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维生素 C 的促氧化剂特性可克服潜伏性感染的负担:与芬顿反应的交叉对话综述。

A pro-oxidant property of vitamin C to overcome the burden of latent infection: A cross-talk review with Fenton reaction.

机构信息

Department of Life Sciences, Parul Institute of Applied Sciences and Biophysics and Structural Biology Laboratory, Center of Research for Development, Parul University, Vadodara, Gujarat, India.

Amity Institute of Biotechnology, Amity University, Lucknow, Uttar Pradesh, India.

出版信息

Front Cell Infect Microbiol. 2023 Apr 19;13:1152269. doi: 10.3389/fcimb.2023.1152269. eCollection 2023.

Abstract

Tuberculosis (TB), caused by the bacillus , is one of the deadliest infectious illnesses of our day, along with HIV and malaria.Chemotherapy, the cornerstone of TB control efforts, is jeopardized by the advent of strains resistant to many, if not all, of the existing medications.Isoniazid (INH), rifampicin (RIF), pyrazinamide, and ethambutol are used to treat drug-susceptible TB for two months, followed by four months of INH and RIF, but chemotherapy with potentially harmful side effects is sometimes needed to treat multidrug-resistant (MDR) TB for up to two years. Chemotherapy might be greatly shortened by drugs that kill more quickly while simultaneously limiting the emergence of drug resistance.Regardless of their intended target, bactericidal medicines commonly kill pathogenic bacteria (gram-negative and gram-positive) by producing hydroxyl radicals the Fenton reaction.Researchers have concentrated on vitamins with bactericidal properties to address the rising cases globally and have discovered that these vitamins are effective when given along with first-line drugs. The presence of elevated iron content, reactive oxygen species (ROS) generation, and DNA damage all contributed to VC's sterilizing action on . Moreover, it has a pleiotropic effect on a variety of biological processes such as detoxification, protein folding - chaperons, cell wall processes, information pathways, regulatory, virulence, metabolism etc.In this review report, the authors extensively discussed the effects of VC on , such as the generation of free radicals and bactericidal mechanisms with existing treatments, and their further drug development based on ROS production.

摘要

结核病(TB)是由杆菌引起的,是当今最致命的传染病之一,与 HIV 和疟疾并列。化疗是结核病控制工作的基石,但由于出现了对现有许多(如果不是全部)药物都具有耐药性的菌株,化疗受到了威胁。异烟肼(INH)、利福平(RIF)、吡嗪酰胺和乙胺丁醇用于治疗对药物敏感的结核病两个月,然后再用 INH 和 RIF 治疗四个月,但有时需要使用具有潜在有害副作用的化疗来治疗耐多药(MDR)结核病长达两年。通过使用能够更快杀死细菌同时限制耐药性产生的药物,可以大大缩短化疗时间。无论其靶标如何,杀菌药物通常通过产生羟基自由基(Fenton 反应)来杀死致病细菌(革兰氏阴性和革兰氏阳性菌)。研究人员专注于具有杀菌特性的维生素,以应对全球不断增加的病例,并发现这些维生素与一线药物一起使用时是有效的。铁含量升高、活性氧(ROS)生成和 DNA 损伤的存在都促成了 VC 对的杀菌作用。此外,它对多种生物过程具有多效性作用,如解毒、蛋白质折叠-伴侣、细胞壁过程、信息途径、调节、毒力、代谢等。在本综述报告中,作者广泛讨论了 VC 对的影响,例如自由基的产生和与现有治疗方法相关的杀菌机制,以及基于 ROS 产生的进一步药物开发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b590/10155705/9ea349708663/fcimb-13-1152269-g001.jpg

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