Table 3 Role of efflux pumps in drug–microbiome interactions

From: Vaginal pharmacomicrobiomics modulates risk of persistent and recurrent bacterial vaginosis

Action

Mechanism

References

Antibiotic resistance

Active expulsion of multiple classes of antibiotics from bacterial cells

182,183,184,185

Virulence factor secretion

Export virulence factors, including adhesins, toxins, and other proteins crucial for the colonization of host cells

219,220

Biofilm formation

Essential for persistent infections

221

Quorum sensing

Modulates the intracellular concentration of quorum-sensing signals

220

Bacterial survival and host adaptation

Exports toxic environmental compounds encountered within the host and maintains cellular homeostasis

219,222