Department of Microbiology, College of Science and Technology, Dankook University, Cheonan, Republic of Korea.
Smart Animal Bio Institute, Dankook University, Cheonan, Republic of Korea.
Front Cell Infect Microbiol. 2024 Oct 24;14:1462620. doi: 10.3389/fcimb.2024.1462620. eCollection 2024.
, a predominant nosocomial pathogen, represents a grave threat to public health due to its multiple antimicrobial resistance. Managing patients afflicted with severe infections caused by multiple drug-resistant is particularly challenging, given the associated high mortality rates and unfavorable prognoses. The diminishing efficacy of antibiotics against this superbug underscores the urgent necessity for novel treatments or strategies to address this formidable issue. Bacteriophage-derived polysaccharide depolymerase enzymes present a potential approach to combating this pathogen. These enzymes target and degrade the bacterial cell's exopolysaccharide, capsular polysaccharide, and lipopolysaccharide, thereby disrupting biofilm formation and impairing the bacteria's defense mechanisms. Nonetheless, the narrow host range of phage depolymerases limits their therapeutic efficacy. Despite the benefits of these enzymes, phage-resistant strains have been identified, highlighting the complexity of phage-host interactions and the need for further investigation. While preliminary findings are encouraging, current investigations are limited, and clinical trials are imperative to advance this treatment approach for broader clinical applications. This review explores the potential of phage-derived depolymerase enzymes against infections.
耐碳青霉烯肠杆菌,一种主要的医院病原体,由于其多种抗药性,对公共卫生构成严重威胁。由于相关的高死亡率和不利预后,管理由多种药物耐药的 引起的严重感染的患者极具挑战性。抗生素对这种超级细菌的疗效下降,强调了迫切需要新的治疗方法或策略来解决这个棘手的问题。噬菌体衍生的多糖解聚酶为对抗这种病原体提供了一种潜在的方法。这些酶针对并降解细菌细胞的胞外多糖、荚膜多糖和脂多糖,从而破坏生物膜的形成并削弱细菌的防御机制。然而,噬菌体解聚酶的宿主范围狭窄限制了它们的治疗效果。尽管这些酶具有益处,但已经发现了噬菌体耐药株,这突出了噬菌体-宿主相互作用的复杂性,需要进一步研究。虽然初步研究结果令人鼓舞,但目前的研究有限,临床试验对于推进这种治疗方法在更广泛的临床应用中至关重要。本综述探讨了噬菌体衍生的解聚酶在治疗 感染中的潜力。