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. 2016 May 26;371(1695):20150292. doi: 10.1098/rstb.2015.0292

Table 1.

Overview of bacterial resistance mechanisms against antimicrobial peptides.

mechanisms Gram-positive bacteria Gram-negative bacteria
extracellular proteins proteolytic degradation
sequestration
proteolytic degradation
exopolymers PIA, PGA alginate, polysialic acid
surface modification repulsion by d-alanylation of TA
steric hindrance by l-rhamnosylation of WTA
lipid II modification
repulsion by lipid A phosphate modification
increased OM rigidity by lipid A acylation
O-antigen of LPS
cytoplasmic membrane alteration charge repulsion by PG amino-acylation increased IM rigidity by PG acylation
efflux pumps export by ABC transporters export by RND family efflux pumps