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抗生素耐药性的分子机制及感染的新型治疗策略

Molecular Mechanisms of Antibiotic Resistance and Novel Treatment Strategies for Infections.

作者信息

Srisuphanunt Mayuna, Wilairatana Polrat, Kooltheat Nateelak, Duangchan Thitinat, Katzenmeier Gerd, Rose Joan B

机构信息

Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand.

Excellent Center for Dengue and Community Public Health, School of Public Health, Walailak University, Nakhon Si Thammarat 80160, Thailand.

出版信息

Trop Med Infect Dis. 2023 Mar 11;8(3):163. doi: 10.3390/tropicalmed8030163.

Abstract

infects approximately 50% of the world's population and is considered the major etiological agent of severe gastric diseases, such as peptic ulcers and gastric carcinoma. Increasing resistance to standard antibiotics has now led to an ever-decreasing efficacy of eradication therapies and the development of novel and improved regimens for treatment is urgently required. Substantial progress has been made over the past few years in the identification of molecular mechanisms which are conducive to resistant phenotypes as well as for efficient strategies to counteract strain resistance and to avoid the use of ineffective antibiotics. These involve molecular testing methods, improved salvage therapies, and the discovery of novel and potent antimicrobial compounds. High rates of prevalence and gastric cancer are currently observed in Asian countries, including Japan, China, Korea, and Taiwan, where concomitantly intensive research efforts were initiated to explore advanced eradication regimens aimed at reducing the risk of gastric cancer. In this review, we present an overview of the known molecular mechanisms of antibiotic resistance and discuss recent intervention strategies for diseases, with a view of the research progress in Asian countries.

摘要

它感染了全球约50%的人口,被认为是严重胃部疾病(如消化性溃疡和胃癌)的主要病原体。对标准抗生素的耐药性不断增加,导致根除疗法的疗效日益降低,因此迫切需要开发新的、改进的治疗方案。在过去几年中,在确定导致耐药表型的分子机制以及对抗菌株耐药性和避免使用无效抗生素的有效策略方面取得了重大进展。这些进展包括分子检测方法、改进的挽救疗法以及发现新的强效抗菌化合物。目前在包括日本、中国、韩国和台湾在内的亚洲国家观察到高流行率和胃癌,这些国家同时也开展了密集的研究工作,以探索旨在降低胃癌风险的先进根除方案。在本综述中,我们概述了已知的抗生素耐药分子机制,并结合亚洲国家的研究进展,讨论了针对该疾病的最新干预策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce77/10057134/085a99bb9f5c/tropicalmed-08-00163-g001.jpg

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