Bo Letao, Sun Haidong, Li Yi-Dong, Zhu Jonathan, Wurpel John N D, Lin Hanli, Chen Zhe-Sheng
Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, United States.
Shenzhen Hospital of Guangzhou University of Chinese Medicine, Shenzhen, China.
Front Pharmacol. 2024 Feb 14;15:1347750. doi: 10.3389/fphar.2024.1347750. eCollection 2024.
Once hailed as miraculous solutions, antibiotics no longer hold that status. The excessive use of antibiotics across human healthcare, agriculture, and animal husbandry has given rise to a broad array of multidrug-resistant (MDR) pathogens, posing formidable treatment challenges. Antimicrobial resistance (AMR) has evolved into a pressing global health crisis, linked to elevated mortality rates in the modern medical era. Additionally, the absence of effective antibiotics introduces substantial risks to medical and surgical procedures. The dwindling interest of pharmaceutical industries in developing new antibiotics against MDR pathogens has aggravated the scarcity issue, resulting in an exceedingly limited pipeline of new antibiotics. Given these circumstances, the imperative to devise novel strategies to combat perilous MDR pathogens has become paramount. Contemporary research has unveiled several promising avenues for addressing this challenge. The article provides a comprehensive overview of these innovative therapeutic approaches, highlighting their mechanisms of action, benefits, and drawbacks.
抗生素曾被誉为神奇的解决方案,但如今已不再享有这一地位。抗生素在人类医疗保健、农业和畜牧业中的过度使用,催生了大量多重耐药(MDR)病原体,带来了严峻的治疗挑战。抗菌药物耐药性(AMR)已演变成一场紧迫的全球健康危机,与现代医学时代死亡率上升相关。此外,缺乏有效的抗生素给医疗和外科手术带来了重大风险。制药行业对开发针对MDR病原体的新抗生素兴趣日益减少,加剧了稀缺问题,导致新抗生素的研发渠道极其有限。鉴于这些情况,制定新策略来对抗危险的MDR病原体已变得至关重要。当代研究揭示了几条应对这一挑战的有前景的途径。本文全面概述了这些创新治疗方法,突出了它们的作用机制、益处和缺点。