Metabolomics-driven prediction of antibiotic resistance: a perspective on pre-genetic intervention
Year: 2025
Type: review
Abstract: Antibiotic resistance is surging, demanding approaches that detect resistance before genetic fixation, since MIC, sequencing, and culture assays detect resistance late. We present Metabolomics-Driven Intervention Antibiotic Design (MDAD), which stages resistance evolution from metabolic compensation to sub-lethal adaptation to genetic fixation. A brief pulse challenge with a targeted metabolomics panel yields a pre-genetic risk index, interpreted with time-kill assays to situate early survival behaviours and guide mechanism-aware treatment and surveillance.
Authors: Maytham Hussein, Darren J. Creek, Mark Baker, Gauri G. Rao, Jian Li, Tony Velkov
Language: English
Subfield: Molecular Medicine
Domain: Life Sciences
Open Access status: gold
Estimated APC paid: $3,190
OpenAlex ID: W4417400998
