摘要
尽管近几十年,药物设计领域取得了巨大进展,但病原菌的毒性和耐药性的逐步扩大也不容忽视。在过去30年中仅有两种新型抗生素被纳入药物。考虑到耐多药 (MDR) 病原体(例如铜绿假单胞菌)引起的感染,对新型抗菌药的需求尤为迫切。发现和开发新型抗假单胞菌疗法是当代医药科学的一项重要挑战。当前文献中的大量创新方法是惊人的。本文综述了现代具有前景的抗铜绿假单胞菌感染的策略。抗菌素,包括新抗生素、β-内酰胺和主动外排泵抑制剂、群体猝灭分子和具有抗菌活性的纳米粒子,目前被广泛研究。通过疫苗和治疗性抗体预防感染的方法,以及抗菌肽的发展被作为支持人类免疫系统的方法而被讨论。最后,替代/支持疗法,如作用机制与目前抗生素疗法完全不同的噬菌体疗法和光动力疗法,其发展具有极大重要性。
关键词: 替代疗法,现代疗法,铜绿假单胞菌,耐药性。
Current Medicinal Chemistry
Title:Modern Therapeutic Approaches Against Pseudomonas aeruginosa Infections
Volume: 22 Issue: 14
Author(s): Agata Dorotkiewicz-Jach, Daria Augustyniak, Tomasz Olszak and Zuzanna Drulis-Kawa
Affiliation:
关键词: 替代疗法,现代疗法,铜绿假单胞菌,耐药性。
摘要: Despite the enormous progress that has been made in the last few decades in the field of drug design as well as virulence of pathogenic bacteria, the gradual spread of drug resistance can be observed. Only two new classes of antibiotics have been brought to medicine in the last 30 years. The need for novel antibacterial drugs is especially pressing when considering infections caused by multidrug-resistant (MDR) pathogens such as Pseudomonas aeruginosa. The discovery and development of new anti-pseudomonal therapies is one of the main challenges of modern pharmaceutical sciences. The great variety of innovative approaches presented in the current literature is astonishing. In this review, modern, promising strategies against P. aeruginosa infections are described. Antimicrobials, including new antibiotics, β-lactamase and efflux pump inhibitors, quorum quenching molecules and nanoparticles with antibacterial activity are currently being intensively studied. Methods of prevention of infection through vaccines, therapeutic antibodies and development of antimicrobial peptides are discussed as approaches that support the human immunological system. Finally, development of alternative/ supportive therapies such as phage therapy and photodynamic therapy, in which the mechanism of action is completely different from current antibiotic therapy, is of great importance.
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Cite this article as:
Agata Dorotkiewicz-Jach, Daria Augustyniak, Tomasz Olszak and Zuzanna Drulis-Kawa , Modern Therapeutic Approaches Against Pseudomonas aeruginosa Infections, Current Medicinal Chemistry 2015; 22 (14) . https://dx.doi.org/10.2174/0929867322666150417122531
DOI https://dx.doi.org/10.2174/0929867322666150417122531 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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