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[皮肤自身的抗生素。抗菌肽在临床实践中的重要特征]

[The skin's own antibiotics. Important features of antimicrobial peptides for clinical practice].

作者信息

Cordes J, Wittersheim M, Harder J, Gläser R

机构信息

Abteilung für Innere Medizin, Eduardus Krankenhaus Köln, Custodisstr. 3-17, 50679, Köln, Deutschland,

出版信息

Hautarzt. 2014 Jan;65(1):50-5. doi: 10.1007/s00105-013-2638-6.

Abstract

Despite permanent confrontation with a potentially harmful environment, its own microbiota and the fact that minor injuries occur frequently in everyday life, skin infections are a rare event. A chemical barrier of antimicrobial peptides (AMP), some of them constitutively expressed, others inducible by various stimuli, contributes to the integument's resistance. AMP are evolutionarily old components of the innate immunity which became the focus of interest due to their broad spectrum of activity against microorganisms and the rare occurrence of antimicrobial resistance. These attributes make them promising alternative candidates for future antibiotics. Furthermore various dermatological diseases are associated with an altered expression of these molecules, which might then play a pathogenetic role. In addition to their antimicrobial activity, some AMP have immunomodulatory effects and can promote wound healing, properties which currently are under intensive research.

摘要

尽管皮肤始终暴露于潜在有害环境中,有自身的微生物群,且日常生活中经常出现轻微损伤,但皮肤感染却是罕见事件。抗菌肽(AMP)构成了一道化学屏障,其中一些是组成性表达,另一些则可由各种刺激诱导产生,这有助于皮肤的抵抗力。AMP是先天性免疫中进化古老的成分,由于它们对微生物具有广泛的活性且很少出现抗菌耐药性,因此成为人们关注的焦点。这些特性使它们成为未来抗生素有前景的替代候选物。此外,各种皮肤病与这些分子表达的改变有关,这可能会发挥致病作用。除了抗菌活性外,一些AMP还具有免疫调节作用,可促进伤口愈合,目前这些特性正在深入研究中。

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