Vuong Cuong, Yeh Anthony J, Cheung Gordon Y C, Otto Michael
a Principal Scientist/Laboratory Head, Bacteriology , AiCuris GmbH & Co. KG, Friedrich-Ebert-Str. 475/Geb. 302, 42117 Wuppertal , Germany.
b Post-baccalaureate IRTA, Laboratory of Bacteriology , National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bldg. 33, 1W10, 9000 Rockville Pike, Bethesda , MD 20892 , USA.
Expert Opin Investig Drugs. 2016;25(1):73-93. doi: 10.1517/13543784.2016.1109077. Epub 2015 Nov 4.
Staphylococcus aureus remains one of the leading causes of morbidity and mortality worldwide. This is to a large extent due to antibiotic-resistant strains, in particular methicillin-resistant S. aureus (MRSA). While the toll of invasive MRSA infections appears to decrease in U.S. hospitals, the rate of community-associated MRSA infections remains constant and there is a surge of MRSA in many other countries, a situation that calls for continuing if not increased efforts to find novel strategies to combat MRSA infections.
This review provides an overview of current investigational drugs and therapeutic antibodies against S. aureus in early clinical development (up to phase II clinical development). It includes a short description of the mechanism of action and a presentation of microbiological and clinical data.
Increased recent antibiotic development efforts and results from pathogenesis research have led to several new antibiotics and therapies, such as anti-virulence drugs, as well as a more informed selection of targets for vaccination efforts against MRSA. This developing portfolio of novel anti-staphylococcal drugs will hopefully provide us with additional and more efficient ways to combat MRSA infections in the near future and prevent us from running out of treatment options, even if new resistances arise.
金黄色葡萄球菌仍然是全球发病和死亡的主要原因之一。这在很大程度上归因于抗生素耐药菌株,特别是耐甲氧西林金黄色葡萄球菌(MRSA)。虽然在美国医院中侵袭性MRSA感染的影响似乎有所下降,但社区相关性MRSA感染的发生率保持不变,并且在许多其他国家MRSA感染激增,这种情况要求即使不加大努力也需要持续不断地寻找对抗MRSA感染的新策略。
本综述概述了目前处于早期临床开发阶段(直至II期临床开发)的针对金黄色葡萄球菌的研究性药物和治疗性抗体。它包括对作用机制的简短描述以及微生物学和临床数据的呈现。
近期抗生素研发力度的加大以及发病机制研究的成果已催生了几种新的抗生素和疗法,如抗毒力药物,同时也为针对MRSA的疫苗接种工作提供了更明智的靶点选择。这一不断发展的新型抗葡萄球菌药物组合有望在不久的将来为我们提供更多、更有效的方法来对抗MRSA感染,并防止我们在出现新的耐药性时用尽治疗选择。