The major contribution of molecular biology to the study of antibiotic resi
stance has been the elucidation of nearly all biochemical mechanisms of res
istance and the routes for dissemination of genetic information among bacte
ria. In this review, we consider the potential contribution of molecular bi
ology to counteracting the evolution of resistant bacteria. In particular,
we emphasize the fact that fundamental approaches have had direct practical
effects on minimizing potential resistance: by improving interpretation of
resistance phenotypes, by providing more adequate human therapy, by foster
ing more prudent use of antibiotics, and by allowing the rational design of
new drugs that evade existing resistance mechanisms or address unexploited
targets.