Beta-lactamases in anaerobic, intestinal bacteria a narrative review /

Anaerobic bacteria in the human intestinal microbiota play a pivotal role in antibiotic resistance, primarily through the production of beta-lactamases. This narrative review explores the diversity of beta-lactamases found in intestinal anaerobes, their functional characteristics, and clinical impli...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Dutkiewicz Marion
Sóki József
Ruppe Etienne
Dokumentumtípus: Cikk
Megjelent: 2026
Sorozat:ANAEROBE 97
Tárgyszavak:
doi:10.1016/j.anaerobe.2026.103024

mtmt:36932837
Online Access:http://publicatio.bibl.u-szeged.hu/39340
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520 3 |a Anaerobic bacteria in the human intestinal microbiota play a pivotal role in antibiotic resistance, primarily through the production of beta-lactamases. This narrative review explores the diversity of beta-lactamases found in intestinal anaerobes, their functional characteristics, and clinical implications. Species of the genus Bacteroides are major producers, harboring enzymes from Ambler classes A (e.g. CepA, CfxA and CblA), B (e.g. CfiA and CcrA) and D (e.g. OXA-347), with activity ranging from cephalosporinases to carbapenemases and oxacillinases. Other gut members, including Clostridioides difficile, Fusobacterium nucleatum, and Acidaminococcus fermentans, also encode specific beta-lactamases. These enzymes contribute to microbiota resilience following beta-lactam exposure and can protect neighboring bacteria via extracellular degradation. This protective mechanism has inspired therapeutic applications, such as recombinant beta-lactamases (ribaxamase, SYN-006) designed to preserve gut integrity during antibiotic therapy. Understanding these intrinsic resistance mechanisms is essential for optimizing antibiotic stewardship and mitigating the spread of resistance genes. Copyright © 2026. Published by Elsevier Ltd. 
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