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Resistance to metronidazole: characteristics of the problem, ways to overcome

https://doi.org/10.17021/1992-6499-2025-3-6-16

Abstract

Using the example of metronidazole, modern scientific achievements in the field of discovering new mechanisms for the development of resistance of bacteria and protozoa to antibacterial drugs are systematized. At the molecular level, the epigenetic variability of the development of resistance to metronidazole, as well as its proteomic component in the series of ligand-enzyme-substrate-associated specificity of interaction, is considered. Experimental models with bacterial strains show the prospects of overcoming the mechanisms of antibiotic resistance using modern nanomaterials and organometallic framework polymers. The possibility of selecting conditions and a matrix of metalorganic framework polymers to achieve targeted drug delivery is noted. The use of nanomaterials makes it possible to potentiate the effect of an anti-bacterial drug.

About the Authors

E. E. Kruglov
State Research and Testing Institute of Military Medicine; Reaviz University
Россия

Egor E. Kruglov, Cand. Sci. (Med.), Researcher, State Research and Testing Military Medical Institute, St. Petersburg, Russia; Associate Professor, Department of Clinical Medicine at Reaviz University

St. Petersburg



M. A. Yudin
State Research and Testing Institute of Military Medicine
Россия

Mikhail A. Yudin, Dr. Sci. (Med.), Professor, Head of the Center

St. Petersburg



A. G. Anokhin
State Research and Testing Institute of Military Medicine
Россия

Alexander G. Anohin, Cand. Sci. (Med.), Head of the Department

St. Petersburg



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Review

For citations:


Kruglov E.E., Yudin M.A., Anokhin A.G. Resistance to metronidazole: characteristics of the problem, ways to overcome. Astrakhan medical journal. 2025;20(3):6-16. (In Russ.) https://doi.org/10.17021/1992-6499-2025-3-6-16

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