摘要
疟疾是世界上最致命的三种传染病之一,严重危害人类健康和生命。为了减轻这一疾病的公共卫生负担,科学家将重点放在发现和开发有效的抗疟药物上,从奎宁和氯喹到抗叶酸和青蒿素及其衍生物,这些药物都在治疗疟疾方面发挥着深远的作用。然而,由于频繁使用抗疟药物,恶性疟原虫耐药菌株出现,并对现有抗疟药物产生越来越多的耐药性,在世界上造成了灾难性的后果。特别是,2008年报告的青蒿素耐药性是最令人关切的问题。对青蒿素的耐药性一直是疟疾控制的主要障碍,目前遏制青蒿素耐药性的努力尚未取得成功。基于目前的形势,迫切需要开发更有效的新型抗疟药,其靶标与世界上传统抗疟药不同,从而有助于最大限度地减少耐药性现象。本文就不同种类的抗疟药物的治疗效果、作用机制和耐药性进行综述,并提出新的解决方案,以期进一步提高疟疾的消灭水平。
关键词: 疟疾,抗疟药,恶性疟原虫,作用机制,耐药性,青蒿素。
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