Doxycycline-inducible Gene Expression
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“In Gram-negative bacteria, tetracycline resistance is mostly mediated by efflux of the drug by the membrane protein TetA [6, 7] and the TetA level is controlled by the tetracycline-responsive repressor protein TetR.”
BackgroundInfluentialAntibiotic resistance in non-enterococcal lactic acid bacteria and bifidobacteria
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- Authors
- Chopra, I., & Roberts, M.
- Affiliations
- University of Leeds (GB)
- University of Washington (US)
- ORCID
- Roberts, Marilyn
- Venue
- Microbiology and Molecular Biology Reviews
- Publisher
- American Society for Microbiology
- Published
- 2001-06
- Volume
- 65
- Issue
- 2
- Pages
- 232-260
- ISSN
- 1092-2172 (ISSN-L)
- 1098-5557
- PMC
- PMC99026
- OpenAlex
- W2113790776
- Cited by
- 4,517
- References
- 318
- Citations by year
- 2026: 251 · 2025: 270 · 2024: 325 · 2023: 289 · 2022: 319 · 2021: 338 · 2020: 321 · 2019: 260 · 2018: 230 · 2017: 209 · 2016: 205 · 2015: 189 · 2014: 172 · 2013: 143 · 2012: 120
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Microbiology and Molecular Biology Reviews (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Keywords
- tetracycline, antibiotic resistance, tetracycline resistance genes, efflux pumps, ribosomal protection proteins, mobile genetic elements, plasmids, transposable elements, outer membrane porins, 16S rRNA mutations, Shigella dysenteriae, growth promoters, antimicrobial resistance epidemiology, tetracycline derivatives, molecular detection of resistance
- MeSH terms
- Animals, Animal Husbandry, Anti-Bacterial Agents, Bacterial Infections, Humans, Structure-Activity Relationship, Tetracycline Resistance, Tetracyclines, Molecular Structure
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