青蒿素及其衍生物的抗幽门螺杆菌潜力。
Anti-Helicobacter pylori potential of artemisinin and its derivatives.
机构信息
CSIR-Indian Institute of Chemical Biology, Kolkata, India.
出版信息
Antimicrob Agents Chemother. 2012 Sep;56(9):4594-607. doi: 10.1128/AAC.00407-12. Epub 2012 Jun 11.
The antimalarial drug artemisinin from Artemisia annua demonstrated remarkably strong activity against Helicobacter pylori, the pathogen responsible for peptic ulcer diseases. In an effort to develop a novel antimicrobial chemotherapeutic agent containing such a sesquiterpene lactone endoperoxide, a series of analogues (2 natural and 15 semisynthetic molecules), including eight newly synthesized compounds, were investigated against clinical and standard strains of H. pylori. The antimicrobial spectrum against 10 H. pylori strains and a few other bacterial and fungal strains indicated specificity against the ulcer causing organism. Of five promising molecules, a newly synthesized ether derivative β-artecyclopropylmether was found to be the most potent compound, which exhibited MIC range, MIC(90), and minimum bactericidal concentration range values of 0.25 to 1.0 μg/ml, 1.0 μg/ml, and 1 to 16 μg/ml, respectively, against both resistant and sensitive strains of H. pylori. The molecule demonstrated strong bactericidal kinetics with extensive morphological degeneration, retained functional efficacy at stomach acidic pH unlike clarithromycin, did not elicit drug resistance unlike metronidazole, and imparted sensitivity to resistant strains. It is not cytotoxic and exhibits in vivo potentiality to reduce the H. pylori burden in a chronic infection model. Thus, β-artecyclopropylmether could be a lead candidate for anti-H. pylori therapeutics. Since the recurrence of gastroduodenal ulcers is believed to be mainly due to antibiotic resistance of the commensal organism H. pylori, development of a candidate drug from this finding is warranted.
青蒿素这种来自黄花蒿的抗疟药物对导致消化性溃疡疾病的病原体幽门螺杆菌显示出了极强的活性。为了开发一种含有此类倍半萜内酯过氧化物的新型抗菌化学疗法药物,研究人员针对临床和标准幽门螺杆菌菌株,对一系列(2 种天然和 15 种半合成分子)类似物(包括 8 种新合成化合物)进行了研究。该抗菌谱针对 10 株幽门螺杆菌菌株以及一些其他细菌和真菌菌株,表明其对导致溃疡的病原体具有特异性。在 5 种有前景的分子中,一种新合成的醚衍生物β-artecyclopropylmether 被发现是最有效的化合物,对耐药和敏感的幽门螺杆菌菌株,其 MIC 范围、MIC(90)和最低杀菌浓度范围分别为 0.25 至 1.0 μg/ml、1.0 μg/ml 和 1 至 16 μg/ml。该分子具有很强的杀菌动力学,能引起广泛的形态学退化,与克拉霉素不同,在胃酸 pH 值下仍保持功能疗效,与甲硝唑不同,不会产生耐药性,并赋予耐药菌株敏感性。它没有细胞毒性,并且在体内具有降低慢性感染模型中幽门螺杆菌负担的潜力。因此,β-artecyclopropylmether 可能是一种抗幽门螺杆菌治疗的候选药物。由于胃十二指肠溃疡的复发主要归因于共生菌幽门螺杆菌的抗生素耐药性,因此有理由从这一发现中开发候选药物。