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耐多药结核病治疗的新进展。

New advances in the treatments of drug-resistant tuberculosis.

作者信息

Mahmoud Mohanad, Tan Yurong

机构信息

Department of Medical Microbiology; China-Africa Research Center of Infectious Diseases, School of Basic Medical Sciences, Central South University, Changsha, Hunan, China.

出版信息

Expert Rev Anti Infect Ther. 2023 Jul-Dec;21(8):863-870. doi: 10.1080/14787210.2023.2240022. Epub 2023 Jul 25.

Abstract

INTRODUCTION

TB is associated with high mortality and morbidity among infected individuals and a high transmission rate from person to person. Despite the availability of vaccines and several anti-TB,TB infection continues to increase. Global resistance to TB remains the greatest challenge. There has not been extensive research into a new treatment and management strategy for TB resistance therapy. This review is based on a review of new advances and alternative drugs in the treatment of drug-resistant TB.

AREAS COVERED

New drug-resistant Mycobacterium tuberculosis therapy involves a combination of the latest TB drugs, new anti-TB drugs based on medicinal plant extracts for drug-resistant TB, mycobacteriophage therapy, the CRISPR/Cas9 system, and nanotechnology.

EXPERT OPINION

It is necessary to determine the function of individual gene alterations in drug-resistant TB. A combination of the most recent anti-TB drugs, such as bedaquiline and delamanid, is recommended. Longitudinal studies and animal model experiments with some medicinal plant extracts are required for better results. Nanotechnology has the potential to reduce drug side effects. Useful efficacy of phage therapy and CRISPR-cas9 technology as adjunct therapies for the management of drug-resistant TB.

摘要

引言

结核病在受感染个体中与高死亡率和高发病率相关,且人际传播率高。尽管有疫苗和多种抗结核药物,但结核感染仍在持续增加。全球结核菌耐药性仍然是最大的挑战。对于耐药结核病的新治疗和管理策略尚未进行广泛研究。本综述基于对耐药结核病治疗新进展和替代药物的综述。

涵盖领域

新型耐药结核分枝杆菌治疗涉及最新的抗结核药物、基于药用植物提取物的新型抗耐药结核病抗结核药物、分枝杆菌噬菌体治疗、CRISPR/Cas9系统和纳米技术的联合应用。

专家观点

有必要确定耐药结核病中个体基因改变的功能。推荐联合使用最新的抗结核药物,如贝达喹啉和地拉曼丁。为获得更好的结果,需要对一些药用植物提取物进行纵向研究和动物模型实验。纳米技术有可能减少药物副作用。噬菌体治疗和CRISPR-cas9技术作为耐药结核病管理辅助疗法具有有益疗效。

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