Ruest Marta K, Dennis Jonathan J
Department of Biological Sciences, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Pathogens. 2022 Aug 18;11(8):931. doi: 10.3390/pathogens11080931.
Resistance to antibiotics in Bacteria is one of the biggest threats to human health. After decades of attempting to isolate or design antibiotics with novel mechanisms of action against bacterial pathogens, few approaches have been successful. Antibacterial drug discovery is now moving towards targeting bacterial virulence factors, especially immune evasion factors. Gram-negative bacteria present some of the most significant challenges in terms of antibiotic resistance. However, they are also able to be eliminated by the component of the innate immune system known as the complement system. In response, Gram-negative bacteria have evolved a variety of mechanisms by which they are able to evade complement and cause infection. Complement resistance mechanisms present some of the best novel therapeutic targets for defending against highly antibiotic-resistant pathogenic bacterial infections.
细菌对抗生素的耐药性是对人类健康的最大威胁之一。在数十年试图分离或设计针对细菌病原体的具有新作用机制的抗生素之后,很少有方法取得成功。抗菌药物研发目前正朝着靶向细菌毒力因子,尤其是免疫逃避因子的方向发展。革兰氏阴性菌在抗生素耐药性方面带来了一些最严峻的挑战。然而,它们也能够被先天免疫系统中称为补体系统的成分所清除。作为回应,革兰氏阴性菌已经进化出多种机制来逃避补体并引发感染。补体抗性机制是抵御高度耐药性病原菌感染的一些最佳新型治疗靶点。