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针对细胞内多重耐药菌的传染病的新治疗策略。

A new therapeutic strategy for infectious diseases against intracellular multidrug-resistant bacteria.

机构信息

Yunnan Characteristic Plant Extraction Laboratory, Key Laboratory of Medicinal Chemistry for Natural Resource, Ministry of Education and Yunnan Province, School of Chemical Science and Technology, Yunnan University, Kunming 650500, PR China.

Yunnan Characteristic Plant Extraction Laboratory, Key Laboratory of Medicinal Chemistry for Natural Resource, Ministry of Education and Yunnan Province, School of Chemical Science and Technology, Yunnan University, Kunming 650500, PR China; State Key Laboratory of Phytochemistry and Plant Resources in West China, Kunming Institute of Botany, Chinese Academy of Sciences, Kunming 650201, PR China.

出版信息

J Control Release. 2024 Nov;375:467-477. doi: 10.1016/j.jconrel.2024.09.028. Epub 2024 Sep 20.


DOI:10.1016/j.jconrel.2024.09.028
PMID:39293527
Abstract

Bacterial infections result in 7,700,000 deaths per year globally, with intracellular bacteria causing repeated and resistant infection. No drug is currently licenced for the treatment of intracellular bacteria. A new screening platform mimicking the host milieu has been established to explore phytochemical antibiotic adjuvants. Previously neglected isoprenylated flavonoids were found to be effective against methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). Specifically, the synergistic effect between glabrol and streptomycin against intracellular bacteria was observed for the first time. The glabrol-streptomycin combination targets bacterial inner membrane phospholipids, disrupts arginine biosynthesis, inhibits cell wall proteins and biofilm formation genes (agrA/B/C/D), and promotes ROS production, causing subsequent membrane and wall damage. To enhance the selective uptake of combination drug into infected cells, hyaluronic acid-streptomycin-lipoic acid-glabrol nanoparticles (HSLGS-S) were designed and synthesized to trigger the intracellular delivery of the glabrol-streptomycin combination. Thus, the treatment can be transported into the infected intracellular region and selectively release the glabrol-streptomycin combination to the bacterial at site. The bioactivity of HSLGS-S in clearing intracellular bacteria was 20-fold higher than that of the glabrol-streptomycin combination alone in vitro and 2- to 10-fold higher in vivo.

摘要

细菌感染导致全球每年有 770 万人死亡,其中细胞内细菌会导致反复和耐药感染。目前没有药物被批准用于治疗细胞内细菌。为了探索植物化学抗生素佐剂,我们建立了一个模拟宿主环境的新筛选平台。以前被忽视的异戊烯基化类黄酮被发现对耐甲氧西林金黄色葡萄球菌(MRSA)和万古霉素耐药肠球菌(VRE)有效。具体来说,首次观察到白杨素和链霉素对细胞内细菌的协同作用。白杨素-链霉素联合作用靶向细菌内膜磷脂,破坏精氨酸生物合成,抑制细胞壁蛋白和生物膜形成基因(agrA/B/C/D),并促进 ROS 产生,导致随后的膜和壁损伤。为了增强组合药物进入感染细胞的选择性摄取,设计并合成了透明质酸-链霉素-硫辛酸-白杨素纳米粒(HSLGS-S),以触发白杨素-链霉素联合的细胞内递药。因此,治疗药物可以被转运到感染的细胞内区域,并在细菌部位选择性释放白杨素-链霉素联合药物。HSLGS-S 在清除细胞内细菌方面的生物活性比单独使用白杨素-链霉素联合药物在体外高 20 倍,在体内高 2 至 10 倍。

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