Thambirajoo Maheswary, Maarof Manira, Lokanathan Yogeswaran, Katas Haliza, Ghazalli Nur Fatiha, Tabata Yasuhiko, Fauzi Mh Busra
Centre for Tissue Engineering and Regenerative Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia.
Centre for Drug Delivery Research, Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia.
Antibiotics (Basel). 2021 Nov 2;10(11):1338. doi: 10.3390/antibiotics10111338.
Nanotechnology has become an emerging technology in the medical field and is widely applicable for various clinical applications. The potential use of nanoparticles as antimicrobial agents is greatly explored and taken into consideration as alternative methods to overcome the challenges faced by healthcare workers and patients in preventing infections caused by pathogenic microorganisms. Among microorganisms, bacterial infections remain a major hurdle and are responsible for high morbidity and mortality globally, especially involving those with medical conditions and elderly populations. Over time, these groups are more vulnerable to developing resistance to antibiotics, as bacterial biofilms are difficult to destroy or eliminate via antibiotics; thus, treatment becomes unsuccessful or ineffective. Mostly, bacterial biofilms and other microbes can be found on medical devices and wounds where they disperse their contents which cause infections. To inhibit biofilm formations and overcome antibiotic resistance, antimicrobial-loaded nanoparticles alone or combined with other substances could enhance the bactericidal activity of nanomaterials. This includes killing the pathogens effectively without harming other cells or causing any adverse effects to living cells. This review summarises the mechanisms of actions employed by the different types of nanoparticles which counteract infectious agents in reducing biofilm formation and improve antibiotic therapy for clinical usage.
纳米技术已成为医学领域的一项新兴技术,广泛应用于各种临床应用。纳米颗粒作为抗菌剂的潜在用途得到了广泛探索,并被视为克服医护人员和患者在预防病原微生物感染方面所面临挑战的替代方法。在微生物中,细菌感染仍然是一个主要障碍,在全球范围内导致高发病率和高死亡率,尤其是在患有疾病的人群和老年人群中。随着时间的推移,这些群体更容易对抗生素产生耐药性,因为细菌生物膜很难通过抗生素被破坏或清除;因此,治疗变得不成功或无效。大多数情况下,细菌生物膜和其他微生物可以在医疗设备和伤口上找到,它们在这些地方释放其导致感染的物质。为了抑制生物膜形成并克服抗生素耐药性,负载抗菌剂的纳米颗粒单独使用或与其他物质结合使用可以增强纳米材料的杀菌活性。这包括在不伤害其他细胞或对活细胞造成任何不良影响的情况下有效杀死病原体。本综述总结了不同类型纳米颗粒用于对抗感染因子以减少生物膜形成并改善临床抗生素治疗的作用机制。