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细菌对抗肿瘤药物的适应性涉及持留菌,并增加了对抗生素的耐药性。

Adaptation of Bacteria to Antineoplastic Agents Involves Persister Cells and Increases Resistance to Antibiotics.

作者信息

de Carvalho Carla C C R

机构信息

iBB-Institute for Bioengineering and Biosciences, Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisbon, Portugal.

Associate Laboratory i4HB-Institute for Health and Bioeconomy, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisbon, Portugal.

出版信息

Bioengineering (Basel). 2022 Jul 30;9(8):355. doi: 10.3390/bioengineering9080355.

DOI:10.3390/bioengineering9080355
PMID:36004880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9404991/
Abstract

The increasing number of life-threatening infections observed in cancer patients has been ascribed to chemotherapy-induced neutropenia and to invasive medical procedures such as surgery and the application of catheters. In this study, it was questioned if the infections could also be favored by an increased resistance of bacteria due to the adaptation to antineoplastic agents used in chemotherapy. After exposure to several antineoplastic agents, it was observed that cells of , , and changed the fatty acid profile of their cellular membranes, produced exopolymeric substances, and formed aggregates that adhered to surfaces. Additionally, when exposed to high concentrations of these compounds, a persister sub-population could be identified. After adaptation to antineoplastic agents, the minimum inhibitory concentration (MIC) of several antibiotics increased considerably in the tested strains.

摘要

癌症患者中观察到的危及生命的感染数量不断增加,这归因于化疗引起的中性粒细胞减少以及手术和导管应用等侵入性医疗程序。在本研究中,有人质疑感染是否也可能因细菌对化疗中使用的抗肿瘤药物产生适应性而导致耐药性增加而受到促进。在接触几种抗肿瘤药物后,观察到[具体细菌名称1]、[具体细菌名称2]、[具体细菌名称3]和[具体细菌名称4]的细胞改变了其细胞膜的脂肪酸谱,产生了胞外聚合物,并形成了附着在表面的聚集体。此外,当暴露于这些化合物的高浓度时,可以识别出一个持留菌亚群。在适应抗肿瘤药物后,测试菌株中几种抗生素的最低抑菌浓度(MIC)显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/893e68d05801/bioengineering-09-00355-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/69a2f5b5c454/bioengineering-09-00355-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/c20febf3282e/bioengineering-09-00355-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/6617657242e7/bioengineering-09-00355-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/893e68d05801/bioengineering-09-00355-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/69a2f5b5c454/bioengineering-09-00355-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/c20febf3282e/bioengineering-09-00355-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/6617657242e7/bioengineering-09-00355-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5731/9404991/893e68d05801/bioengineering-09-00355-g004.jpg

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本文引用的文献

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Immunometabolism in biofilm infection: lessons from cancer.生物膜感染中的免疫代谢:癌症的启示。
Mol Med. 2022 Jan 29;28(1):10. doi: 10.1186/s10020-022-00435-2.
2
Impact of PrsA on membrane lipid composition during daptomycin-resistance-mediated β-lactam sensitization in clinical MRSA strains.临床耐万古霉素金黄色葡萄球菌株中介导达托霉素耐药性增强时 PrsA 对膜脂组成的影响。
J Antimicrob Chemother. 2021 Dec 24;77(1):135-147. doi: 10.1093/jac/dkab356.
3
Antibiotic resistance in the patient with cancer: Escalating challenges and paths forward.
癌症患者的抗生素耐药性:不断升级的挑战和前进道路。
CA Cancer J Clin. 2021 Nov;71(6):488-504. doi: 10.3322/caac.21697. Epub 2021 Sep 21.
4
Nasal Carriage by among Healthcare Workers and Students Attending a University Hospital in Southern Brazil: Prevalence, Phenotypic, and Molecular Characteristics.巴西南部一家大学医院医护人员和学生的鼻腔携带情况:患病率、表型及分子特征
Interdiscip Perspect Infect Dis. 2020 Dec 3;2020:3808036. doi: 10.1155/2020/3808036. eCollection 2020.
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Mortality and admission to intensive care units after febrile neutropenia in patients with cancer.癌症患者发热性中性粒细胞减少症后的死亡率及入住重症监护病房情况。
Cancer Med. 2020 May;9(9):3033-3042. doi: 10.1002/cam4.2955. Epub 2020 Mar 7.
6
Gut Microbiota, Antibiotic Therapy and Antimicrobial Resistance: A Narrative Review.肠道微生物群、抗生素治疗与抗菌药物耐药性:一项叙述性综述
Microorganisms. 2020 Feb 17;8(2):269. doi: 10.3390/microorganisms8020269.
7
Impact of anticancer chemotherapy on the extension of beta-lactamase spectrum: an example with KPC-type carbapenemase activity towards ceftazidime-avibactam.抗癌化疗对β-内酰胺酶谱扩展的影响:以对头孢他啶-阿维巴坦具有 KPC 型碳青霉烯酶活性为例。
Sci Rep. 2020 Jan 17;10(1):589. doi: 10.1038/s41598-020-57505-w.
8
Enhanced emergence of antibiotic-resistant pathogenic bacteria after in vitro induction with cancer chemotherapy drugs.癌症化疗药物体外诱导后抗生素耐药性病原菌的增强出现。
J Antimicrob Chemother. 2019 Jun 1;74(6):1572-1577. doi: 10.1093/jac/dkz070.
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Drug persistence - from antibiotics to cancer therapies.药物持久性——从抗生素到癌症疗法。
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ISME J. 2019 May;13(5):1239-1251. doi: 10.1038/s41396-019-0344-9. Epub 2019 Jan 15.