Molecular, Cellular and Developmental Biology Graduate Program, The Ohio State University, Columbus, OH 43210, USA.
Expert Rev Anti Infect Ther. 2013 Nov;11(11):1225-35. doi: 10.1586/14787210.2013.845524. Epub 2013 Oct 18.
Intracellular pathogens present a major health risk because of their innate ability to evade clearance. Their location within host cells and ability to react to the host environment by mutation or transcriptional changes often enables survival mechanisms to resist standard therapies. Host-directed drugs do not target the pathogen, minimizing the potential development of drug resistance; however, they can be difficult to deliver efficiently to intracellular sites. Vehicle delivery of host-mediated response drugs not only improves drug distribution and toxicity profiles, but can reduce the total amount of drug necessary to clear infection. In this article, we will review some host-directed drugs and current drug delivery techniques that can be used to efficiently clear intracellular infections.
细胞内病原体因其先天的逃避清除能力而构成重大健康威胁。它们在宿主细胞内的位置以及通过突变或转录变化对宿主环境做出反应的能力,常常使生存机制能够抵抗标准疗法。宿主导向药物不针对病原体,最大限度地减少了耐药性发展的可能性;然而,它们可能难以有效地递送到细胞内部位。载体传递宿主介导的反应药物不仅可以改善药物分布和毒性特征,还可以减少清除感染所需的药物总量。在本文中,我们将回顾一些宿主导向药物和当前的药物递送技术,这些技术可用于有效地清除细胞内感染。