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作者信息

Wang Honglan, Liu Yannan, Bai Changqing, Leung Sharon Shui Yee

机构信息

School of Pharmacy, the Chinese University of Hong Kong, Hong Kong SAR, China.

Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.

出版信息

Acta Pharm Sin B. 2024 Jan;14(1):155-169. doi: 10.1016/j.apsb.2023.08.017. Epub 2023 Aug 18.

Abstract

Predatory bacteriophages have evolved a vast array of depolymerases for bacteria capture and deprotection. These depolymerases are enzymes responsible for degrading diverse bacterial surface carbohydrates. They are exploited as antibiofilm agents and antimicrobial adjuvants while rarely inducing bacterial resistance, making them an invaluable asset in the era of antibiotic resistance. Numerous depolymerases have been investigated preclinically, with evidence indicating that depolymerases with appropriate dose regimens can safely and effectively combat different multidrug-resistant pathogens in animal infection models. Additionally, some formulation approaches have been developed for improved stability and activity of depolymerases. However, depolymerase formulation is limited to liquid dosage form and remains in its infancy, posing a significant hurdle to their clinical translation, compounded by challenges in their applicability and manufacturing. Future development must address these obstacles for clinical utility. Here, after unravelling the history, diversity, and therapeutic use of depolymerases, we summarized the preclinical efficacy and existing formulation findings of recombinant depolymerases. Finally, the challenges and perspectives of depolymerases as therapeutics for humans were assessed to provide insights for their further development.

摘要

掠夺性噬菌体已经进化出大量用于细菌捕获和去保护的解聚酶。这些解聚酶是负责降解多种细菌表面碳水化合物的酶。它们被用作抗生物膜剂和抗菌佐剂,同时很少诱导细菌耐药性,这使它们在抗生素耐药性时代成为一项宝贵资产。许多解聚酶已在临床前进行了研究,有证据表明,采用适当剂量方案的解聚酶可以在动物感染模型中安全有效地对抗不同的多重耐药病原体。此外,已经开发了一些制剂方法来提高解聚酶的稳定性和活性。然而,解聚酶制剂仅限于液体剂型,并且仍处于起步阶段,这对它们的临床转化构成了重大障碍,其适用性和生产方面的挑战更是雪上加霜。未来的发展必须克服这些障碍以实现临床应用。在此,在梳理了解聚酶的历史、多样性和治疗用途后,我们总结了重组解聚酶的临床前疗效和现有制剂研究结果。最后,评估了解聚酶作为人类治疗药物的挑战和前景,以为其进一步发展提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd9e/10792971/3cd68b8510ff/ga1.jpg

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