生物膜:威胁、挑战与前景策略

Biofilms: Threats, Challenges, and Promising Strategies.

作者信息

Cavalheiro Mafalda, Teixeira Miguel Cacho

机构信息

Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal.

iBB - Institute for Bioengineering and Biosciences, Biological Sciences Research Group, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal.

出版信息

Front Med (Lausanne). 2018 Feb 13;5:28. doi: 10.3389/fmed.2018.00028. eCollection 2018.

Abstract

species are fungal pathogens known for their ability to cause superficial and systemic infections in the human host. These pathogens are able to persist inside the host due to the development of pathogenicity and multidrug resistance traits, often leading to the failure of therapeutic strategies. One specific feature of species pathogenicity is their ability to form biofilms, which protects them from external factors such as host immune system defenses and antifungal drugs. This review focuses on the current threats and challenges when dealing with biofilms formed by , and , highlighting the differences between the four species. Biofilm characteristics depend on the ability of each species to produce extracellular polymeric substances (EPS) and display dimorphic growth, but also on the biofilm substratum, carbon source availability and other factors. Additionally, the transcriptional control over processes like adhesion, biofilm formation, filamentation, and EPS production displays great complexity and diversity within pathogenic yeasts of the genus. These differences not only have implications in the persistence of colonization and infections but also on antifungal resistance typically found in biofilm cells, potentiated by EPS, that functions as a barrier to drug diffusion, and by the overexpression of drug resistance transporters. The ability to interact with different species in biofilms is also a key factor to consider when dealing with this problem. Despite many challenges, the most promising strategies that are currently available or under development to limit biofilm formation or to eradicate mature biofilms are discussed.

摘要

某些物种是真菌病原体,以其在人类宿主中引起浅表和全身感染的能力而闻名。由于致病性和多重耐药性特征的发展,这些病原体能够在宿主体内持续存在,常常导致治疗策略的失败。这些物种致病性的一个特定特征是它们形成生物膜的能力,这使它们免受诸如宿主免疫系统防御和抗真菌药物等外部因素的影响。本综述重点关注处理由这些物种形成的生物膜时当前面临的威胁和挑战,突出这四个物种之间的差异。生物膜特征不仅取决于每个物种产生细胞外聚合物(EPS)和表现出双态生长的能力,还取决于生物膜基质、碳源可用性和其他因素。此外,在该属致病性酵母中,对诸如粘附、生物膜形成、丝状化和EPS产生等过程的转录控制表现出极大的复杂性和多样性。这些差异不仅对定植和感染的持续存在有影响,而且对通常在生物膜细胞中发现的抗真菌耐药性也有影响,EPS作为药物扩散的屏障以及耐药转运蛋白的过表达增强了这种耐药性。在处理这个问题时,生物膜中与不同物种相互作用的能力也是一个需要考虑的关键因素。尽管存在许多挑战,但本文讨论了目前可用或正在开发的限制生物膜形成或根除成熟生物膜的最有前景的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e6d/5816785/db90ac9d6029/fmed-05-00028-g001.jpg

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