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抗生素耐药性和耐受性:药物输送能对这一全球威胁做些什么?

Antibiotic resistance and tolerance: What can drug delivery do against this global threat?

机构信息

Department of Pharmaceutics and Food Technology, Faculty of Pharmacy, Complutense University of Madrid, 28040, Madrid, Spain.

Department of Pharmacy, Gyan Ganga Institute of Technology and Sciences, Jabalpur, 482003, Madhya Pradesh, India.

出版信息

Drug Deliv Transl Res. 2024 Jun;14(6):1725-1734. doi: 10.1007/s13346-023-01513-6. Epub 2024 Feb 10.


DOI:10.1007/s13346-023-01513-6
PMID:38341386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11052818/
Abstract

Antimicrobial resistance and tolerance (AMR&T) are urgent global health concerns, with alarmingly increasing numbers of antimicrobial drugs failing and a corresponding rise in related deaths. Several reasons for this situation can be cited, such as the misuse of traditional antibiotics, the massive use of sanitizing measures, and the overuse of antibiotics in agriculture, fisheries, and cattle. AMR&T management requires a multifaceted approach involving various strategies at different levels, such as increasing the patient's awareness of the situation and measures to reduce new resistances, reduction of current misuse or abuse, and improvement of selectivity of treatments. Also, the identification of new antibiotics, including small molecules and more complex approaches, is a key factor. Among these, novel DNA- or RNA-based approaches, the use of phages, or CRISPR technologies are some potent strategies under development. In this perspective article, emerging and experienced leaders in drug delivery discuss the most important biological barriers for drugs to reach infectious bacteria (bacterial bioavailability). They explore how overcoming these barriers is crucial for producing the desired effects and discuss the ways in which drug delivery systems can facilitate this process.

摘要

抗微生物药物耐药性和耐受性(AMR&T)是当前紧迫的全球卫生问题,令人震惊的是,失败的抗菌药物数量不断增加,相关死亡人数也相应上升。造成这种情况的原因有很多,例如传统抗生素的滥用、大量使用消毒措施以及农业、渔业和畜牧业中抗生素的过度使用。AMR&T 的管理需要采取多方面的方法,涉及不同层面的各种策略,例如提高患者对现状的认识和减少新耐药性的措施、减少当前的误用或滥用以及提高治疗的选择性。此外,确定新的抗生素,包括小分子和更复杂的方法,是一个关键因素。在这些方法中,新型基于 DNA 或 RNA 的方法、噬菌体的使用或 CRISPR 技术是正在开发的一些有效策略。在这篇观点文章中,药物输送领域的新兴和经验丰富的领导者讨论了药物到达感染细菌(细菌生物利用度)的最重要的生物学屏障。他们探讨了克服这些障碍对于产生预期效果的重要性,并讨论了药物输送系统如何促进这一过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a3/11052818/eb1c0518d4fd/13346_2023_1513_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a3/11052818/eb1c0518d4fd/13346_2023_1513_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a3/11052818/eb1c0518d4fd/13346_2023_1513_Fig1_HTML.jpg

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本文引用的文献

[1]
Antibacterial activity of epsilon-poly-l-lysine produced by HS4 and HS5, alone and in combination with bacteriophages.

Microbiology (Reading). 2023-7

[2]
Preparation of Co-Amorphous Levofloxacin Systems for Pulmonary Application.

Pharmaceutics. 2023-5-23

[3]
Metals to combat antimicrobial resistance.

Nat Rev Chem. 2023-3

[4]
Liquid crystalline lipid nanoparticles improve the antibacterial activity of tobramycin and vancomycin against intracellular Pseudomonas aeruginosa and Staphylococcus aureus.

Int J Pharm. 2023-5-25

[5]
Recent Advances in Monoclonal Antibody-Based Approaches in the Management of Bacterial Sepsis.

Biomedicines. 2023-3-2

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Protein adsorption determines pulmonary cell uptake of lipid-based nanoparticles.

J Colloid Interface Sci. 2023-7

[7]
Phage Therapy as an Alternative Treatment Modality for Resistant Infections.

Antibiotics (Basel). 2023-2-1

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Towards Translation of PqsR Inverse Agonists: From In Vitro Efficacy Optimization to In Vivo Proof-of-Principle.

Adv Sci (Weinh). 2023-2

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Modeling the Effect of Hydrophobicity on the Passive Permeation of Solutes across a Bacterial Model Membrane.

J Chem Inf Model. 2022-10-24

[10]
CRISPR-Cas9: A History of Its Discovery and Ethical Considerations of Its Use in Genome Editing.

Biochemistry (Mosc). 2022-8

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