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药物治疗后人类病原体的超微结构改变

Ultrastructural Alterations of the Human Pathogen after Drug Treatment.

作者信息

Benchimol Marlene, Gadelha Ana Paula, de Souza Wanderley

机构信息

BIOTRANS-CAXIAS, Universidade do Grande Rio. UNIGRANRIO, Rio de Janeiro 96200-000, Brazil.

Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, Brazil.

出版信息

Pathogens. 2023 Jun 7;12(6):810. doi: 10.3390/pathogens12060810.

Abstract

This review presents the main cell characteristics altered after in vitro incubation of the parasite with commercial drugs used to treat the disease caused by . This important intestinal parasite primarily causes diarrhea in children. Metronidazole and albendazole are the primary compounds used in therapy against . However, they provoke significant side effects, and some strains have developed resistance to metronidazole. Benzimidazole carbamates, such as albendazole and mebendazole, have shown the best activity against . Despite their in vitro efficacy, clinical treatment with benzimidazoles has yielded conflicting results, demonstrating lower cure rates. Recently, nitazoxanide has been suggested as an alternative to these drugs. Therefore, to enhance the quality of chemotherapy against this parasite, it is important to invest in developing other compounds that can interfere with key steps of metabolic pathways or cell structures and organelles. For example, exhibits a unique cell structure called the ventral disc, which is crucial for host adhesion and pathogenicity. Thus, drugs that can disrupt the adhesion process hold promise for future therapy against . Additionally, this review discusses new drugs and strategies that can be employed, as well as suggestions for developing novel drugs to control the infection caused by this parasite.

摘要

本综述介绍了寄生虫与用于治疗由该寄生虫引起疾病的市售药物进行体外孵育后改变的主要细胞特征。这种重要的肠道寄生虫主要导致儿童腹泻。甲硝唑和阿苯达唑是治疗该寄生虫的主要化合物。然而,它们会引发显著的副作用,并且一些菌株已对甲硝唑产生耐药性。苯并咪唑类化合物,如阿苯达唑和甲苯达唑,对该寄生虫显示出最佳活性。尽管它们在体外有效,但苯并咪唑类药物的临床治疗结果相互矛盾,治愈率较低。最近,硝唑尼特已被建议作为这些药物的替代品。因此,为提高针对这种寄生虫的化疗质量,投资开发其他能够干扰代谢途径或细胞结构及细胞器关键步骤的化合物非常重要。例如,该寄生虫具有一种称为腹盘的独特细胞结构,这对宿主黏附和致病性至关重要。因此,能够破坏黏附过程的药物有望用于未来针对该寄生虫的治疗。此外,本综述讨论了可采用的新药和策略,以及开发新型药物以控制由这种寄生虫引起感染的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149d/10302959/d4d3d5bffb9c/pathogens-12-00810-g001.jpg

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