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乳铁蛋白、壳聚糖和互叶白千层——在念珠菌病治疗中显示出前景的天然产物。

Lactoferrin, chitosan and Melaleuca alternifolia-natural products that show promise in candidiasis treatment.

作者信息

Felipe Lorena de Oliveira, Júnior Willer Ferreira da Silva, Araújo Katialaine Corrêa de, Fabrino Daniela Leite

机构信息

Universidade Federal de São João del-Rei/Campus Alto Paraopeba, Minas Gerais, MG, Brazil.

Universidade Federal de São João del-Rei/Campus Alto Paraopeba, Minas Gerais, MG, Brazil.

出版信息

Braz J Microbiol. 2018 Apr-Jun;49(2):212-219. doi: 10.1016/j.bjm.2017.05.008. Epub 2017 Nov 11.

Abstract

The evolution of microorganisms resistant to many medicines has become a major challenge for the scientific community around the world. Motivated by the gravity of such a situation, the World Health Organization released a report in 2014 with the aim of providing updated information on this critical scenario. Among the most worrying microorganisms, species from the genus Candida have exhibited a high rate of resistance to antifungal drugs. Therefore, the objective of this review is to show that the use of natural products (extracts or isolated biomolecules), along with conventional antifungal therapy, can be a very promising strategy to overcome microbial multiresistance. Some promising alternatives are essential oils of Melaleuca alternifolia (mainly composed of terpinen-4-ol, a type of monoterpene), lactoferrin (a peptide isolated from milk) and chitosan (a copolymer from chitin). Such products have great potential to increase antifungal therapy efficacy, mitigate side effects and provide a wide range of action in antifungal therapy.

摘要

对多种药物产生耐药性的微生物的进化已成为全球科学界面临的一项重大挑战。鉴于这种情况的严重性,世界卫生组织于2014年发布了一份报告,旨在提供有关这一关键情况的最新信息。在最令人担忧的微生物中,念珠菌属的物种对抗真菌药物表现出很高的耐药率。因此,本综述的目的是表明,将天然产物(提取物或分离的生物分子)与传统抗真菌疗法一起使用,可能是克服微生物多重耐药性的一种非常有前景的策略。一些有前景的替代物包括互叶白千层精油(主要由萜品-4-醇组成,一种单萜类化合物)、乳铁蛋白(一种从牛奶中分离出的肽)和壳聚糖(一种由甲壳素制成的共聚物)。这些产品在提高抗真菌治疗效果、减轻副作用以及在抗真菌治疗中提供广泛作用方面具有巨大潜力。

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引用本文的文献

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Evaluation of Antioxidant and Antimicrobial Activities of Essential Oil.精油的抗氧化和抗菌活性评价。
Biomed Res Int. 2018 May 6;2018:2396109. doi: 10.1155/2018/2396109. eCollection 2018.

本文引用的文献

1
Invasive Candidiasis.侵袭性念珠菌病
Infect Dis Clin North Am. 2016 Mar;30(1):103-24. doi: 10.1016/j.idc.2015.10.013. Epub 2015 Dec 29.
2
Imaging Candida Infections in the Host.宿主中念珠菌感染的影像学表现
Methods Mol Biol. 2016;1356:69-78. doi: 10.1007/978-1-4939-3052-4_6.
3
Candida albicans Biofilms and Human Disease.白色念珠菌生物膜与人类疾病
Annu Rev Microbiol. 2015;69:71-92. doi: 10.1146/annurev-micro-091014-104330.
4
Acquired Multidrug Antifungal Resistance in Candida lusitaniae during Therapy.治疗期间葡萄牙念珠菌获得性多重耐药
Antimicrob Agents Chemother. 2015 Dec;59(12):7715-22. doi: 10.1128/AAC.02204-15. Epub 2015 Oct 5.
5
Immune defence against Candida fungal infections.针对念珠菌真菌感染的免疫防御。
Nat Rev Immunol. 2015 Oct;15(10):630-42. doi: 10.1038/nri3897. Epub 2015 Sep 21.
10
The parasexual lifestyle of Candida albicans.白色念珠菌的准性生殖生活方式。
Curr Opin Microbiol. 2015 Dec;28:10-7. doi: 10.1016/j.mib.2015.06.017. Epub 2015 Jul 25.

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