Review Article

Antibacterial Mechanisms of Polymyxin and Bacterial Resistance

Figure 3

Hydroxyl radical death mechanism in bacteria induced by polymyxin [46]. The polymyxin molecule (magenta) comes across inner membrane (IM) and induces (superoxide) generation. Then, will be converted to H2O2 by SOD (superoxide dismutase). Both and H2O2 can oxidatively attack Fe-S (iron-sulfur) clusters (iron and sulfur are shown as red and purple points, resp.) and cause inactivation of Fe-S cluster (from light cyan to dark blue) and iron leaching. With the conversion of “free” ferrous iron (Fe2+) to ferric iron (Fe3+), H2O2, via Fenton reaction, will be rapidly converted to OH (hydroxyl radical) which readily damages DNA, lipids, and proteins.