Ioannou Petros, Baliou Stella, Kofteridis Diamantis P
School of Medicine, University of Crete, 71003 Heraklion, Greece.
Internal Medicine, University Hospital of Heraklion, 71110 Heraklion, Greece.
Life (Basel). 2023 Jul 28;13(8):1651. doi: 10.3390/life13081651.
Despite recent medical research and clinical practice developments, the development of antimicrobial resistance (AMR) significantly limits therapeutics for infectious diseases. Thus, novel treatments for infectious diseases, especially in this era of increasing AMR, are urgently needed. There is ongoing research on non-classical therapies for infectious diseases utilizing alternative antimicrobial mechanisms to fight pathogens, such as bacteriophages or antimicrobial peptides (AMPs). AMPs are evolutionarily conserved molecules naturally produced by several organisms, such as plants, insects, marine organisms, and mammals, aiming to protect the host by fighting pathogenic microorganisms. There is ongoing research regarding developing AMPs for clinical use in infectious diseases. Moreover, AMPs have several other non-medical applications in the food industry, such as preservatives, animal husbandry, plant protection, and aquaculture. This review focuses on AMPs, their origins, biology, structure, mechanisms of action, non-medical applications, and clinical applications in infectious diseases.
尽管近期医学研究和临床实践有所发展,但抗菌药物耐药性(AMR)的出现严重限制了传染病的治疗方法。因此,迫切需要针对传染病的新型治疗方法,尤其是在AMR不断增加的这个时代。目前正在研究利用替代抗菌机制对抗病原体的传染病非经典疗法,如噬菌体或抗菌肽(AMPs)。抗菌肽是几种生物(如植物、昆虫、海洋生物和哺乳动物)自然产生的进化保守分子,旨在通过对抗病原微生物来保护宿主。目前正在进行关于开发用于传染病临床治疗的抗菌肽的研究。此外,抗菌肽在食品工业中还有其他一些非医学应用,如防腐剂、畜牧业、植物保护和水产养殖。本综述重点关注抗菌肽、其起源、生物学、结构、作用机制、非医学应用以及在传染病中的临床应用。