Baindara Piyush, Kumari Sumeeta, Dinata Roy, Mandal Santi M
Animal Science Research Center, Division of Animal Sciences, University of Missouri, Columbia, MO, 65211, USA.
Department of Oral Biology, School of Dental Medicine, University of Buffalo, Buffalo, NY, 14214, USA.
Mol Biol Rep. 2025 Apr 28;52(1):432. doi: 10.1007/s11033-025-10533-z.
The discovery of antibiotics was one of the greatest achievements in human history, however, antibiotic resistance evolved no later than the introduction of antibiotics. The rapid evolution of antibiotic-resistant pathogens soon became frightening and remained a global healthcare threat. There is an urgent need to have new alternatives or new strategies to combat the multi-drug resistant superbugs such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), carbapenem-resistant Pseudomonas aeruginosa (CR-PA), extended-spectrum β-lactamases (ESBL) bearing multidrug-resistant Acinetobacter baumannii (MDR-AB), Escherichia coli (E. coli), and Klebsiella pneumoniae (K. pneumoniae). Antimicrobial peptides (AMPs) have been considered promising agents equipped with unique mechanisms of action along with several other benefits to fight the battle against drug-resistant superbugs. Overall, the current review summarizes the mechanisms of drug-resistant development, the mechanism of action adopted by AMPs to combat drug-resistant pathogens, and the immunomodulatory properties of AMPs. Additionally, we have also reviewed the synergistic potential of AMPs with conventional antibiotics along with the associated challenges and limitations of AMPs in the way of pharmacological development for therapeutic applications in clinical settings.
抗生素的发现是人类历史上最伟大的成就之一,然而,抗生素耐药性的出现不晚于抗生素的使用。抗生素耐药性病原体的快速进化很快变得令人恐惧,并仍然是全球医疗保健面临的威胁。迫切需要有新的替代方法或新策略来对抗耐多药超级细菌,如耐甲氧西林金黄色葡萄球菌(MRSA)、耐万古霉素肠球菌(VRE)、耐碳青霉烯类铜绿假单胞菌(CR-PA)、携带超广谱β-内酰胺酶(ESBL)的多重耐药鲍曼不动杆菌(MDR-AB)、大肠杆菌(E. coli)和肺炎克雷伯菌(K. pneumoniae)。抗菌肽(AMPs)被认为是有前景的药物,具有独特的作用机制以及其他一些对抗耐药超级细菌的优势。总体而言,本综述总结了耐药性产生的机制、抗菌肽对抗耐药病原体所采用的作用机制以及抗菌肽的免疫调节特性。此外,我们还综述了抗菌肽与传统抗生素的协同潜力以及抗菌肽在临床治疗应用的药理学开发过程中所面临的相关挑战和局限性。
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