Fosfomycinの抗菌作用機構の解明に関する最近の知見

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  • Recent progress in research regarding fosfomycin: the mechanism of action and other aspects.

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Fosfomycin [(-)-(1 R, 2 S)(1, 2-epoxypropyl) phosphonate] is an antimicrobial agent, which exhibits a unique mechanism of action and has been used worldwide for many years. The paper that first described the discovery of this antibiotic appeared in 1969. In Japan, its development for clinical use was started in the early 1970's, and its approval was obtained in 1980; since then fosfomycin has been used to treat many patients. Various clinical and basic reports on fosfomycin have recently appeared. One reason for this interest could be the recent approval of a new salt of fosfomycin (fosfomycin tromethamine) for clinical use in Europe and the United States of America. Moreover, at present, new data about bacterial cell wall peptidoglycan, whose synthesis is inhibited by fosfomycin have rapidly accumulated. This article is a review of recent advances in research on the mechanism of action of fosfomycin, its antimicrobial characteristics, and resistance to this antibiotic. Moreover, an outline of fosfomycin tromethamine is presented.

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