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先进的聚合物纳米颗粒作为对抗人类细菌感染的有前景的治疗工具。

State-of-the-art polymeric nanoparticles as promising therapeutic tools against human bacterial infections.

作者信息

Cano Amanda, Ettcheto Miren, Espina Marta, López-Machado Ana, Cajal Yolanda, Rabanal Francesc, Sánchez-López Elena, Camins Antonio, García Maria Luisa, Souto Eliana B

机构信息

Department of Pharmacy, Pharmaceutical Technology and Physical Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, Av Joan XXIII, 27-31, 08017, Barcelona, Spain.

Institute of Nanoscience and Nanotechnology (IN2UB), Barcelona, Spain.

出版信息

J Nanobiotechnology. 2020 Oct 31;18(1):156. doi: 10.1186/s12951-020-00714-2.

Abstract

Infectious diseases kill over 17 million people a year, among which bacterial infections stand out. From all the bacterial infections, tuberculosis, diarrhoea, meningitis, pneumonia, sexual transmission diseases and nosocomial infections are the most severe bacterial infections, which affect millions of people worldwide. Moreover, the indiscriminate use of antibiotic drugs in the last decades has triggered an increasing multiple resistance towards these drugs, which represent a serious global socioeconomic and public health risk. It is estimated that 33,000 and 35,000 people die yearly in Europe and the United States, respectively, as a direct result of antimicrobial resistance. For all these reasons, there is an emerging need to find novel alternatives to overcome these issues and reduced the morbidity and mortality associated to bacterial infectious diseases. In that sense, nanotechnological approaches, especially smart polymeric nanoparticles, has wrought a revolution in this field, providing an innovative therapeutic alternative able to improve the limitations encountered in available treatments and capable to be effective by theirselves. In this review, we examine the current status of most dangerous human infections, together with an in-depth discussion of the role of nanomedicine to overcome the current disadvantages, and specifically the most recent and innovative studies involving polymeric nanoparticles against most common bacterial infections of the human body.

摘要

传染病每年导致超过1700万人死亡,其中细菌感染最为突出。在所有细菌感染中,结核病、腹泻、脑膜炎、肺炎、性传播疾病和医院感染是最严重的细菌感染,影响着全球数百万人。此外,在过去几十年中抗生素药物的滥用引发了对这些药物越来越多的多重耐药性,这构成了严重的全球社会经济和公共卫生风险。据估计,在欧洲和美国,每年分别有33000人和35000人直接死于抗菌药物耐药性。出于所有这些原因,迫切需要找到新的替代方法来克服这些问题,并降低与细菌感染性疾病相关的发病率和死亡率。从这个意义上说,纳米技术方法,尤其是智能聚合物纳米颗粒,在该领域引发了一场革命,提供了一种创新的治疗选择,能够改善现有治疗中遇到的局限性,并且自身就能发挥作用。在这篇综述中,我们研究了最危险的人类感染的现状,深入讨论了纳米医学在克服当前劣势方面的作用,特别是涉及聚合物纳米颗粒对抗人体最常见细菌感染的最新和创新性研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0320/7603693/6122a01106bf/12951_2020_714_Fig1_HTML.jpg

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