Antimicrobial Research Laboratory, New Chemistry Unit, Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bengaluru 560064, India.
Department of Infection, Immunity and Cardiovascular Diseases, The University of Sheffield, Sheffield, UK.
Trends Microbiol. 2019 Apr;27(4):323-338. doi: 10.1016/j.tim.2018.12.010. Epub 2019 Jan 22.
As more antibiotics are rendered ineffective by drug-resistant bacteria, focus must be shifted towards alternative therapies for treating infections. Although several alternatives already exist in nature, the challenge is to implement them in clinical use. Advancements within biotechnology, genetic engineering, and synthetic chemistry have opened up new avenues towards the search for therapies that can substitute for antibiotics. This review provides an introduction to the various promising approaches that have been adopted in this regard. Whilst the use of bacteriophages and antibodies has been partly implemented, other promising strategies, such as probiotics, lysins, and antimicrobial peptides, are in various stages of development. Propitious concepts such as genetically modified phages, antibacterial oligonucleotides, and CRISPR-Cas9 are also discussed.
随着越来越多的抗生素因耐药菌而失效,必须将重点转移到治疗感染的替代疗法上。尽管自然界中已经存在几种替代品,但挑战在于将它们应用于临床使用。生物技术、基因工程和合成化学的进步为寻找可以替代抗生素的疗法开辟了新途径。本综述介绍了在这方面采用的各种有前途的方法。虽然噬菌体和抗体的使用已经部分实施,但其他有前途的策略,如益生菌、溶菌酶和抗菌肽,处于不同的开发阶段。还讨论了一些有利的概念,如基因修饰噬菌体、抗菌寡核苷酸和 CRISPR-Cas9。