摘要
在发展中国家,由蠕虫(蛔虫病,钩虫,旋毛虫病和血吸虫病)和原生动物(南美锥虫,利什曼病和阿米巴病)引起的寄生虫病被认为是严重的公共卫生问题。此外,目前的抗寄生虫药库数量有限,并且耐药性也在不断提高。因此,显然需要发现和开发新的化合物,它们可以竞争和替代过去几十年来一直控制寄生虫感染的这些药物。然而,这种方法是高度资源密集的,昂贵且费时的。因此,替代地,将具有已知药代动力学和安全性概况的现有药物或类药物分子的药物重定位策略用作鉴定新疗法的快速方法。青蒿素,甲氟喹,三苯地胺,氧杂黄原酸酯和多西环素可用于治疗蠕虫,泊沙康唑和羟甲基硝基呋喃酮可用于治疗原生动物。因此,几十年前在某些情况下开发的传统抗原生动物药物是有效的解决方案。在本文中,我们从药物靶标,作用方式,剂量,不良反应和寄生虫耐药性等方面回顾了传统的抗蠕虫药和抗原虫药物的现状,以定义其对再利用策略的适用性。当前的抗寄生虫药物不仅仍可用于治疗蠕虫和原生动物感染,而且还是新药理学治疗的重要候选药物。
关键词: 寄生虫病,蠕虫,原生动物,药物,设计,感染,治疗。
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