Department of Internal Medicine, School of Medicine, University of Crete, Heraklion, Greece.
Curr Pharm Des. 2011;17(13):1246-53. doi: 10.2174/138161211795703744.
The past few decades have seen alarming rates of antimicrobial drug resistance. This trend paralleled a lack of conventional methods of discovery of antibiotics with novel mechanisms of action. Although use of mammalian models remains indispensable for preclinical testing of new antimicrobial compounds, combating emerging multidrug-resistant microbial pathogens may require the use of robust, high-throughput experimental systems that can accelerate drug development. The recent discovery of striking similarities in innate immune signaling pathways between Drosophila melanogaster and mammals has led to a surge in the use of this minihost as an alternative model in studying a variety of infectious diseases. Several genetic screens for microbial pathogenicity in Drosophila identified virulence traits shown to be important for infection in mammals that may serve as targets for future drug development. In addition, conventional antimicrobial agents retain full activity in D. melanogaster infection models, which may pave the way for use of this minihost for high-throughput antimicrobial drug screening. Finally, the availability of genetic tools that allow for conditional inactivation of almost every gene in D. melanogaster is anticipated to result in the discovery of novel immunomodulatory mechanisms of action of newly identified antimicrobial compounds. Overall, the powerful genetics of and capacity for large-scale screening in D. melanogaster make this minihost a promising complementary model that may result in a new paradigm in antimicrobial drug discovery. However, antimicrobial drug discovery in such heterologous, phylogenetically disparate minihosts as the fruit flies, would still require further validation in mammalian models.
在过去的几十年中,出现了令人震惊的抗生素耐药率。这种趋势与缺乏具有新型作用机制的常规抗生素发现方法并行不悖。尽管使用哺乳动物模型仍然是新抗菌化合物临床前测试不可或缺的,但对抗新兴的多药耐药微生物病原体可能需要使用强大的高通量实验系统来加速药物开发。最近在果蝇(Drosophila melanogaster)和哺乳动物之间先天免疫信号通路的惊人相似性的发现,导致了这种小型宿主在研究各种传染病中的应用激增。在果蝇中进行的几种微生物致病性的遗传筛选,确定了在哺乳动物感染中非常重要的毒力特征,这些特征可能成为未来药物开发的目标。此外,传统的抗菌剂在果蝇感染模型中仍保持完全活性,这可能为这种小型宿主的高通量抗菌药物筛选铺平道路。最后,能够使果蝇中几乎每个基因条件性失活的遗传工具的可用性,预计将导致发现新的抗菌化合物的新型免疫调节作用机制。总的来说,果蝇强大的遗传学和大规模筛选能力使其成为一种有前途的互补模型,可能会开创抗菌药物发现的新范式。然而,在果蝇等异源、系统发育差异很大的小型宿主中进行抗菌药物发现仍需要在哺乳动物模型中进一步验证。