School of Pharmacy, Binzhou Medical University, Yantai, China.
Microb Drug Resist. 2024 Jun;30(6):254-272. doi: 10.1089/mdr.2023.0232. Epub 2024 Apr 22.
The escalating crisis of antimicrobial resistance (AMR) underscores the urgent need for novel antimicrobials. One promising strategy is the exploration of structural diversity, as diverse structures can lead to diverse biological activities and mechanisms of action. This review delves into the role of structural diversity in antimicrobial discovery, highlighting its influence on factors such as target selectivity, binding affinity, pharmacokinetic properties, and the ability to overcome resistance mechanisms. We discuss various approaches for exploring structural diversity, including combinatorial chemistry, diversity-oriented synthesis, and natural product screening, and provide an overview of the common mechanisms of action of antimicrobials. We also describe techniques for investigating these mechanisms, such as genomics, proteomics, and structural biology. Despite significant progress, several challenges remain, including the synthesis of diverse compound libraries, the identification of active compounds, the elucidation of complex mechanisms of action, the emergence of AMR, and the translation of laboratory discoveries to clinical applications. However, emerging trends and technologies, such as artificial intelligence, high-throughput screening, next-generation sequencing, and open-source drug discovery, offer new avenues to overcome these challenges. Looking ahead, we envisage an exciting future for structural diversity-oriented antimicrobial discovery, with opportunities for expanding the chemical space, harnessing the power of nature, deepening our understanding of mechanisms of action, and moving toward personalized medicine and collaborative drug discovery. As we face the continued challenge of AMR, the exploration of structural diversity will be crucial in our search for new and effective antimicrobials.
抗菌药物耐药性(AMR)不断升级的危机突显了开发新型抗菌药物的迫切需求。一种有前途的策略是探索结构多样性,因为多样化的结构可以带来多样化的生物活性和作用机制。本文深入探讨了结构多样性在抗菌药物发现中的作用,强调了其对目标选择性、结合亲和力、药代动力学性质以及克服耐药机制能力等因素的影响。我们讨论了探索结构多样性的各种方法,包括组合化学、多样性导向合成和天然产物筛选,并概述了抗菌药物的常见作用机制。我们还描述了研究这些机制的技术,如基因组学、蛋白质组学和结构生物学。尽管取得了重大进展,但仍存在一些挑战,包括多样化化合物库的合成、活性化合物的鉴定、复杂作用机制的阐明、AMR 的出现以及实验室发现向临床应用的转化。然而,人工智能、高通量筛选、下一代测序和开源药物发现等新兴趋势和技术为克服这些挑战提供了新的途径。展望未来,我们预计结构多样性导向的抗菌药物发现将有一个令人兴奋的未来,有机会扩展化学空间,利用自然的力量,加深我们对作用机制的理解,并朝着个性化医疗和合作药物发现迈进。在我们继续应对 AMR 挑战的过程中,探索结构多样性将是寻找新型有效抗菌药物的关键。