Asia's race to outsmart antimicrobial resistance

Asia Research News surveyed institutions in Asia to learn about their latest contributions to antimicrobial resistance research.

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Read other articles in our Special Feature on Antimicrobial Resistance

From investigating predator bacteria and studying organisms at the molecular level, to understanding host responses and looking for effective new drugs, scientists in Asia are making big strides.


Working just south of Seoul, Soojin Jang is the group leader of Institut Pasteur Korea’s Antibacterial Resistance Research Laboratory. She is leading her team’s efforts to study bacterial physiology and resistance mechanisms. Their aim is to use this knowledge to develop new screening systems for identifying small molecules and natural compounds that can be used against drug-resistant organisms.

Further southeast, Robert Mitchell is studying a type of bacteria that destroys other organisms. A biological scientist at Ulsan National Institute of Science and Technology (UNIST) in Korea, he and his colleagues have found that these ‘predatory bacteria’ not only kill other pathogens, but can also remove their DNA, including their antibiotic resistance genes. In his most recent study, Mitchell found that the predatory bacterium Bdellovibrio baceriovorus HD100 was active against two groups of antimicrobial resistant pathogens under simulated microgravity conditions. The findings illustrate its potential for treating biofilm-covered surfaces in spacecrafts. Asia Research News covered their previous work in 2017.

Bacteria, including drug-resistant ones, have been found growing as biofilms on some surfaces in the International Space Station.


At Kyoto University in Japan, structural biologist So Iwata has been using X-ray protein crystallography to investigate how specialized membrane channels, called transporters, remove antimicrobial drugs from inside bacterial cells, saving them from their deadly effects. “We found that these nanoscale molecular machines change their shapes to pump antibiotics out of the bacteria,” he explains.

Osaka City University (from Apr 2022 Osaka Metropolitan University) dermatologist Toshiyuki Ozawa has been looking into photodynamic therapy. His team uses a light-sensitive substance which reacts with a certain wavelength of light to produce reactive oxygen that selectively kills malignant tumours and bacteria. Unlike antibiotics, the therapy does not produce drug resistant bacteria.


At Kathmandu’s Global Institute for Interdisciplinary Studies, Suraj Bhattarai, an InterAcademy Partnership (IAP) Young Physician Leader, has demonstrated the high burden of serious bacterial infections and multidrug-resistant bacteria on community and hospital deaths in low- and middle-income countries, including Nepal. His research highlights the importance of health-facility and community level surveillance of antimicrobial resistance.

Pseudomonas syringae is one of the most common plant pathogens, with impacts on global crop production.

Hong Kong

Biomedical scientists Xin Deng and Jian Yan at City University of Hong Kong (CityU) have identified gene regulatory proteins, called transcription factors, that are involved in making the bacterium Pseudomonas syringae harmful against a wide variety of plants. In one of their most recent studies, they revealed how these transcription factors bind to genes in order to activate them. Their research could facilitate the development of new drugs against the bacterium.

Also at CityU, veterinary bacteriologist Sheng Chen has been investigating how a bacterial gene has evolved to resist tigecycline, a last-resort antibiotic. His research, which involved studying thousands of bacterial strains collected in China over a quarter of a century, suggests the gene may have originally come from a Flavobacteriaceae ancestor and was then transferred to other bacteria. He and his team hope that blocking the mechanism that facilitates the gene’s transmission could lead to new treatment strategies.

Currently, there are no effective treatments against the dengue virus, which is transmitted by the Aedes mosquito seen here. In their quest to develop an anti-dengue drug, scientists are looking for molecular targets in the virus that are less likely to be affected by antimicrobial resistance.


Andrea Lay Hoon Kwa and her team at Duke-NUS Medical School/ Singapore General Hospital, are investigating strategies for managing critically ill patients with difficult-to-treat infections. Using a technique they developed, ineffective antibiotics gain new potency when used as a combined therapy. Additionally, they are looking into optimal prescriptions and combining antibiotics with harmless, naturally occurring viruses that infect bacteria.

At the Agency for Science, Technology and Research (A*STAR)'s Infectious Diseases Labs, scientists are looking for ways to develop strategies against treatable and antibiotic-resistant pathogens. The team at Pablo Bifani’s Antimicrobial Resistance Lab, for example, are looking for special viruses, called bacteriophages, that can be used against antimicrobial resistant bacteria. Amit Singhal’s Bacterial Immunopathology Lab is investigating the mechanisms behind the inflammatory responses caused by major infectious diseases in Southeast Asia, like tuberculosis and dengue. At the Antifungal Resistance Lab, Wang Yue is profiling and characterising the mutations that lead to resistance. He and his team hope their work will lead to the identification of new drug targets. Matthew Tay’s research at the Antimicrobial Biologics Lab is focused on finding ways to develop antibodies that can be used as adjunct therapies against multidrug-resistant pathogens. Finally, Stefan Oehlers at the Bacterial Pathogenesis Lab is using infected zebrafish to rapidly test antibiotic toxicity and their bioavailability to bacteria.

Fish Health Too

Malaysia, Hong Kong, Thailand and Vietnam

It is particularly important to monitor and mitigate impacts of AMR in Asia’s aquaculture and fisheries, as the continent contributes a major share of global fish production.

Asia produces 90% of the world’s aquaculture, providing an important source of nutrition and employment. Canada’s International Development Research Centre in partnership with the UK Department of Health and Social Care’s Global AMR Innovation Fund (GAMRIF) are supporting several projects in Asia aimed at addressing antimicrobial resistance in the aquaculture industry.

Natrah Ikhsan is using quorum quenching to stop bacteria from communicating with each other.

At Universiti Putra Malaysia, Natrah Fatin Bt Mohd Ikhsan is using a technology, called ‘quorum quenching’, that can stop bacteria communicating with each other. This enhances the host immunological responses to infection, thus reducing the need for antimicrobial drugs in shrimp aquaculture.

At City University of Hong Kong (CityU), Sophie St-Hilaire, Alicia An and colleagues are investigating ways to reduce bacterial and antibiotic levels in aquaculture environments, as these are known drivers of antimicrobial resistance. This includes improving filtration systems and coating materials to reduce antibiotic leaching for medicated feeds.

Scientists in Thailand and Vietnam are using ozone nanobubbles to improve fish survival in aquaculture.

Ha Thanh Dong at Thailand’s Asian Institute of Technology and Phan Thi Van and Nguyen Huu Nghia at Vietnam’s Research Institute for Aquaculture No 1 are all investigating the use of ozone nanobubble injections in water to reduce bacterial load and modulate fish and shrimp immune systems, improving their survival when exposed to pathogens.

Vietnam is the world’s largest producer of the freshwater catfish Pangasius, but large-scale losses due to bacterial diseases have resulted in widespread use of antibiotics and the development of AMR. Mags Crumlish at the University of Stirling’s Institute of Aquaculture in the UK is leading a multidisciplinary project to develop innovative vaccines and delivery methods to reduce AMR development in this freshwater aquaculture sector.

Listen to IDRC's Innovating Alternatives Podcast, which follows researchers tackling AMR in livestock and aquaculture.

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Read other articles in our Special Feature on Antimicrobial Resistance

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