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β-内酰胺类抗生素治疗细菌感染:与固有免疫的合作。

Treatment of Bacterial Infections with β-Lactams: Cooperation with Innate Immunity.

机构信息

University of Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, U1019-UMR 9017-CIIL-Center for Infection and Immunity of Lille, Lille, France.

出版信息

Infect Immun. 2023 Feb 16;91(2):e0050322. doi: 10.1128/iai.00503-22. Epub 2023 Jan 25.

Abstract

β-Lactams are the most widely prescribed antibiotics used for the control and treatment of bacterial infections. The direct effect of β-lactams on bacteria is well studied worldwide. In the context of infections and as a consequence of their direct activity against the pathogen, β-lactams also regulate antibacterial immune responses. This knowledge has led to the theorem that the effectiveness of β-lactam treatment results from the synergy between the drug and the immune response. Key players in this immune response, with an essential role in the clearance of live and dead bacteria, are the myeloid cells. In this review, we summarize the data that shed light on how β-lactams interact with myeloid cells during bacterial infection treatment.

摘要

β-内酰胺类抗生素是临床应用最广泛的抗生素之一,用于控制和治疗细菌感染。β-内酰胺类抗生素对细菌的直接作用已在全球范围内得到深入研究。在感染背景下,由于其对病原体的直接作用,β-内酰胺类抗生素还可调节抗菌免疫反应。这一认识促使人们提出了一个理论,即β-内酰胺类抗生素治疗的有效性源于药物与免疫反应的协同作用。在这种免疫反应中,具有清除活菌和死菌的重要作用的髓样细胞是关键参与者。在这篇综述中,我们总结了一些数据,这些数据阐明了β-内酰胺类抗生素在细菌感染治疗过程中与髓样细胞的相互作用。

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