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抗菌肽在伤口愈合中的设计与应用的系统评价

A Systematic Review of the Design and Applications of Antimicrobial Peptides in Wound Healing.

作者信息

Ahmad Aqeel, Khan Javed M, Bandy Altaf

机构信息

Department of Medical Biochemistry, College of Medicine, Shaqra University, Shaqra, SAU.

Department of Food Science and Nutrition, Faculty of Food and Agricultural Sciences, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2024 Apr 13;16(4):e58178. doi: 10.7759/cureus.58178. eCollection 2024 Apr.

Abstract

The sources of antimicrobial peptides (AMPs), also known as peptide-based antibiotics, are diverse, such as plants, animals, microorganisms including human leukocytes, saliva, human defense peptides, and human sweat. These natural sources provide a rich variety of AMPs with unique characteristics and potential therapeutic applications, including wound-healing and antimicrobial properties. AMPs derived from these sources have shown promise in combating a wide range of pathogens, making them valuable targets for further research and potential clinical applications. The design of AMPs for wound healing involves a meticulous process of structurally optimizing peptides to possess a unique combination of antibacterial and wound-healing characteristics. This systematic review was produced to show the design and applications of AMPs in wound healing. The terms "antimicrobial peptides AND wound healing" were used to search for articles published between September 2023 and January 2010. In the search, we found a total of 12958 articles, of which 12898 were excluded, and the remaining 60 articles were chosen for further study. This systematic review underscores the potential of AMPs as valuable tools in infection control and wound healing, showcasing their versatility and effectiveness in combating a wide range of pathogens. Overall, AMPs in wound healing display a diverse mechanism of action, influencing the inflammatory response, encouraging tissue regeneration, and aiding tissue remodeling, along with strong antibacterial activity. Furthermore, this systematic review addresses AMP toxicity studies, which include rigorous in vitro and in vivo examinations to determine potential cytotoxic effects, systemic toxicity, and any adverse responses connected with its usage in wound-healing applications.

摘要

抗菌肽(AMPs),也被称为基于肽的抗生素,其来源多种多样,比如植物、动物、包括人类白细胞、唾液、人体防御肽和汗液在内的微生物。这些天然来源提供了种类丰富的抗菌肽,它们具有独特的特性和潜在的治疗应用,包括伤口愈合和抗菌特性。源自这些来源的抗菌肽已显示出对抗多种病原体的潜力,使其成为进一步研究和潜在临床应用的有价值目标。用于伤口愈合的抗菌肽设计涉及一个精心的过程,即对肽进行结构优化,使其具备抗菌和伤口愈合特性的独特组合。本系统评价旨在展示抗菌肽在伤口愈合中的设计与应用。使用“抗菌肽与伤口愈合”这一术语搜索了2010年1月至2023年9月间发表的文章。在搜索过程中,我们共找到12958篇文章,其中12898篇被排除,其余60篇文章被选作进一步研究。本系统评价强调了抗菌肽作为感染控制和伤口愈合中有价值工具的潜力,展示了它们在对抗多种病原体方面的多功能性和有效性。总体而言,抗菌肽在伤口愈合中表现出多种作用机制,影响炎症反应、促进组织再生和辅助组织重塑,同时具有强大的抗菌活性。此外,本系统评价还涉及抗菌肽毒性研究,其中包括严格的体外和体内检查,以确定潜在的细胞毒性作用、全身毒性以及与在伤口愈合应用中使用相关的任何不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e2f/11089580/650570a07ca2/cureus-0016-00000058178-i01.jpg

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