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通过抑制毒力因子和激活获得性免疫来靶向耐药的超分子抗生素。

A Supramolecular Antibiotic Targeting Drug-Resistant through the Inhibition of Virulence Factors and Activation of Acquired Immunity.

机构信息

Department of Hepatobiliary Surgery, Air Force Medical Center, Fourth Military Medical University, Beijing 100142, PR China.

Graduate School of China Medical University, Shenyang 110000, China.

出版信息

ACS Appl Mater Interfaces. 2024 Aug 14;16(32):41828-41842. doi: 10.1021/acsami.4c06665. Epub 2024 Aug 1.

Abstract

The bacterium is an exceptionally resilient opportunistic pathogen, presenting formidable challenges for treatment due to its proclivity for developing drug resistance. To address this predicament, we have devised a self-assembled supramolecular antibiotic known as dHTSN1@pHP, which can circumvent the drug resistance mechanism of and effectively combat infection by impeding the secretion of key virulence factors through the inhibition of the type III secretion system while simultaneously mobilizing immune cells to eradicate . Furthermore, dHTSN1@pHP was ingeniously engineered with infection-targeting capabilities, enabling it to selectively concentrate precisely at the site of infection. As anticipated, the administration of dHTSN1@pHP exhibited a remarkable therapeutic efficacy in combating dual resistance to Meropenem and imipenem in a mouse model of lung infection. The results obtained from metagenomic detection further confirmed these findings, demonstrating a significant reduction in the proportion of compared to untreated mice with -infected lungs. Additionally, no notable acute toxicity was observed in the acute toxicity experiments. The present study concludes that the remarkable efficacy of dHTSN1@pHP in treating drug-resistant infection confirms its immense potential as a groundbreaking antibiotic agent for combating drug-resistant .

摘要

这种细菌是一种特别顽强的机会性病原体,由于其易于产生耐药性,因此在治疗方面带来了巨大的挑战。为了解决这一困境,我们设计了一种名为 dHTSN1@pHP 的自组装超分子抗生素,它可以绕过 的耐药机制,通过抑制 III 型分泌系统来有效阻止关键毒力因子的分泌,从而有效对抗 感染,同时调动免疫细胞来消灭 。此外,dHTSN1@pHP 被巧妙地设计成具有感染靶向能力,使其能够选择性地精确集中在感染部位。正如预期的那样,在小鼠肺部感染的耐美罗培南和亚胺培南双重耐药模型中,dHTSN1@pHP 的给药表现出显著的治疗效果。宏基因组检测的结果进一步证实了这一发现,与未经治疗的肺部感染的小鼠相比, 菌的比例显著降低。此外,在急性毒性实验中没有观察到明显的急性毒性。本研究得出结论,dHTSN1@pHP 治疗耐药 感染的显著疗效证实了它作为一种开创性的抗生素药物,具有巨大的潜力来对抗耐药 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/11331443/b34aed3a4375/am4c06665_0001.jpg

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