Case Commentary: When one target is not enough—PBP3 insertions and target redundancy in Escherichia coli

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Authors: Madison E. Stellfox, Yohei Doi
Cited by: 2
References: 21

Abstract

, which reduce susceptibility to key β-lactam agents and complicate treatment, particularly in the setting of NDM production (C. Fabrizio, F. Valzano, S. Giuliano, E. Morelli, et al., Antimicrob Agents Chemother 70:e00887-25, 2026, https://doi.org/10.1128/aac.00887-25). Clinical improvement was achieved with imipenem-relebactam plus aztreonam, supporting the idea that targeting multiple penicillin-binding proteins can overcome functional redundancy. These findings emphasize the clinical relevance of PBP3-mediated resistance and the need for treatment strategies that address complex β-lactam resistance in Gram-negative pathogens.

Fields of Study & Subjects

Antibiotic Resistance in Bacteria Pneumonia and Respiratory Infections Tuberculosis Research and Epidemiology

Publication details

Journal / source
Antimicrobial Agents and Chemotherapy
Publisher
American Society for Microbiology
Volume
70
Issue
5
Pages
e0005326–e0005326
Publication date
6 April 2026
Language
EN