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微生物入门:慢性多微生物感染治疗中的挑战与机遇——生态进化视角

Microbial Primer: Challenges and opportunities in the treatment of chronic polymicrobial infections ‒ an eco-evolutionary perspective.

作者信息

Farrell Jennifer M, Brown Sam P

机构信息

Center for Microbial Dynamics and Infection, Georgia Institute of Technology, Atlanta, Georgia, USA.

School of Biological Sciences, Georgia Institute of Technology, Atlanta, Georgia, USA.

出版信息

Microbiology (Reading). 2025 Jun;171(6). doi: 10.1099/mic.0.001567.

DOI:10.1099/mic.0.001567
PMID:40540316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12181621/
Abstract

In this primer, we will review the key distinctions between acute and chronic infections, between mono- and polymicrobial infections and how these distinctions work together to generate the growing crisis of chronic polymicrobial infections. Chronic (non-resolving) infections place a large and growing burden on human health, globally. Following an introduction to the basic properties of chronic polymicrobial infections, we will use an ecological and evolutionary perspective to help outline a research agenda for this field, flagging both challenges and opportunities for improved infection prevention, diagnosis and treatment.

摘要

在本入门指南中,我们将回顾急性感染与慢性感染之间、单微生物感染与多微生物感染之间的关键区别,以及这些区别如何共同作用,导致慢性多微生物感染这一日益严重的危机。慢性(未愈)感染在全球范围内给人类健康带来了巨大且不断增加的负担。在介绍慢性多微生物感染的基本特性之后,我们将从生态和进化的角度,帮助勾勒该领域的研究议程,指出在改善感染预防、诊断和治疗方面所面临的挑战与机遇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c9/12181621/659b0c40ff19/mic-171-01567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c9/12181621/becf9f7a8132/mic-171-01567-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c9/12181621/659b0c40ff19/mic-171-01567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c9/12181621/becf9f7a8132/mic-171-01567-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c9/12181621/659b0c40ff19/mic-171-01567-g002.jpg

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Microbiology (Reading). 2025 Jun;171(6). doi: 10.1099/mic.0.001567.
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本文引用的文献

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The impact of phage and phage resistance on microbial community dynamics.噬菌体及其抗性对微生物群落动态的影响。
PLoS Biol. 2024 Apr 22;22(4):e3002346. doi: 10.1371/journal.pbio.3002346. eCollection 2024 Apr.
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定义共生菌中抗生素耐药性的益处和优化耐药性的范围。
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Forty Years of Molecular Diagnostics for Infectious Diseases.四十年传染病分子诊断进展。
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Nat Rev Microbiol. 2022 Oct;20(10):579-592. doi: 10.1038/s41579-022-00683-3. Epub 2022 Feb 8.
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Spatial mapping of polymicrobial communities reveals a precise biogeography associated with human dental caries.多微生物群落的空间图谱揭示了与人类龋齿相关的精确生物地理学。
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PLoS Biol. 2019 May 16;17(5):e3000250. doi: 10.1371/journal.pbio.3000250. eCollection 2019 May.
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Direct Lung Sampling Indicates That Established Pathogens Dominate Early Infections in Children with Cystic Fibrosis.直接肺采样表明,在患有囊性纤维化的儿童中,既定病原体在早期感染中占主导地位。
Cell Rep. 2019 Apr 23;27(4):1190-1204.e3. doi: 10.1016/j.celrep.2019.03.086.