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Re:New antibiotic that kills drug-resistant bacteria found i... by bilsbie on Friday April 04, 2025 @08:01AM (#43580999)
If we have enough drugs with different mechanics bacteria can’t out evolve all of them. It becomes less of a risk.
Re:New antibiotic that kills drug-resistant bacteria found i... by pfdietz on Friday April 04, 2025 @08:06AM (#43581049)
Sure they can, by being exposed one at a time, developing resistance to each.
Re:New antibiotic that kills drug-resistant bacteria found i... by scaredginger on Friday April 04, 2025 @09:05AM (#43581740)
There may be some cost to each resistance gained, reducing the fitness of the bacteria
Re:New antibiotic that kills drug-resistant bacteria found i... by pfdietz on Friday April 04, 2025 @09:27AM (#43582036)
And there may be general resistance mechanisms that hit more than one chemical (like changes in membrane permeability and efflux pumps.) Over time, with more exposure, the costs can be expected to decline as resistance is optimized.

Ultimately resistance can evolve that kicks in only on exposure to the chemicals in question. Bacteria already do this with, say, the enzyme needed to metabolize lactose. The gene isn't expressed until lactose is present.

Re:New antibiotic that kills drug-resistant bacteria found i... by hinkley on Friday April 04, 2025 @02:24PM (#43586053)
This is why we use “cocktails” on resistant cases now.

Kill it three different ways at once and it cannot adapt fast enough to leave dna fragments for the next microbe to pick up and continue the work.

Re:New antibiotic that kills drug-resistant bacteria found i... by lolinder on Friday April 04, 2025 @07:02PM (#43588656)
Just as long as we don't start overusing the cocktail. Natural selection is a very powerful force, all it takes is one bacterium in a million that has resistance to all three methods to start an evolution.
Re:New antibiotic that kills drug-resistant bacteria found i... by ip26 on Saturday April 05, 2025 @12:13AM (#43590659)
Ideally you shelve several antibiotics for decades, with the goal of bacteria dropping resistance to it. Sounds like a game theory compliance nightmare though.
Re:New antibiotic that kills drug-resistant bacteria found i... by Cthulhu_ on Friday April 04, 2025 @09:44AM (#43582279)
That's like saying we just need more nukes to deter other people with nukes from nuking us.
Re:New antibiotic that kills drug-resistant bacteria found i... by bilsbie on Friday April 04, 2025 @12:12PM (#43584505)
I don’t see the connection.
Re:New antibiotic that kills drug-resistant bacteria found i... by cjbgkagh on Friday April 04, 2025 @11:01AM (#43583450)
Antibiotics are not a deterrence because bacteria cannot be negotiated with. Similarly the concerns of fallout are minimal. The evolved resistance comes at a cost, evolving many resistances comes at many costs. There is a point where the bacteria cannot continue to evolve resistances yet remain competitive in the absence of the antibiotics.

AFAIK there is a new class of molecules specific to thwarting the resistance mechanism that makes the bacteria susceptible again in ways that cannot be out evolved. I'm looking for the general name for this technique - I do remember reading about it.