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了解革兰氏阴性病原体的抗菌耐药机制及潜在治疗方法。

Understanding the mechanisms of antimicrobial resistance and potential therapeutic approaches against the Gram-negative pathogen .

作者信息

Jamwal Vishwani, Palmo Tashi, Singh Kuljit

机构信息

Infectious Diseases Division, CSIR-Indian Institute of Integrative Medicine Jammu 180001 India

Academy of Scientific and Innovative Research (AcSIR) Ghaziabad 201002 India.

出版信息

RSC Med Chem. 2024 Sep 19;15(12):3925-49. doi: 10.1039/d4md00449c.

Abstract

Globally, the emergence of anti-microbial resistance in pathogens has become a serious threat to human health and well-being. Infections caused by drug-resistant microorganisms in hospitals are associated with increased morbidity, mortality, and healthcare costs. is a Gram-negative bacterium belonging to the ESKAPE group and is widely associated with nosocomial infections. It persists in hospitals and survives antibiotic treatment, prompting acute infections such as urinary tract infections, pneumonia, bacteremia, meningitis, and wound-related infections. An innovation void in drug discovery and the lack of new therapeutic measures against continue to afflict infection control against the rising drug-resistant cases. The emergence of drug-resistant strains has also led to the incessant collapse of newly discovered antibiotics. Therefore exploring novel strategies is requisite to give impetus to drug discovery. The present review discusses the bacterial research community's efforts in the field of , focusing on the strategies adapted to identify potent scaffolds and novel targets to bolster and diversify the chemical space available for drug discovery. Firstly, we have discussed existing chemotherapy and various anti-microbial resistance mechanisms in bacterial strains. Next, we elaborate on multidisciplinary approaches and strategies that may be the way forward to combat the current menace caused by the drug-resistant strains. The review highlights the recent advances in drug discovery, including combinational therapy, high-throughput screening, drug repurposing, nanotechnology, and anti-microbial peptides, which are imperative tools to fight bacterial pathogens in the future.

摘要

在全球范围内,病原体中抗菌药物耐药性的出现已成为对人类健康和福祉的严重威胁。医院中由耐药微生物引起的感染与发病率、死亡率和医疗成本的增加有关。 是一种属于ESKAPE组的革兰氏阴性菌,与医院感染广泛相关。它在医院中持续存在并在抗生素治疗下存活,引发急性感染,如尿路感染、肺炎、菌血症、脑膜炎和伤口相关感染。药物发现方面的创新空白以及针对 的新治疗措施的缺乏,继续困扰着针对不断上升的耐药病例的感染控制。耐药 菌株的出现也导致新发现抗生素的不断失效。因此,探索新策略对于推动 药物发现是必要的。本综述讨论了细菌研究界在 领域的努力,重点关注为识别有效支架和新靶点而采用的策略,以加强和扩大可用于药物发现的化学空间。首先,我们讨论了 细菌菌株中现有的化疗方法和各种抗菌耐药机制。接下来,我们阐述了多学科方法和策略,这些可能是应对当前由耐药 菌株造成的威胁的前进方向。该综述强调了药物发现的最新进展,包括联合疗法、高通量筛选、药物再利用、纳米技术和抗菌肽,这些都是未来对抗细菌病原体的重要工具。

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本文引用的文献

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Treatment of infections caused by carbapenem-resistant .治疗耐碳青霉烯类抗生素的感染。
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Antimicrobial Resistance (AMR).抗微生物药物耐药性(AMR)。
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