Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.
Department of Renal Medicine, Centre for Urological Biology, Division of Medicine, University College London, London, UK.
Nat Rev Microbiol. 2023 Sep;21(9):555-572. doi: 10.1038/s41579-023-00905-2. Epub 2023 May 31.
Although new antibiofilm agents have been developed to prevent and eliminate pathogenic biofilms, their widespread clinical use is hindered by poor biocompatibility and bioavailability, unspecific interactions and insufficient local concentrations. The development of innovative drug delivery strategies can facilitate penetration of antimicrobials through biofilms, promote drug dispersal and synergistic bactericidal effects, and provide novel paradigms for clinical application. In this Review, we discuss the potential benefits of such emerging techniques for improving the clinical efficacy of antibiofilm agents, as well as highlighting the existing limitations and future prospects for these therapies in the clinic.
虽然已经开发出了新的抗生物膜剂来预防和消除病原菌生物膜,但由于较差的生物相容性和生物利用度、非特异性相互作用以及局部浓度不足,其广泛的临床应用受到了阻碍。创新药物输送策略的发展可以促进抗生素穿透生物膜,促进药物扩散和协同杀菌作用,并为临床应用提供新的范例。在这篇综述中,我们讨论了这些新兴技术在提高抗生物膜剂临床疗效方面的潜在益处,同时强调了这些疗法在临床中的现有局限性和未来前景。