Le Mi Nguyen-Tra, Kawada-Matsuo Miki, Komatsuzawa Hitoshi
Department of Bacteriology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Front Microbiol. 2022 Jun 9;13:930629. doi: 10.3389/fmicb.2022.930629. eCollection 2022.
Antibiotics play a vital role in saving millions of lives from fatal infections; however, the inappropriate use of antibiotics has led to the emergence and propagation of drug resistance worldwide. Multidrug-resistant bacteria represent a significant challenge to treating infections due to the limitation of available antibiotics, necessitating the investigation of alternative treatments for combating these superbugs. Under such circumstances, antimicrobial peptides (AMPs), including human-derived AMPs and bacteria-derived AMPs (so-called bacteriocins), are considered potential therapeutic drugs owing to their high efficacy against infectious bacteria and the poor ability of these microorganisms to develop resistance to them. Several staphylococcal species including , , , and are commensal bacteria and known to cause many opportunistic infectious diseases. Methicillin-resistant , especially methicillin-resistant (MRSA), are of particular concern among the critical multidrug-resistant infectious Gram-positive pathogens. Within the past decade, studies have reported promising AMPs that are effective against MRSA and other methicillin-resistant . This review discusses the sources and mechanisms of AMPs against staphylococcal species, as well as their potential to become chemotherapies for clinical infections caused by multidrug-resistant staphylococci.
抗生素在挽救数百万人的生命免受致命感染方面发挥着至关重要的作用;然而,抗生素的不当使用已导致耐药性在全球范围内出现和传播。由于可用抗生素的局限性,多重耐药细菌对治疗感染构成了重大挑战,因此有必要研究对抗这些超级细菌的替代治疗方法。在这种情况下,抗菌肽(AMPs),包括人源抗菌肽和细菌源抗菌肽(所谓的细菌素),因其对感染性细菌具有高效性以及这些微生物对其产生耐药性的能力较差,而被视为潜在的治疗药物。几种葡萄球菌,包括金黄色葡萄球菌、表皮葡萄球菌、腐生葡萄球菌和溶血葡萄球菌,是共生细菌,已知会引起许多机会性传染病。耐甲氧西林金黄色葡萄球菌,尤其是耐甲氧西林金黄色葡萄球菌(MRSA),在关键的多重耐药革兰氏阳性感染病原体中尤其令人担忧。在过去十年中,研究报告了一些对MRSA和其他耐甲氧西林葡萄球菌有效的有前景的抗菌肽。本综述讨论了针对葡萄球菌属的抗菌肽的来源和作用机制,以及它们成为治疗多重耐药葡萄球菌引起的临床感染的化疗药物的潜力。