多酚的抗菌潜力:应对抗菌药物耐药性的替代方法的最新进展。
Antimicrobial Potential of Polyphenols: An Update on Alternative for Combating Antimicrobial Resistance.
机构信息
Department of Pharmaceutical Technology, MIET, Meerut (UP), 250005, India.
Department of Pharmacology & Toxicology, National Institute of Pharmaceutical Education and Research, Raebareli, 226002, UP, India.
出版信息
Med Chem. 2024;20(6):576-596. doi: 10.2174/0115734064277579240328142639.
The last decade has encountered an increasing demand for plant-based natural antibiotics. This demand has led to more research-based investigations for natural sources of antimicrobial agents and published reports demonstrating that plant extracts are widely applied in modern medicine, reporting potential activity that may be due to polyphenol compounds. Interestingly, the effects of polyphenols on the sensitivity of bacteria to antibiotics have not been well-studied. Hence, the current review encompasses the prospective application of plant-based phenolic extracts from plants of Indian origin. The emergence of resistance to antimicrobial agents has increased the inefficacy of many antimicrobial drugs. Several strategies have been developed in recent times to overcome this issue. A combination of antimicrobial agents is employed for the failing antibiotics, which restores the desirable effect but may have toxicity-related issues. Phytochemicals such as some polyphenols have demonstrated their potent activity as antimicrobial agents of natural origin to work against resistance issues. These agents alone or in combination with certain antibiotics have been shown to enhance the antimicrobial activity against a spectrum of microbes. However, the information regarding the mechanisms and structure-activity relationships remains elusive. The present review also focuses on the possible mechanisms of natural compounds based on their structure- activity relationships for incorporating polyphenolic compounds in the drug-development processes. Besides this work, polyphenols could reduce drug dosage and may diminish the unhidden or hidden side effects of antibiotics. Pre-clinical findings have provided strong evidence that polyphenolic compounds, individually and in combination with already approved antibiotics, work well against the development of resistance. However, more studies must focus on in vivo results, and clinical research needs to specify the importance of polyphenol-based antibacterials in clinical trials.
过去十年,人们对植物源天然抗生素的需求不断增加。这种需求促使人们对天然来源的抗菌剂进行了更多的基于研究的调查,并发表了报告,表明植物提取物广泛应用于现代医学,报告了可能由于多酚化合物而产生的潜在活性。有趣的是,多酚对细菌对抗生素敏感性的影响尚未得到很好的研究。因此,目前的综述包括来自印度本土植物的基于植物的酚类提取物的潜在应用。抗菌药物耐药性的出现增加了许多抗菌药物的无效性。最近已经开发了几种策略来解决这个问题。将抗菌药物组合使用是针对失败的抗生素的一种方法,它恢复了理想的效果,但可能存在与毒性相关的问题。植物化学物质,如一些多酚,已被证明具有作为天然来源的抗菌剂的有效活性,可用于对抗耐药问题。这些单独或与某些抗生素联合使用已被证明可以增强对各种微生物的抗菌活性。然而,关于机制和结构-活性关系的信息仍然难以捉摸。本综述还重点关注了天然化合物的可能机制,根据它们的结构-活性关系,将多酚化合物纳入药物开发过程。除了这项工作之外,多酚类化合物还可以减少药物剂量,并可能减少抗生素的隐性或显性副作用。临床前研究结果提供了强有力的证据,表明多酚化合物单独使用和与已批准的抗生素联合使用,对抗耐药性的发展效果良好。然而,还需要更多的研究关注体内结果,临床研究需要明确多酚类抗菌药物在临床试验中的重要性。