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使用聚合物纳米颗粒共递送一氧化氮和抗生素。

Co-delivery of nitric oxide and antibiotic using polymeric nanoparticles.

作者信息

Nguyen Thuy-Khanh, Selvanayagam Ramona, Ho Kitty K K, Chen Renxun, Kutty Samuel K, Rice Scott A, Kumar Naresh, Barraud Nicolas, Duong Hien T T, Boyer Cyrille

机构信息

Centre for Advanced Macromolecular Design (CAMD) and Australian Centre for NanoMedicine (ACN) , School of Chemical Engineering , UNSW Australia , Sydney , NSW 2052 , Australia . Email:

School of Chemistry , UNSW Australia , Sydney , NSW 2052 , Australia.

出版信息

Chem Sci. 2016 Feb 1;7(2):1016-1027. doi: 10.1039/c5sc02769a. Epub 2015 Nov 10.

Abstract

The rise of hospital-acquired infections, also known as nosocomial infections, is a growing concern in intensive healthcare, causing the death of hundreds of thousands of patients and costing billions of dollars worldwide every year. In addition, a decrease in the effectiveness of antibiotics caused by the emergence of drug resistance in pathogens living in biofilm communities poses a significant threat to our health system. The development of new therapeutic agents is urgently needed to overcome this challenge. We have developed new dual action polymeric nanoparticles capable of storing nitric oxide, which can provoke dispersal of biofilms into an antibiotic susceptible planktonic form, together with the aminoglycoside gentamicin, capable of killing the bacteria. The novelty of this work lies in the attachment of NO-releasing moiety to an existing clinically used drug, gentamicin. The nanoparticles were found to release both agents simultaneously and demonstrated synergistic effects, reducing the viability of biofilm and planktonic cultures by more than 90% and 95%, respectively, while treatments with antibiotic or nitric oxide alone resulted in less than 20% decrease in biofilm viability.

摘要

医院获得性感染(也称为医院感染)的增加,是重症医疗保健领域日益关注的问题,每年在全球导致数十万患者死亡,并造成数十亿美元的损失。此外,生物膜群落中病原体产生的耐药性导致抗生素有效性下降,这对我们的卫生系统构成了重大威胁。迫切需要开发新的治疗药物来应对这一挑战。我们已经开发出了新型双功能聚合物纳米颗粒,它能够储存一氧化氮,一氧化氮可促使生物膜分散成对抗生素敏感的浮游形式,同时纳米颗粒还结合了能够杀死细菌的氨基糖苷类庆大霉素。这项工作的新颖之处在于将释放一氧化氮的部分连接到现有的临床使用药物庆大霉素上。研究发现,纳米颗粒能同时释放这两种药物,并显示出协同效应,分别使生物膜和浮游菌培养物的活力降低90%以上和95%以上,而单独使用抗生素或一氧化氮进行治疗时,生物膜活力的降低幅度不到20%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4b4/5531038/242b0d2b1a9a/c5sc02769a-s1.jpg

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