Cavaco Marco, Castanho Miguel A R B, Neves Vera
Faculdade de Medicina, Instituto de Medicina Molecular João Lobo Antunes, Universidade de Lisboa, Lisbon, Portugal.
Front Microbiol. 2022 Mar 7;13:835677. doi: 10.3389/fmicb.2022.835677. eCollection 2022.
The emergence of antimicrobial resistance (AMR) is rapidly increasing and it is one of the significant twenty-first century's healthcare challenges. Unfortunately, the development of effective antimicrobial agents is a much slower and complex process compared to the spread of AMR. Consequently, the current options in the treatment of AMR are limited. One of the main alternatives to conventional antibiotics is the use of antibody-antibiotic conjugates (AACs). These innovative bioengineered agents take advantage of the selectivity, favorable pharmacokinetic (PK), and safety of antibodies, allowing the administration of more potent antibiotics with less off-target effects. Although AACs' development is challenging due to the complexity of the three components, namely, the antibody, the antibiotic, and the linker, some successful examples are currently under clinical studies.
抗菌药物耐药性(AMR)的出现正在迅速增加,它是21世纪重大的医疗保健挑战之一。不幸的是,与AMR的传播相比,有效抗菌药物的研发是一个更为缓慢和复杂的过程。因此,目前治疗AMR的选择有限。传统抗生素的主要替代方法之一是使用抗体-抗生素偶联物(AAC)。这些创新的生物工程药物利用了抗体的选择性、良好的药代动力学(PK)特性和安全性,从而能够在减少脱靶效应的情况下使用更有效的抗生素。尽管由于抗体、抗生素和连接子这三个组成部分的复杂性,AAC的研发具有挑战性,但目前一些成功的例子正在进行临床研究。