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氯法齐明衍生物对各物种效力的提高。

Improved potency of Clofazimine derivatives against species.

作者信息

Yano Masahide, Lawson-Rulli Jessica M, Coates Reilly M, Heldring Jennifer, Miller Marvin J, Liu Rui

机构信息

Microbiology, Hsiri Therapeutics, Inc, Media, PA, 19063, USA.

Department of Chemistry and Biochemistry, University of Notre Dame, Notre Dame, IN, 46556, USA.

出版信息

Eur J Med Chem Rep. 2024 Aug;11. doi: 10.1016/j.ejmcr.2024.100147. Epub 2024 Mar 17.

DOI:10.1016/j.ejmcr.2024.100147
PMID:38962287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11218832/
Abstract

Globally, millions of infections that are resistant to antimicrobial agents are reported annually, leading to more than 700,000 fatalities. Among all, challenges arise particularly from nontuberculosis mycobacterial (NTM) and Gram-negative bacteria, as they exhibit limited treatment options in light of increasing reports of multi-drug resistant strains. Clofazimine (CFZ) is an antimycobacterial medication used to treat leprosy, and it is also known for its side effect of inducing skin pigmentation. The use of CFZ and its analogues against a broad range of Gram-negative bacteria has not been extensively investigated. In this study, we designed, synthesized and studied 11 CFZ analogues and identified examples with comparable or improved anti-bacterial activity relative to that of CFZ itself. This is the first report demonstrating activity of CFZ and its analogues against species. The results of these studies may facilitate the development of CFZ analogues with limited side effects in humans.

摘要

在全球范围内,每年报告有数百万例对抗菌药物耐药的感染病例,导致70多万人死亡。其中,挑战尤其来自非结核分枝杆菌(NTM)和革兰氏阴性菌,因为随着多药耐药菌株报告的增加,它们的治疗选择有限。氯法齐明(CFZ)是一种用于治疗麻风病的抗分枝杆菌药物,它还以引起皮肤色素沉着的副作用而闻名。CFZ及其类似物对多种革兰氏阴性菌的应用尚未得到广泛研究。在本研究中,我们设计、合成并研究了11种CFZ类似物,并鉴定出了与CFZ本身相比具有相当或更好抗菌活性的实例。这是第一份证明CFZ及其类似物对[具体物种]具有活性的报告。这些研究结果可能有助于开发对人类副作用有限的CFZ类似物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/36ddb149b0ea/nihms-2002141-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/5ff1b059e9b3/nihms-2002141-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/9b01d4454b69/nihms-2002141-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/d6c7d89bf7e0/nihms-2002141-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/36ddb149b0ea/nihms-2002141-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/5ff1b059e9b3/nihms-2002141-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/9b01d4454b69/nihms-2002141-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/d6c7d89bf7e0/nihms-2002141-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcc/11218832/36ddb149b0ea/nihms-2002141-f0004.jpg

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本文引用的文献

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Effectiveness and safety of multidrug therapy containing clofazimine for paucibacillary leprosy and clarithromycin for rifampicin-resistant leprosy: a systematic review and meta-analysis.含氯法齐明的多药疗法治疗少菌型麻风及含克拉霉素的多药疗法治疗耐利福平麻风的有效性和安全性:一项系统评价和荟萃分析。
Front Med (Lausanne). 2023 May 10;10:1139304. doi: 10.3389/fmed.2023.1139304. eCollection 2023.
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The prevalence of clarithromycin-resistant isolates: a systematic review and meta-analysis.克拉霉素耐药分离株的流行率:系统评价和荟萃分析。
PeerJ. 2023 Mar 30;11:e15121. doi: 10.7717/peerj.15121. eCollection 2023.
3
Outbreak investigations after identifying carbapenem-resistant Pseudomonas aeruginosa: a systematic review.
鉴定出耐碳青霉烯铜绿假单胞菌后的暴发调查:系统评价。
Antimicrob Resist Infect Control. 2023 Apr 3;12(1):28. doi: 10.1186/s13756-023-01223-1.
4
Antibiotics and Bacterial Resistance-A Short Story of an Endless Arms Race.抗生素与细菌耐药性——一场无休止军备竞赛的简史。
Int J Mol Sci. 2023 Mar 17;24(6):5777. doi: 10.3390/ijms24065777.
5
β-Lactam potentiators to re-sensitize resistant pathogens: Discovery, development, clinical use and the way forward.β-内酰胺增效剂使耐药病原体重新敏感:发现、开发、临床应用及未来方向
Front Microbiol. 2023 Mar 10;13:1092556. doi: 10.3389/fmicb.2022.1092556. eCollection 2022.
6
Impact on clinical outcome of follow-up blood cultures and risk factors for persistent bacteraemia in patients with gram-negative bloodstream infections: a systematic review with meta-analysis.革兰氏阴性菌血流感染患者的随访血培养及其持续性菌血症的危险因素对临床结局的影响:系统评价与荟萃分析。
Clin Microbiol Infect. 2023 Sep;29(9):1150-1158. doi: 10.1016/j.cmi.2023.02.024. Epub 2023 Mar 7.
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Treatment options for multidrug-resistant Gram-negatives in urinary tract infections.尿路感染中多重耐药革兰氏阴性菌的治疗选择。
Curr Opin Urol. 2023 May 1;33(3):173-179. doi: 10.1097/MOU.0000000000001084. Epub 2023 Mar 2.
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