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抗菌肽:对抗耐药性超级细菌战斗中不断进化的战士。

Antimicrobial peptides: evolving soldiers in the battle against drug-resistant superbugs.

作者信息

Baindara Piyush, Kumari Sumeeta, Dinata Roy, Mandal Santi M

机构信息

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.

出版信息

Mol Biol Rep. 2025 Apr 28;52(1):432. doi: 10.1007/s11033-025-10533-z.


DOI:10.1007/s11033-025-10533-z
PMID:40293554
Abstract

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.

摘要

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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Antimicrobial peptides: evolving soldiers in the battle against drug-resistant superbugs.

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引用本文的文献

[1]
Current Status of the Application of Antimicrobial Peptides and Their Conjugated Derivatives.

Molecules. 2025-7-22

[2]
Antimicrobial Peptides: An Emerging Hope in the Era of New Infections and Resistance.

Antibiotics (Basel). 2025-5-27

本文引用的文献

[1]
Polymyxin B vs. colistin: the comparison of neurotoxic and nephrotoxic effects of the two polymyxins.

BMC Infect Dis. 2024-8-26

[2]
Activity of Gut-Derived Nisin-like Lantibiotics against Human Gut Pathogens and Commensals.

ACS Chem Biol. 2024-2-16

[3]
Bacterial Biofilm Destruction: A Focused Review On The Recent Use of Phage-Based Strategies With Other Antibiofilm Agents.

Nanotechnol Sci Appl. 2021-9-14

[4]
The multifaceted nature of antimicrobial peptides: current synthetic chemistry approaches and future directions.

Chem Soc Rev. 2021-7-5

[5]
The Antimicrobial Peptide Gad-1 Clears Pseudomonas aeruginosa Biofilms under Cystic Fibrosis Conditions.

Chembiochem. 2021-5-4

[6]
Antimicrobial peptides as therapeutic agents: opportunities and challenges.

Crit Rev Biotechnol. 2020-11

[7]
A review on anti-bacterials to combat resistance: From ancient era of plants and metals to present and future perspectives of green nano technological combinations.

Asian J Pharm Sci. 2020-1

[8]
Ceftaroline versus vancomycin in the treatment of methicillin-resistant Staphylococcus aureus (MRSA) in an experimental MRSA meningitis model.

J Glob Antimicrob Resist. 2020-9

[9]
Aromatic-rich C-terminal region of LCI is a potent antimicrobial peptide in itself.

Biochem Biophys Res Commun. 2019-9-10

[10]
The antimicrobial peptides and their potential clinical applications.

Am J Transl Res. 2019-7-15

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