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大自然的武器库:发现对抗抗菌药物耐药性的抗菌剂。

Nature's Arsenal: Uncovering Antibacterial Agents Against Antimicrobial Resistance.

作者信息

Gajic Ina, Kekic Dusan, Jankovic Marko, Tomic Nina, Skoric Mila, Petrovic Milos, Mitic Culafic Dragana, Opavski Natasa, Ristivojevic Petar, Krstic Ristivojevic Maja, Lukovic Bojana

机构信息

Institute of Microbiology and Immunology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.

Group for Biomedical Engineering and Nanobiotechnology, Institute of Technical Sciences of SASA, Kneza Mihaila 35/IV, 11000 Belgrade, Serbia.

出版信息

Antibiotics (Basel). 2025 Mar 1;14(3):253. doi: 10.3390/antibiotics14030253.

Abstract

Antimicrobial resistance (AMR) poses a significant public health threat, leading to increased mortality. The World Health Organization has established a priority list highlighting critical multidrug-resistant (MDR) pathogens that demand urgent research on antimicrobial treatments. Considering this and the fact that new antibiotics are only sporadically approved, natural antibacterial agents have seen a resurgence in interest as potential alternatives to conventional antibiotics and chemotherapeutics. Natural antibacterials, derived from microorganisms, higher fungi, plants, animals, natural minerals, and food sources, offer diverse mechanisms of action against MDR pathogens. Here, we present a comprehensive summary of antibacterial agents from natural sources, including a brief history of their application and highlighting key strategies for using microorganisms (microbiopredators, such as bacteriophages), plant extracts and essential oils, minerals (e.g., silver and copper), as well as compounds of animal origin, such as milk or even venoms. The review also addresses the role of prebiotics, probiotics, and antimicrobial peptides, as well as novel formulations such as nanoparticles. The mechanisms of action of these compounds, such as terpenoids, alkaloids, and phenolic compounds, are explored alongside the challenges for their application, e.g., extraction, formulation, and pharmacokinetics. Future research should focus on developing eco-friendly, sustainable antimicrobial agents and validating their safety and efficacy through clinical trials. Clear regulatory frameworks are essential for integrating these agents into clinical practice. Despite challenges, natural sources offer transformative potential for combating AMR and promoting sustainable health solutions.

摘要

抗菌耐药性(AMR)对公众健康构成重大威胁,导致死亡率上升。世界卫生组织已制定了一份优先清单,突出了需要对抗菌治疗进行紧急研究的关键多重耐药(MDR)病原体。考虑到这一点以及新抗生素仅偶尔获批的事实,天然抗菌剂作为传统抗生素和化学治疗药物的潜在替代品,重新引起了人们的关注。源自微生物、高等真菌、植物、动物、天然矿物质和食物来源的天然抗菌剂,对多重耐药病原体具有多种作用机制。在此,我们全面总结了天然来源的抗菌剂,包括其应用简史,并重点介绍了使用微生物(微生物捕食者,如噬菌体)、植物提取物和精油、矿物质(如银和铜)以及动物来源的化合物(如牛奶甚至毒液)的关键策略。该综述还讨论了益生元、益生菌和抗菌肽的作用,以及纳米颗粒等新型制剂。同时探讨了这些化合物(如萜类化合物、生物碱和酚类化合物)的作用机制以及它们应用所面临的挑战,例如提取、制剂和药代动力学。未来的研究应专注于开发环保、可持续的抗菌剂,并通过临床试验验证其安全性和有效性。明确的监管框架对于将这些制剂纳入临床实践至关重要。尽管存在挑战,但天然来源为对抗抗菌耐药性和促进可持续健康解决方案提供了变革性潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5a9/11939603/bf7119ed545b/antibiotics-14-00253-g001.jpg

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