Guo Yunlei, Song Guanghui, Sun Meiling, Wang Juan, Wang Yi
Department of Endocrinology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China.
Front Cell Infect Microbiol. 2020 Mar 17;10:107. doi: 10.3389/fcimb.2020.00107. eCollection 2020.
Infectious diseases are the second most important cause of human death worldwide; is a very common human pathogenic microorganism that can trigger a variety of infectious diseases, such as skin and soft tissue infections, endocarditis, osteomyelitis, bacteremia, and lethal pneumonia. Moreover, according to the sensitivity to antibiotic drugs, can be divided into methicillin-sensitive (MSSA) and methicillin-resistant (MRSA). In recent decades, due to the evolution of bacteria and the abuse of antibiotics, the drug resistance of has gradually increased, the infection rate of MRSA has increased worldwide, and the clinical anti-infective treatment for MRSA has become more difficult. Accumulating evidence has demonstrated that the resistance mechanisms of are very complex, especially for MRSA, which is resistant to many kinds of antibiotics. Therefore, understanding the drug resistance of MRSA in a timely manner and elucidating its drug resistance mechanism at the molecular level are of great significance for the treatment of infection. A large number of researchers believe that analyzing the molecular characteristics of can help provide a basis for designing effective prevention and treatment measures against hospital infections caused by and further monitor the evolution of . This paper reviews the research status of MSSA and MRSA, the detailed mechanisms of the intrinsic antibiotic resistance and the acquired antibiotic resistance, the advanced research on anti-MRSA antibiotics and novel therapeutic strategies for MRSA treatment.
传染病是全球人类死亡的第二大重要原因;是一种非常常见的人类致病微生物,可引发多种传染病,如皮肤和软组织感染、心内膜炎、骨髓炎、菌血症和致死性肺炎。此外,根据对抗生素药物的敏感性,可分为甲氧西林敏感(MSSA)和甲氧西林耐药(MRSA)。近几十年来,由于细菌的进化和抗生素的滥用,的耐药性逐渐增加,MRSA的感染率在全球范围内上升,对MRSA的临床抗感染治疗变得更加困难。越来越多的证据表明,的耐药机制非常复杂,尤其是对于对多种抗生素耐药的MRSA。因此,及时了解MRSA的耐药性并在分子水平阐明其耐药机制对于感染的治疗具有重要意义。大量研究人员认为,分析的分子特征有助于为设计针对由引起的医院感染的有效预防和治疗措施提供依据,并进一步监测的进化。本文综述了MSSA和MRSA的研究现状、固有抗生素耐药性和获得性抗生素耐药性的详细机制、抗MRSA抗生素的前沿研究以及MRSA治疗的新型治疗策略。