Department of Bioresources, School of Biological Sciences, University of Kashmir, Srinagar-190006, India.
Curr Drug Targets. 2021;22(12):1424-1436. doi: 10.2174/1389450121666201228123212.
The major health-care burden for the developing world are infectious diseases where antimicrobial agents prove to be the magical drugs to combat this. But the phenomenon of antimicrobial resistance (AMR) represents a challenging global issue, which requires to be addressed effectively. The antimicrobial treatment for the emerging multidrug-resistant bacterial (e.g. TB, Cholera) and fungal (e.g. Candidiasis) infections is very limited, and there are multiple causes and reasons responsible for the evolution of such resistance. Considering the critical issues of increasing AMR, there is an urgent requirement of the identification, development, validation, and progression of novel strategies and approaches that can easily be utilized for overcoming this serious issue. Immunotherapy represents a significant way to improve host defenses and combat the issue of antimicrobial drug resistance. Similarly, drug combination therapy represents another promising approach for reducing the evolution of resistance and enhancing the longevity of the antimicrobial agents. Bacteriophage therapy also acts as a novel therapeutic option to control the development of the multidrug resistance (MDR) phenomenon. Besides, CRISPR, an innovative genome editing technology, offers multiple applications to safeguard host defenses to overcome different resistance challenges. The novel approaches/ strategies like combination therapy, bacteriophage therapy, immunotherapy, and CRISPR/Cas discussed here presents an overview of some of the novel strategies/approaches to be adopted against the pathogenic microbes/microbial invasions along with advanced knowledge of different drug resistance mechanisms adopted by the microbial pathogens to gain resistance against different antimicrobial agents. Therefore, understanding the novel control plans/approaches and different drug resistance mechanisms will help achieve the goals of the successful development of potential antimicrobial drugs and their respective targets and eventually help curtail the problem of increasing antimicrobial drug resistance menace in various human pathogenic microbes.
发展中国家主要的医疗负担是传染病,而抗菌药物被证明是对抗这些疾病的神奇药物。但抗菌药物耐药性(AMR)现象是一个具有挑战性的全球问题,需要有效地加以解决。对于新兴的多药耐药细菌(如结核病、霍乱)和真菌(如念珠菌病)感染,抗菌药物的治疗选择非常有限,而导致这种耐药性的原因有很多。考虑到 AMR 不断增加的关键问题,迫切需要确定、开发、验证和推进新的策略和方法,以便轻易克服这一严重问题。免疫疗法代表了增强宿主防御和对抗抗菌药物耐药性问题的重要途径。同样,药物联合治疗代表了另一种有前途的方法,可以减少耐药性的进化并延长抗菌药物的寿命。噬菌体治疗也可作为一种控制多药耐药(MDR)现象发展的新型治疗选择。此外,CRISPR 是一种创新的基因组编辑技术,为保护宿主防御以克服不同的耐药挑战提供了多种应用。这里讨论的联合治疗、噬菌体治疗、免疫疗法和 CRISPR/Cas 等新方法/策略概述了一些针对致病微生物/微生物入侵的新策略/方法,以及微生物病原体为获得对抗不同抗菌药物的耐药性而采用的不同耐药机制的先进知识。因此,了解新的控制计划/方法和不同的耐药机制将有助于实现成功开发潜在抗菌药物及其各自靶标的目标,并最终有助于遏制各种人类致病微生物中抗菌药物耐药性威胁日益增加的问题。