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抗体-抗生素偶联物:对抗细菌性感染的治疗潜力的全面综述。

Antibody-Antibiotic Conjugates: A Comprehensive Review on Their Therapeutic Potentials Against BacterialInfections.

机构信息

Molecular Microbiology Research Center, Shahed University, Tehran, Iran.

Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

J Clin Lab Anal. 2024 May;38(10):e25071. doi: 10.1002/jcla.25071. Epub 2024 Jun 13.

Abstract

INTRODUCTION

Antibodies are significant agents in the immune system and have proven to be effective in treating bacterial infections. With the advancement of antibody engineering in recent decades, antibody therapy has evolved widely.

AIM

This review aimed to investigate a new method as a therapeutic platform for the treatment of bacterial infections and explore the novel features of this method in conferring pathogen specificity to broad-spectrum antibiotics.

MATERIAL AND METHODS

A literature review was conducted addressing the following topics about antibody-antibiotic conjugates (AACs): (1) structure and mechanism of action; (2) clinical effectiveness; (3) advantages and disadvantages.

RESULT

Antibody conjugates are designed to build upon the progress made in the development of monoclonal antibodies for the treatment of diseases. Despite the growing emergence of antibiotic resistance among pathogenic bacteria worldwide, novel antimicrobials have not been sufficiently expanded to combat the global crisis of antibiotic resistance. A recently developed strategy for the treatment of infectious diseases is the use of AACs, which are specifically activated only in host cells.

CONCLUSION

A novel therapeutic AAC employs an antibody to deliver the antibiotic to the bacteria. The AACs can release potent antibacterial components that unconjugated forms may not exhibit with an appropriate therapeutic index. This review highlights how this science has guided the design principles of an impressive AAC and discusses how the AAC model promises to enhance the antibiotic effect against bacterial infections.

摘要

简介

抗体是免疫系统中的重要因子,已被证明在治疗细菌感染方面具有疗效。近几十年来,随着抗体工程学的进步,抗体疗法得到了广泛发展。

目的

本综述旨在探讨一种新的治疗方法作为治疗细菌感染的平台,并探讨该方法在为广谱抗生素赋予病原体特异性方面的新特点。

材料与方法

对抗体-抗生素偶联物(AACs)进行了文献综述,涉及以下主题:(1)结构和作用机制;(2)临床效果;(3)优缺点。

结果

抗体偶联物旨在利用治疗疾病的单克隆抗体的发展进展。尽管全球范围内致病性细菌的抗生素耐药性不断出现,但新的抗菌药物并没有得到充分扩展来应对全球抗生素耐药性危机。最近开发的一种治疗传染病的策略是使用 AACs,它仅在宿主细胞中被特异性激活。

结论

一种新型的治疗性 AAC 采用抗体将抗生素递送至细菌。AACs 可以释放出具有适当治疗指数的未偶联形式可能不具有的有效抗菌成分。本综述强调了这一科学如何指导令人印象深刻的 AAC 的设计原则,并讨论了 AAC 模型如何有望增强抗生素对细菌感染的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0e/11211676/2d6621ee904f/JCLA-38-e25071-g001.jpg

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