Division of Infectious Diseases, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Emergency Medicine and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Int J Antimicrob Agents. 2022 Jan;59(1):106475. doi: 10.1016/j.ijantimicag.2021.106475. Epub 2021 Nov 10.
Multidrug-resistant (MDR) bacterial infections in humans are increasing worldwide. The global spread of antimicrobial resistance poses a considerable threat to human health. Phage therapy is a promising approach to combat MDR bacteria. An increasing number of reports have been published on phage therapy and the successful application of antibacterials derived using this method. Additionally, the CRISPR-Cas system has been used to develop antimicrobials with bactericidal effects in vivo. The CRISPR-Cas system can be delivered into target bacteria in various ways, with phage-based vectors being reported as an effective method. In this review, we briefly summarise the results of randomised control trials on bacteriophage therapy. Moreover, we integrated mechanisms of the CRISPR-Cas system antimicrobials in a schematic diagram and consolidated the research on phage-delivered CRISPR-Cas system antimicrobials.
人源多重耐药(MDR)细菌感染正在全球范围内不断增加。抗菌药物耐药性的全球传播对人类健康构成了重大威胁。噬菌体疗法是一种很有前途的对抗 MDR 细菌的方法。越来越多的报告发表了关于噬菌体疗法和使用这种方法成功应用的抗菌药物。此外,CRISPR-Cas 系统已被用于开发具有体内杀菌作用的抗菌药物。CRISPR-Cas 系统可以通过多种方式递送至靶细菌,基于噬菌体的载体被报道为一种有效的方法。在这篇综述中,我们简要总结了噬菌体治疗的随机对照试验的结果。此外,我们将 CRISPR-Cas 系统抗菌药物的机制整合到一个示意图中,并整合了噬菌体递送的 CRISPR-Cas 系统抗菌药物的研究。