Rastogi Vaibhav, Verma Navneet, Mishra Arun Kumar, Nath Gopal, Gaur Praveen Kumar, Verma Anurag
Department of Pharmacy, IFTM University, Moradabad, Uttar Pradesh, 244001. India.
Department of Microbiology, Institute of Medical Science, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005. India.
Curr Drug Deliv. 2018;15(1):3-20. doi: 10.2174/1567201813666160406115744.
Recent advances in the field of bionanomedicine not only enable us to produce biomaterials but also to manipulate them at molecular level. Viruses particularly bacteriophages are a promising nanomaterial that can be functionalized with great precision. Bacteriophages are the natural antimicrobial agents that fight against antibiotic resistant bacteria which cause infections in animals, humans, or in crops of agricultural value. The idea of utilizing bacteriophages as therapeutic agents is due to their ability to kill bacteria at the end of the infectious cycle.
This paper reviewed the general biology of bacteriophages and the presence of receptors on the bacteria which are necessary for the recognition and adsorption of bacteriophages. Pharmacokinetics and therapeutic potential of bacteriophages administered through various routes in treating diverse bacterial infections is also reviewed along with the problems associated with bacteriophage therapy.
Among various routes of administration, parenteral route is found to be the most thriving route for the treatment of systemic infections whereas oral route is meant to treat gastrointestinal infections and; local delivery (skin, nasal, ears) of phages has proven its potency to treat topical infections.
生物纳米医学领域的最新进展不仅使我们能够生产生物材料,还能在分子水平上对其进行操控。病毒尤其是噬菌体是一种很有前景的纳米材料,能够被高度精确地功能化。噬菌体是对抗在动物、人类或具有农业价值的作物中引发感染的耐药细菌的天然抗菌剂。将噬菌体用作治疗剂的想法源于它们在感染周期末期杀死细菌的能力。
本文综述了噬菌体的一般生物学特性以及细菌上对于噬菌体识别和吸附所必需的受体的存在情况。还综述了通过各种途径给药的噬菌体在治疗多种细菌感染时的药代动力学和治疗潜力,以及与噬菌体疗法相关的问题。
在各种给药途径中,肠胃外途径被发现是治疗全身感染最有效的途径,而口服途径旨在治疗胃肠道感染;噬菌体的局部给药(皮肤、鼻腔、耳部)已证明其在治疗局部感染方面的效力。