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Bacterial plasma membrane lipids are essential structural and functional components of the bacterial cell envelope, providing a semi-permeable barrier that maintains cellular homeostasis and protects against environmental stress [Epand et al., 2016]. Unlike eukaryotic membranes, bacterial membranes are characterized by a high proportion of anionic lipids such as phosphatidylglycerol and cardiolipin, and they typically lack sterols like cholesterol [Sohlenkamp & Geiger, 2016]. These lipids serve as critical targets for several classes of antibiotics, including lipopeptides and glycopeptides. For example, daptomycin binds to phosphatidylglycerol in a calcium-dependent manner, leading to membrane insertion, depolarization, and rapid cell death [Straus & Hancock, 2006]. Other agents, such as polymyxins, target the lipid A component of lipopolysaccharides in Gram-negative bacteria or interact directly with phospholipids to disrupt membrane integrity [Trimble et al., 2016]. Targeting these lipids is a robust strategy for treating multi-drug resistant infections, as the fundamental structural role of lipids makes the evolution of resistance a complex biological challenge.
Drugs targeting bacterial plasma membrane lipids primarily act through membrane disruption, pore formation, and depolarization of the cytoplasmic membrane [Straus & Hancock, 2006]. Lipopeptides like daptomycin aggregate in the membrane to create ion-conducting channels, while polymyxins act as detergents that displace divalent cations from phosphate groups of membrane lipids, leading to increased permeability [Trimble et al., 2016]. Furthermore, some antibiotics bind to lipid-anchored precursors such as Lipid II, thereby inhibiting the biosynthesis of the peptidoglycan layer [Ling et al., 2015].
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