Kaur Kawaljeet, Reddy Sagar, Barathe Pramod, Shriram Varsha, Anand Uttpal, Proćków Jarosław, Kumar Vinay
Department of Biotechnology, Modern College of Arts, Science and Commerce, Ganeshkhind, Savitribai Phule Pune University, Pune, India.
Department of Botany, Prof. Ramkrishna More College, Savitribai Phule Pune University, Pune, India.
Front Microbiol. 2021 Nov 12;12:747019. doi: 10.3389/fmicb.2021.747019. eCollection 2021.
Injudicious use of antibiotics has been the main driver of severe bacterial non-susceptibility to commonly available antibiotics (known as drug resistance or antimicrobial resistance), a global threat to human health and healthcare. There is an increase in the incidence and levels of resistance to antibacterial drugs not only in nosocomial settings but also in community ones. The drying pipeline of new and effective antibiotics has further worsened the situation and is leading to a potentially "post-antibiotic era." This requires novel and effective therapies and therapeutic agents for combating drug-resistant pathogenic microbes. Nanomaterials are emerging as potent antimicrobial agents with both bactericidal and potentiating effects reported against drug-resistant microbes. Among them, the photothermally active nanomaterials (PANs) are gaining attention for their broad-spectrum antibacterial potencies driven mainly by the photothermal effect, which is characterized by the conversion of absorbed photon energy into heat energy by the PANs. The current review capitalizes on the importance of using PANs as an effective approach for overcoming bacterial resistance to drugs. Various PANs leveraging broad-spectrum therapeutic antibacterial (both bactericidal and synergistic) potentials against drug-resistant pathogens have been discussed. The review also provides deeper mechanistic insights into the mechanisms of the action of PANs against a variety of drug-resistant pathogens with a critical evaluation of efflux pumps, cell membrane permeability, biofilm, and quorum sensing inhibition. We also discuss the use of PANs as drug carriers. This review also discusses possible cytotoxicities related to the therapeutic use of PANs and effective strategies to overcome this. Recent developments, success stories, challenges, and prospects are also presented.
抗生素的不当使用一直是导致严重细菌对常用抗生素不敏感(即耐药性或抗菌药物耐药性)的主要原因,这是对人类健康和医疗保健的全球威胁。不仅在医院环境中,而且在社区环境中,对抗菌药物的耐药发生率和耐药水平都在上升。新型有效抗生素研发渠道的枯竭进一步恶化了这种情况,并正导致一个潜在的“后抗生素时代”。这就需要新颖有效的疗法和治疗药物来对抗耐药性致病微生物。纳米材料正作为有效的抗菌剂崭露头角,据报道它们对耐药微生物具有杀菌和增效作用。其中,光热活性纳米材料(PANs)因其主要由光热效应驱动的广谱抗菌效力而受到关注,光热效应的特点是PANs将吸收的光子能量转化为热能。本综述强调了使用PANs作为克服细菌耐药性的有效方法的重要性。讨论了各种利用对耐药病原体具有广谱治疗抗菌(杀菌和协同)潜力的PANs。该综述还深入探讨了PANs对多种耐药病原体的作用机制,并对流出泵、细胞膜通透性、生物膜和群体感应抑制进行了批判性评估。我们还讨论了PANs作为药物载体的用途。本综述还讨论了与PANs治疗用途相关的可能细胞毒性以及克服这一问题的有效策略。还介绍了最新进展、成功案例、挑战和前景。
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