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多功能纳米载体靶向细菌储库以克服多重耐药性挑战。

Multi-functionalized nanocarriers targeting bacterial reservoirs to overcome challenges of multi drug-resistance.

机构信息

Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, 45320, Pakistan.

Riphah Institute of Pharmaceutical Sciences, Riphah International University, 7th Avenue, G-7/4, Islamabad, 44000, Pakistan.

出版信息

Daru. 2020 Jun;28(1):319-332. doi: 10.1007/s40199-020-00337-w. Epub 2020 Mar 19.

Abstract

INTRODUCTION

Infectious diseases associated with intracellular bacteria such as Staphylococcus aureus, Salmonella typhimurium and Mycobacterium tuberculosis are important public health concern. Emergence of multi and extensively drug-resistant bacterial strains have made it even more obstinate to offset such infections. Bacteria residing within intracellular compartments provide additional barriers to effective treatment.

METHOD

Information provided in this review has been collected by accessing various electronic databases including Google scholar, Web of science, Scopus, and Nature index. Search was performed using keywords nanoparticles, intracellular targeting, multidrug resistance, Staphylococcus aureus; Salmonella typhimurium; Mycobacterium tuberculosis. Information gathered was categorized into three major sections as 'Intracellular targeting of Staphylococcus aureus, Intracellular targeting of Salmonella typhimurium and Intracellular targeting of Mycobacterium tuberculosis' using variety of nanocarrier systems.

RESULTS

Conventional management for infectious diseases typically comprises of long-term treatment with a combination of antibiotics, which may lead to side effects and decreased patient compliance. A wide range of multi-functionalized nanocarrier systems have been studied for delivery of drugs within cellular compartments where bacteria including Staphylococcus aureus, Salmonella typhimurium and Mycobacterium tuberculosis reside. Such carrier systems along with targeted delivery have been utilized for sustained and controlled delivery of drugs. These strategies have been found useful in overcoming the drawbacks of conventional treatments including multi-drug resistance.

CONCLUSION

Development of multi-functional nanocargoes encapsulating antibiotics that are proficient in targeting and releasing drug into infected reservoirs seems to be a promising strategy to circumvent the challenge of multidrug resistance. Graphical abstract.

摘要

简介

金黄色葡萄球菌、鼠伤寒沙门氏菌和结核分枝杆菌等细胞内细菌引起的传染病是一个重要的公共卫生关注点。多药和广泛耐药细菌菌株的出现使得对抗此类感染更加困难。存在于细胞内隔室中的细菌为有效治疗提供了额外的障碍。

方法

本综述中提供的信息是通过访问各种电子数据库收集的,包括 Google 学术、Web of Science、Scopus 和自然指数。使用关键词纳米颗粒、细胞内靶向、多药耐药、金黄色葡萄球菌;鼠伤寒沙门氏菌;结核分枝杆菌进行了搜索。收集到的信息使用各种纳米载体系统分为三个主要部分,即“金黄色葡萄球菌的细胞内靶向、鼠伤寒沙门氏菌的细胞内靶向和结核分枝杆菌的细胞内靶向”。

结果

传染病的常规治疗通常包括长期联合使用抗生素治疗,这可能会导致副作用和降低患者的依从性。已经研究了广泛的多功能纳米载体系统,用于将药物递送到包括金黄色葡萄球菌、鼠伤寒沙门氏菌和结核分枝杆菌在内的细菌所在的细胞内隔室中。这些载体系统与靶向递送一起,已被用于持续和控制药物的递送。这些策略已被发现有助于克服常规治疗的缺点,包括多药耐药性。

结论

开发能够靶向并将药物释放到感染部位的多功能纳米载体似乎是规避多药耐药性挑战的有前途的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94c1/7214552/26aedf7020cf/40199_2020_337_Figa_HTML.jpg

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