When he was just a teenager trying to decide what to do with his life, César de la Fuente compiled a list of the world’s biggest problems. He ranked them inversely by how much money governments were spending to solve them. Antimicrobial resistance topped the list. 

Twenty years on, the problem has not gone away. If anything, it’s gotten worse. Infections caused by bacteria, fungi, and viruses that have evolved ways to evade treatments are now associated with more than 4 million deaths per year, and a recent analysis, published in the Lancet, predicts that number could surge past 8 million by 2050. In a July 2025 essay in Physical Review Letters, de la Fuente, now a bioengineer and computational biologist, and synthetic biologist James Collins warned of a looming “post­antibiotic” era in which infections from drug-resistant strains of common bacteria like Escherichia coli or Staphylococcus aureus, which can often still be treated by our current arsenal of medications, become fatal. “The antibiotic discovery pipeline remains perilously thin,” they wrote, “impeded by high development costs, lengthy timelines, and low returns on investment.”