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微生物的抗生素耐药性:历史、机制、治疗策略和未来前景。

Antibiotic resistance in microbes: History, mechanisms, therapeutic strategies and future prospects.

机构信息

Department of Pharmacy, Faculty of Pharmacy, University of Dhaka, Dhaka 1000, Bangladesh.

Research Department of Plant Biology and Biotechnology, Loyola College, Nungambakkam, Chennai, Tamil Nadu, India.

出版信息

J Infect Public Health. 2021 Dec;14(12):1750-1766. doi: 10.1016/j.jiph.2021.10.020. Epub 2021 Oct 23.

Abstract

Antibiotics have been used to cure bacterial infections for more than 70 years, and these low-molecular-weight bioactive agents have also been used for a variety of other medicinal applications. In the battle against microbes, antibiotics have certainly been a blessing to human civilization by saving millions of lives. Globally, infections caused by multidrug-resistant (MDR) bacteria are on the rise. Antibiotics are being used to combat diversified bacterial infections. Synthetic biology techniques, in combination with molecular, functional genomic, and metagenomic studies of bacteria, plants, and even marine invertebrates are aimed at unlocking the world's natural products faster than previous methods of antibiotic discovery. There are currently only few viable remedies, potential preventive techniques, and a limited number of antibiotics, thereby necessitating the discovery of innovative medicinal approaches and antimicrobial therapies. MDR is also facilitated by biofilms, which makes infection control more complex. In this review, we have spotlighted comprehensively various aspects of antibiotics viz. overview of antibiotics era, mode of actions of antibiotics, development and mechanisms of antibiotic resistance in bacteria, and future strategies to fight the emerging antimicrobial resistant threat.

摘要

抗生素已经被用于治疗细菌感染超过 70 年,这些低分子量的生物活性物质也被用于多种其他药用应用。在与微生物的斗争中,抗生素无疑是人类文明的福音,挽救了数百万人的生命。在全球范围内,由多药耐药(MDR)细菌引起的感染正在上升。抗生素被用于对抗各种细菌感染。合成生物学技术与细菌、植物甚至海洋无脊椎动物的分子、功能基因组和宏基因组研究相结合,旨在比以前的抗生素发现方法更快地解锁世界上的天然产物。目前只有少数可行的治疗方法、潜在的预防技术和有限数量的抗生素,因此需要发现创新的医学方法和抗菌疗法。生物膜也促进了 MDR 的发展,这使得感染控制更加复杂。在这篇综述中,我们全面地关注了抗生素的各个方面,包括抗生素时代概述、抗生素的作用模式、细菌中抗生素耐药性的发展和机制,以及应对新出现的抗微生物耐药性威胁的未来策略。

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