Robledo Sara M, Pérez-Silanes Silvia, Fernández-Rubio Celia, Poveda Ana, Monzote Lianet, González Víctor M, Alonso-Collado Paloma, Carrión Javier
Programa de Estudio y Control de Enfermedades Tropicales PECET, Facultad de Medicina, Universidad de Antioquia, Medellín 050010, Colombia.
Department of Pharmaceutical Technology and Chemistry, ISTUN Instituto de Salud Tropical, IdiSNA, Universidad de Navarra, 31008 Pamplona, Spain.
Pathogens. 2023 Jul 15;12(7):939. doi: 10.3390/pathogens12070939.
In 2020, the WHO established the road map for neglected tropical diseases 2021-2030, which aims to control and eradicate 20 diseases, including leishmaniosis and Chagas disease. In addition, since 2015, the WHO has been developing a Global Action Plan on Antimicrobial Resistance. In this context, the achievement of innovative strategies as an alternative to replace conventional therapies is a first-order socio-sanitary priority, especially regarding endemic zoonoses in poor regions, such as those caused by and spp. infections. In this scenario, it is worth highlighting a group of natural peptide molecules (AMPs and CPPs) that are promising strategies for improving therapeutic efficacy against these neglected zoonoses, as they avoid the development of toxicity and resistance of conventional treatments. This review presents the novelties of these peptide molecules and their ability to cross a whole system of cell membranes as well as stimulate host immune defenses or even serve as vectors of molecules. The efforts of the biotechnological sector will make it possible to overcome the limitations of antimicrobial peptides through encapsulation and functionalization methods to obtain approval for these treatments to be used in clinical programs for the eradication of leishmaniosis and Chagas disease.
2020年,世界卫生组织制定了《2021-2030年被忽视热带病路线图》,旨在控制和根除20种疾病,包括利什曼病和恰加斯病。此外,自2015年以来,世界卫生组织一直在制定《抗菌药物耐药性全球行动计划》。在此背景下,实现创新策略以替代传统疗法是首要的社会卫生优先事项,特别是对于贫困地区的地方性人畜共患病,如由 和 属感染引起的疾病。在这种情况下,值得强调的是一组天然肽分子(抗菌肽和细胞穿透肽),它们是提高针对这些被忽视人畜共患病治疗效果的有前景策略,因为它们避免了传统治疗的毒性和耐药性问题。本综述介绍了这些肽分子的新颖之处及其穿越整个细胞膜系统的能力,以及刺激宿主免疫防御甚至作为分子载体的能力。生物技术领域的努力将有可能通过包封和功能化方法克服抗菌肽的局限性,从而使这些治疗方法获得批准,用于根除利什曼病和恰加斯病的临床项目。