Lorente-Torres Blanca, Llano-Verdeja Jesús, Castañera Pablo, Ferrero Helena Á, Fernández-Martínez Sergio, Javadimarand Farzaneh, Mateos Luis M, Letek Michal, Mourenza Álvaro
Departamento de Biología Molecular, Área de Microbiología, Universidad de León, 24071 León, Spain.
Instituto de Biología Molecular, Genómica y Proteómica (INBIOMIC), Universidad de León, 24071 León, Spain.
Antibiotics (Basel). 2024 Sep 2;13(9):834. doi: 10.3390/antibiotics13090834.
Intracellular bacterial pathogens pose significant public health challenges due to their ability to evade immune defenses and conventional antibiotics. Drug repurposing has recently been explored as a strategy to discover new therapeutic uses for established drugs to combat these infections. Utilizing high-throughput screening, bioinformatics, and systems biology, several existing drugs have been identified with potential efficacy against intracellular bacteria. For instance, neuroleptic agents like thioridazine and antipsychotic drugs such as chlorpromazine have shown effectiveness against and . Furthermore, anticancer drugs including tamoxifen and imatinib have been repurposed to induce autophagy and inhibit bacterial growth within host cells. Statins and anti-inflammatory drugs have also demonstrated the ability to enhance host immune responses against . The review highlights the complex mechanisms these pathogens use to resist conventional treatments, showcases successful examples of drug repurposing, and discusses the methodologies used to identify and validate these drugs. Overall, drug repurposing offers a promising approach for developing new treatments for bacterial infections, addressing the urgent need for effective antimicrobial therapies.
细胞内细菌性病原体因其逃避免疫防御和传统抗生素的能力而对公共卫生构成重大挑战。药物重新利用最近已被探索为一种策略,以发现现有药物对抗这些感染的新治疗用途。利用高通量筛选、生物信息学和系统生物学,已鉴定出几种现有药物对细胞内细菌具有潜在疗效。例如,硫利达嗪等抗精神病药物和氯丙嗪等抗精神病药物已显示出对[此处原文缺失两种细菌名称]有效。此外,包括他莫昔芬和伊马替尼在内的抗癌药物已被重新利用,以诱导自噬并抑制宿主细胞内的细菌生长。他汀类药物和抗炎药物也已证明能够增强宿主对[此处原文缺失细菌名称]的免疫反应。该综述强调了这些病原体用于抵抗传统治疗的复杂机制,展示了药物重新利用的成功实例,并讨论了用于识别和验证这些药物的方法。总体而言,药物重新利用为开发治疗细菌感染的新疗法提供了一种有前景的方法,满足了对有效抗菌疗法的迫切需求。