Miller Craig, Gilmore Jordon
Bioengineering Department, Clemson University, Clemson, SC 29632, USA.
Antibiotics (Basel). 2020 May 16;9(5):259. doi: 10.3390/antibiotics9050259.
Since the discovery and subsequent use of penicillin, antibiotics have been used to treat most bacterial infections in the U.S. Over time, the repeated prescription of many antibiotics has given rise to many antibiotic-resistant microbes. A bacterial strain becomes resistant by horizontal gene transfer, where surviving microbes acquire genetic material or DNA fragments from adjacent bacteria that encode for resistance. In order to avoid significant bacterial resistance, novel and target therapeutics are needed. Further advancement of diagnostic technologies could be used to develop novel treatment strategies. The use of biosensors to detect quorum-sensing signaling molecules has the potential to provide timely diagnostic information toward mitigating the multidrug-resistant bacteria epidemic. Resistance and pathogenesis are controlled by quorum-sensing (QS) circuits. QS systems secrete or passively release signaling molecules when the bacterial concentration reaches a certain threshold. Signaling molecules give an early indication of virulence. Detection of these compounds in vitro or in vivo can be used to identify the onset of infection. Whole-cell and cell-free biosensors have been developed to detect quorum-sensing signaling molecules. This review will give an overview of quorum networks in the most common pathogens found in chronic and acute infections. Additionally, the current state of research surrounding the detection of quorum-sensing molecules will be reviewed. Followed by a discussion of future works toward the advancement of technologies to quantify quorum signaling molecules in chronic and acute infections.
自从青霉素被发现并随后投入使用以来,抗生素在美国一直被用于治疗大多数细菌感染。随着时间的推移,许多抗生素的反复使用催生了许多具有抗生素抗性的微生物。细菌菌株通过水平基因转移产生抗性,即存活的微生物从相邻细菌获取编码抗性的遗传物质或DNA片段。为了避免显著的细菌抗性,需要新型的靶向治疗方法。诊断技术的进一步发展可用于开发新的治疗策略。使用生物传感器检测群体感应信号分子有可能为缓解多重耐药菌流行提供及时的诊断信息。抗性和发病机制由群体感应(QS)回路控制。当细菌浓度达到一定阈值时,QS系统会分泌或被动释放信号分子。信号分子是毒力的早期指标。在体外或体内检测这些化合物可用于识别感染的开始。已经开发出全细胞和无细胞生物传感器来检测群体感应信号分子。本综述将概述在慢性和急性感染中最常见病原体的群体网络。此外,还将综述围绕群体感应分子检测的当前研究状况。随后讨论在慢性和急性感染中量化群体感应信号分子的技术进步的未来工作。