de Koning Harry P
Institute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, U.K.
Emerg Top Life Sci. 2017 Dec 22;1(6):627-632. doi: 10.1042/ETLS20170113.
As with all other anti-infectives (antibiotics, anti-viral drugs, and anthelminthics), the limited arsenal of anti-protozoal drugs is being depleted by a combination of two factors: increasing drug resistance and the failure to replace old and often shamefully inadequate drugs, including those compromised by (cross)-resistance, through the development of new anti-parasitics. Both factors are equally to blame: a leaking bathtub may have plenty of water if the tap is left open; if not, it will soon be empty. Here, I will reflect on the factors that contribute to the drug resistance emergency that is unfolding around us, specifically resistance in protozoan parasites.
与所有其他抗感染药物(抗生素、抗病毒药物和抗蠕虫药物)一样,抗寄生虫药物的有限储备正因两个因素的共同作用而逐渐枯竭:耐药性不断增加,以及未能通过开发新的抗寄生虫药物来替代旧的、往往严重不足的药物,包括那些因(交叉)耐药性而受损的药物。这两个因素都难辞其咎:如果水龙头开着,漏水的浴缸可能还有很多水;如果不开,很快就会空了。在此,我将思考导致我们周围正在出现的耐药性紧急情况的因素,特别是原生动物寄生虫的耐药性。