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噬菌体裂解蛋白是杀死超级细菌的秘密武器?

Are Phage Lytic Proteins the Secret Weapon To Kill ?

机构信息

Instituto de Productos Lácteos de Asturias (IPLA-CSIC), Villaviciosa, Asturias, Spain.

Instituto de Productos Lácteos de Asturias (IPLA-CSIC), Villaviciosa, Asturias, Spain

出版信息

mBio. 2018 Jan 23;9(1):e01923-17. doi: 10.1128/mBio.01923-17.

Abstract

Methicillin-resistant (MRSA) is one of the most threatening microorganisms for global human health. The current strategies to reduce the impact of include a restrictive control of worldwide antibiotic use, prophylactic measures to hinder contamination, and the search for novel antimicrobials to treat human and animal infections caused by this bacterium. The last strategy is currently the focus of considerable research. In this regard, phage lytic proteins (endolysins and virion-associated peptidoglycan hydrolases [VAPGHs]) have been proposed as suitable candidates. Indeed, these proteins display narrow-spectrum antimicrobial activity and a virtual lack of bacterial-resistance development. Additionally, the therapeutic use of phage lytic proteins in animal infection models is yielding promising results, showing good efficacy without apparent side effects. Nonetheless, human clinical trials are still in progress, and data are not available yet. This minireview also analyzes the main obstacles for introducing phage lytic proteins as human therapeutics against infections. Besides the common technological problems derived from large-scale production of therapeutic proteins, a major setback is the lack of a proper legal framework regulating their use. In that sense, the relevant health authorities should urgently have a timely discussion about these new antimicrobials. On the other hand, the research community should provide data to dispel any doubts regarding their efficacy and safety. Overall, the appropriate scientific data and regulatory framework will encourage pharmaceutical companies to invest in these promising antimicrobials.

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)是对全球人类健康最具威胁的微生物之一。目前,减少其影响的策略包括限制全球抗生素的使用、采取预防措施以阻止污染,以及寻找新型抗菌药物来治疗由这种细菌引起的人类和动物感染。最后一个策略是目前相当多研究的重点。在这方面,噬菌体裂解蛋白(内切酶和衣壳相关肽聚糖水解酶[VAPGHs])已被提议作为合适的候选物。事实上,这些蛋白具有窄谱抗菌活性和几乎不会产生细菌耐药性。此外,噬菌体裂解蛋白在动物感染模型中的治疗应用正在取得有希望的结果,显示出良好的疗效且没有明显的副作用。尽管如此,人体临床试验仍在进行中,目前尚无数据。这篇小型综述还分析了将噬菌体裂解蛋白作为人类治疗耐甲氧西林金黄色葡萄球菌感染的疗法引入人体的主要障碍。除了大规模生产治疗性蛋白所带来的常见技术问题外,一个主要的挫折是缺乏适当的法律框架来规范它们的使用。在这方面,相关卫生当局应就这些新的抗菌药物及时进行讨论。另一方面,研究界应提供数据以消除对其疗效和安全性的任何疑虑。总的来说,适当的科学数据和监管框架将鼓励制药公司投资于这些有前途的抗菌药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a7/5784253/6866a9437745/mbo0011836730001.jpg

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