牙髓感染中的生物活性肽:有益的、有害的和丑陋的。

Bioactive peptides in Endodontic infections: The Good, The Bad, and The Ugly.

作者信息

Choudhary Neeraj, Tewari Devesh, Nabavi Seyed Fazel, Filosa Rosanna, Habtemariam Solomon, Isachesku Ekaterina, Berindan-Neagoe Ioana, Ansari Mohammad Azam, Khan Farheen Badrealam, Ayoub Mohammed Akli

机构信息

Department of Pharmacognosy, GNA School of Pharmacy, GNA University, Phagwara, 144401, Punjab, India.

Department of Pharmacognosy and Phytochemistry, School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University, New Delhi, 110017, India.

出版信息

Probiotics Antimicrob Proteins. 2025 Jul 21. doi: 10.1007/s12602-025-10577-4.

Abstract

In general, endodontic infections are polymicrobial infections, and the severity of the infection depends on the pathogenicity of the microbes and the resistance of the host. For the treatment of endodontic infections, antibiotics are widely used; however, the development of resistance raises concerns for their wide-scale application; hence, there is always an unmet need to develop alternative treatment strategies in the fight against endodontic infection. Basically, the searches were conducted in PubMed (459), Science Direct (559 articles), and WOS (493) using keywords and phrases to identify relevant articles. Search criteria consisted of combinations of the following words and phrases: Bioactive peptides, endodontic infections, oral microbiota, intraradicular infections, extraradicular infections, In vitro, In vivo study, clinical trials, mechanism of peptides, oral biofilm. It is important to note that bioactive peptides are short sequences of 2-40 amino acids, displaying various functional and structural diversities, and exhibiting a wide range of therapeutic activity. This comprehensive review discusses various aspects related to bioactive peptide sources; chemistry; biosynthesis; bioavailability; safety along with the periradicular disease, oral microbiota, and microbial analysis; molecular mechanisms of pathogenicity; host susceptibility; prediction markers; focal infection; and bioactive peptide resistance as well as approaches to overcome peptide resistance. Overall, this review will enlighten the readers with the prospective potential of bioactive peptides against endodontic infections.

摘要

一般来说,牙髓感染是多微生物感染,感染的严重程度取决于微生物的致病性和宿主的抵抗力。在牙髓感染的治疗中,抗生素被广泛使用;然而,耐药性的产生引发了对其大规模应用的担忧;因此,在对抗牙髓感染方面,始终存在开发替代治疗策略的未满足需求。基本上,我们在PubMed(459篇)、Science Direct(559篇文章)和WOS(493篇)中使用关键词和短语进行检索,以识别相关文章。检索标准包括以下单词和短语的组合:生物活性肽、牙髓感染、口腔微生物群、根管内感染、根管外感染、体外、体内研究、临床试验、肽的作用机制、口腔生物膜。需要注意的是,生物活性肽是由2至40个氨基酸组成的短序列,具有各种功能和结构多样性,并表现出广泛的治疗活性。这篇综述全面讨论了与生物活性肽来源、化学性质、生物合成、生物利用度、安全性以及根尖周疾病、口腔微生物群和微生物分析、致病性分子机制、宿主易感性、预测标志物、局灶性感染、生物活性肽耐药性以及克服肽耐药性的方法等相关的各个方面。总体而言,这篇综述将向读者阐明生物活性肽在对抗牙髓感染方面的潜在前景。

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