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纳米革命:利用纳米颗粒对抗耐抗生素细菌感染

Nano Revolution: Harnessing Nanoparticles to Combat Antibiotic-resistant Bacterial Infections.

作者信息

Vikal Akash, Maurya Rashmi, Patel Preeti, Kurmi Balak Das

机构信息

Department of Pharmaceutics, ISF College of Pharmacy, GT Road, Moga, 142001, Punjab, India.

Department of Pharmaceutical Chemistry, ISF College of Pharmacy, GT Road, Moga, 142001, Punjab, India.

出版信息

Curr Pharm Des. 2025;31(7):498-506. doi: 10.2174/0113816128337749241021084050.

Abstract

Nanoparticles, defined as particles ranging from 1 to 100 nanometers in size, are revolutionizing the approach to combating bacterial infections amid a backdrop of escalating antibiotic resistance. Bacterial infections remain a formidable global health challenge, causing millions of deaths annually and encompassing a spectrum from common illnesses like throat to severe diseases such as tuberculosis and pneumonia. The misuse of antibiotics has precipitated the rise of resistant strains like methicillin-resistant (MRSA), multidrug-resistant (MDR-TB), and carbapenem-resistant Enterobacteriaceae (CRE), underscoring the critical need for innovative therapeutic strategies. Nanotechnology offers a promising avenue in this crisis. Nanoparticles possess unique physical and chemical properties that distinguish them from traditional antibiotics. Their high surface area to volume ratio, ability to be functionalized with various molecules, and distinctive optical, electronic, and magnetic characteristics enable them to exert potent antibacterial effects. Mechanisms include physical disruption of bacterial membranes, generation of reactive oxygen species (ROS), and release of metal ions that disrupt bacterial metabolism. Moreover, nanoparticles penetrate biofilms and bacterial cell walls more effectively than conventional antibiotics and can be precisely targeted to minimize off-target effects. Crucially, nanoparticles mitigate the development of bacterial resistance by leveraging multiple simultaneous mechanisms of action, which make it challenging for bacteria to adapt through single genetic mutations. As research advances, nanotechnology holds immense promise in transforming antibacterial treatments, offering effective solutions that address current infections and combat antibiotic resistance globally. This review provides a comprehensive overview of nanoparticle applications in antibacterial therapies, highlighting their mechanisms, advantages over antibiotics, and future directions in healthcare innovation.

摘要

纳米颗粒,定义为尺寸在1到100纳米之间的颗粒,在抗生素耐药性不断升级的背景下,正在彻底改变对抗细菌感染的方法。细菌感染仍然是一个严峻的全球健康挑战,每年导致数百万人死亡,涵盖从喉咙等常见疾病到结核病和肺炎等严重疾病的范围。抗生素的滥用促使了耐甲氧西林金黄色葡萄球菌(MRSA)、多重耐药结核杆菌(MDR-TB)和耐碳青霉烯类肠杆菌科细菌(CRE)等耐药菌株的出现,凸显了对创新治疗策略的迫切需求。纳米技术在这场危机中提供了一条有前景的途径。纳米颗粒具有独特的物理和化学性质,使其有别于传统抗生素。它们的高比表面积、能用各种分子进行功能化的能力以及独特的光学、电子和磁性特性,使其能够发挥强大的抗菌作用。作用机制包括对细菌膜的物理破坏、活性氧(ROS)的产生以及释放破坏细菌代谢的金属离子。此外,纳米颗粒比传统抗生素更有效地穿透生物膜和细菌细胞壁,并且可以精确靶向以尽量减少脱靶效应。至关重要的是,纳米颗粒通过利用多种同时起作用的机制来减轻细菌耐药性的发展,这使得细菌难以通过单一基因突变来适应。随着研究的进展,纳米技术在变革抗菌治疗方面具有巨大的前景,提供了解决当前感染并在全球范围内对抗抗生素耐药性的有效方案。这篇综述全面概述了纳米颗粒在抗菌治疗中的应用,强调了它们的作用机制、相对于抗生素的优势以及医疗保健创新的未来方向。

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