Ye Zijian, Chen Huaizhi, Weinans Harrie, van der Wal Bart, Rios Jaqueline Lourdes
Department of Orthopedics, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
Department of Biomechanical Engineering, Faculty of Mechanical Engineering, Delft University of Technology (TU Delft), 2628 CD Delft, The Netherlands.
Pharmaceutics. 2024 Aug 29;16(9):1140. doi: 10.3390/pharmaceutics16091140.
Bacterial infections and antimicrobial resistance are posing substantial difficulties to the worldwide healthcare system. The constraints of conventional diagnostic and therapeutic approaches in dealing with continuously changing infections highlight the necessity for innovative solutions. Aptamers, which are synthetic oligonucleotide ligands with a high degree of specificity and affinity, have demonstrated significant promise in the field of bacterial infection management. This review examines the use of aptamers in the diagnosis and therapy of bacterial infections. The scope of this study includes the utilization of aptasensors and imaging technologies, with a particular focus on their ability to detect conditions at an early stage. Aptamers have shown exceptional effectiveness in suppressing bacterial proliferation and halting the development of biofilms in therapeutic settings. In addition, they possess the capacity to regulate immune responses and serve as carriers in nanomaterial-based techniques, including radiation and photodynamic therapy. We also explore potential solutions to the challenges faced by aptamers, such as nuclease degradation and in vivo instability, to broaden the range of applications for aptamers to combat bacterial infections.
细菌感染和抗菌耐药性给全球医疗系统带来了巨大困难。传统诊断和治疗方法在应对不断变化的感染方面的局限性凸显了创新解决方案的必要性。适体是具有高度特异性和亲和力的合成寡核苷酸配体,在细菌感染管理领域已展现出巨大潜力。本综述探讨了适体在细菌感染诊断和治疗中的应用。本研究范围包括适体传感器和成像技术的利用,特别关注它们在早期检测病情的能力。在治疗环境中,适体在抑制细菌增殖和阻止生物膜形成方面已显示出卓越成效。此外,它们具有调节免疫反应的能力,并可在基于纳米材料的技术(包括放射治疗和光动力疗法)中充当载体。我们还探索了适体所面临挑战的潜在解决方案,如核酸酶降解和体内不稳定性,以拓宽适体对抗细菌感染的应用范围。