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三氯生:抗菌机制、抗生素相互作用、临床应用和人类健康。

Triclosan: antimicrobial mechanisms, antibiotics interactions, clinical applications, and human health.

机构信息

Biological Sciences Department, University of Memphis, Memphis, Tennessee, USA.

Jeneil Biotech Inc, Saukville, Wisconsin, USA.

出版信息

J Environ Sci Health C Toxicol Carcinog. 2020;38(3):245-268. doi: 10.1080/26896583.2020.1809286.

DOI:10.1080/26896583.2020.1809286
PMID:32955413
Abstract

The large-scale applications of Triclosan in industrial and household products have created many health and environmental concerns. Despite the fears of its drug-resistance and other issues, Triclosan is still an effective drug against many infectious organisms. Knowing the cross-interactions of Triclosan with different antibiotics, bacteria, and humans can provide much-needed information for the risk assessment of this drug. We review the current understanding of the antimicrobial mechanisms of Triclosan, how microbes become resistant to Triclosan, and the synergistic and antagonistic effects of Triclosan with different antibiotics. Current literature on the clinical applications of Triclosan and its effect on fetus/child development are also summarized.

摘要

三氯生在工业和家用产品中的大规模应用引发了诸多健康和环境方面的担忧。尽管人们担心其会产生抗药性和其他问题,但三氯生仍然是对抗许多传染性生物体的有效药物。了解三氯生与不同抗生素、细菌和人类之间的相互作用,可以为这种药物的风险评估提供急需的信息。我们综述了目前对三氯生抗菌机制的认识、微生物对三氯生产生抗药性的方式,以及三氯生与不同抗生素之间的协同和拮抗作用。此外,还总结了目前关于三氯生在临床应用及其对胎儿/儿童发育影响的文献。

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1
Triclosan: antimicrobial mechanisms, antibiotics interactions, clinical applications, and human health.三氯生:抗菌机制、抗生素相互作用、临床应用和人类健康。
J Environ Sci Health C Toxicol Carcinog. 2020;38(3):245-268. doi: 10.1080/26896583.2020.1809286.
2
Non-antibiotic antimicrobial triclosan induces multiple antibiotic resistance through genetic mutation.非抗生素类抗菌剂三氯生通过基因突变诱导多种抗生素耐药性。
Environ Int. 2018 Sep;118:257-265. doi: 10.1016/j.envint.2018.06.004. Epub 2018 Jun 11.
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Chronic exposure to triclosan sustains microbial community shifts and alters antibiotic resistance gene levels in anaerobic digesters.长期接触三氯生会使厌氧消化器中的微生物群落持续发生变化,并改变抗生素抗性基因水平。
Environ Sci Process Impacts. 2016 Aug 10;18(8):1060-7. doi: 10.1039/c6em00282j.
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Household triclosan and triclocarban effects on the infant and maternal microbiome.家庭中三氯生和三氯卡班对婴儿和产妇微生物组的影响。
EMBO Mol Med. 2017 Dec;9(12):1732-1741. doi: 10.15252/emmm.201707882.
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Synergistic and antagonistic interactions of triclosan with various antibiotics in bacteria.三氯生与各种抗生素在细菌中的协同和拮抗相互作用。
J Environ Sci Health C Toxicol Carcinog. 2020;38(3):187-203. doi: 10.1080/26896583.2020.1781494. Epub 2020 Jul 10.
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Triclosan: a widely used biocide and its link to antibiotics.三氯生:一种广泛使用的杀菌剂及其与抗生素的关联。
FEMS Microbiol Lett. 2001 Aug 7;202(1):1-7. doi: 10.1111/j.1574-6968.2001.tb10772.x.
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Biofilms in vitro and in vivo: do singular mechanisms imply cross-resistance?生物膜的体外和体内研究:单一机制是否意味着交叉耐药?
Symp Ser Soc Appl Microbiol. 2002(31):98S-110S.
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Cross-resistance between triclosan and antibiotics in Pseudomonas aeruginosa is mediated by multidrug efflux pumps: exposure of a susceptible mutant strain to triclosan selects nfxB mutants overexpressing MexCD-OprJ.铜绿假单胞菌中三氯生和抗生素之间的交叉耐药性由多药外排泵介导:将敏感突变株暴露于三氯生会选择过表达MexCD-OprJ的nfxB突变体。
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Triclosan and antimicrobial resistance in bacteria: an overview.三氯生与细菌中的抗菌素耐药性:概述
Microb Drug Resist. 2006 Summer;12(2):83-90. doi: 10.1089/mdr.2006.12.83.
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Mechanisms of bacterial biocide and antibiotic resistance.细菌杀菌剂和抗生素耐药性的机制。
J Appl Microbiol. 2002;92 Suppl:55S-64S.

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Int J Environ Res Public Health. 2025 Jun 28;22(7):1031. doi: 10.3390/ijerph22071031.
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Design and Characterization of PAA/CHI/Triclosan Multilayer Films with Long-Term Antibacterial Activity.具有长期抗菌活性的聚丙烯酸/壳聚糖/三氯生多层膜的设计与表征
Polymers (Basel). 2025 Jun 27;17(13):1789. doi: 10.3390/polym17131789.
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Fatty acid synthesis promoted by PA1895-1897 operon delays quorum sensing activation in Pseudomonas aeruginosa.
由PA1895 - 1897操纵子促进的脂肪酸合成会延迟铜绿假单胞菌群体感应的激活。
AMB Express. 2024 Oct 1;14(1):110. doi: 10.1186/s13568-024-01758-5.
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The dark side of beauty: an in-depth analysis of the health hazards and toxicological impact of synthetic cosmetics and personal care products.美丽的阴暗面:深入分析合成化妆品和个人护理产品的健康危害和毒理学影响。
Front Public Health. 2024 Aug 26;12:1439027. doi: 10.3389/fpubh.2024.1439027. eCollection 2024.
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Effects of environmental phenols on eGFR: machine learning modeling methods applied to cross-sectional studies.环境酚类对 eGFR 的影响:应用于横断面研究的机器学习建模方法。
Front Public Health. 2024 Aug 1;12:1405533. doi: 10.3389/fpubh.2024.1405533. eCollection 2024.
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Enhanced Anti-Bacterial Activity of Arachidonic Acid against the Cariogenic Bacterium in Combination with Triclosan and Fluoride.花生四烯酸与三氯生和氟化物联合使用时对致龋菌的抗菌活性增强。
Antibiotics (Basel). 2024 Jun 10;13(6):540. doi: 10.3390/antibiotics13060540.
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The Potential for Genotoxicity, Mutagenicity and Endocrine Disruption in Triclosan and Triclocarban Assessed through a Combination of In Vitro Methods.通过体外方法组合评估三氯生和三氯卡班的遗传毒性、诱变性及内分泌干扰潜力。
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