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对抗抗生素耐药性的创新方法:整合CRISPR/Cas9和纳米颗粒以对抗生物膜驱动的感染。

Innovative approaches to combat antibiotic resistance: integrating CRISPR/Cas9 and nanoparticles against biofilm-driven infections.

作者信息

Saffari Natanzi Abolfazl, Poudineh Mohsen, Karimi Elham, Khaledi Azad, Haddad Kashani Hamed

机构信息

Anatomical Sciences Research Center, Institute for Basic Sciences, Kashan University of Medical Sciences, Kashan, Iran.

Department of Bacteriology and Virology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

BMC Med. 2025 Aug 20;23(1):486. doi: 10.1186/s12916-025-04323-4.

Abstract

The increasing prevalence of antibiotic-resistant bacterial infections is a major global health concern, with biofilms playing a key role in bacterial persistence and resistance. Biofilms provide a protective matrix that limits antibiotic penetration, enhances horizontal gene transfer, and enables bacterial survival in hostile environments. Conventional antimicrobial therapies are often ineffective against biofilm-associated infections, necessitating the development of novel therapeutic strategies. The CRISPR/Cas9 gene-editing system has emerged as a revolutionary tool for precision genome modification, offering targeted disruption of antibiotic resistance genes, quorum sensing pathways, and biofilm-regulating factors. However, the clinical application of CRISPR-based antibacterials faces significant challenges, particularly in efficient delivery and stability within bacterial populations. Nanoparticles (NPs) present an innovative solution, serving as effective carriers for CRISPR/Cas9 components while exhibiting intrinsic antibacterial properties. Nanoparticles can enhance CRISPR delivery by improving cellular uptake, increasing target specificity, and ensuring controlled release within biofilm environments. Recent advances have demonstrated that liposomal CRISPR-Cas9 formulations can reduce Pseudomonas aeruginosa biofilm biomass by over 90% in vitro, while gold nanoparticle carriers enhance editing efficiency up to 3.5-fold compared to non-carrier systems. These hybrid platforms also enable co-delivery with antibiotics, producing synergistic antibacterial effects and superior biofilm disruption. Additionally, they can facilitate co-delivery of antibiotics or antimicrobial peptides, further enhancing therapeutic efficacy. This review explores the synergistic integration of CRISPR/Cas9 and nanoparticles in combating biofilm-associated antibiotic resistance. We discuss the mechanisms of action, recent advancements, and current challenges in translating this approach into clinical practice. While CRISPR-nanoparticle hybrid systems hold immense potential for next-generation precision antimicrobial therapies, further research is required to optimize delivery platforms, minimize off-target effects, and assess long-term safety. Understanding and overcoming these challenges will be critical for developing effective biofilm-targeted antibacterial strategies.

摘要

抗生素耐药性细菌感染的日益流行是一个重大的全球健康问题,生物膜在细菌的持续存在和耐药性中起着关键作用。生物膜提供了一个保护性基质,限制抗生素渗透,增强水平基因转移,并使细菌能够在恶劣环境中生存。传统的抗菌疗法通常对生物膜相关感染无效,因此需要开发新的治疗策略。CRISPR/Cas9基因编辑系统已成为一种用于精确基因组修饰的革命性工具,可靶向破坏抗生素耐药基因、群体感应途径和生物膜调节因子。然而,基于CRISPR的抗菌剂的临床应用面临重大挑战,特别是在细菌群体中的有效递送和稳定性方面。纳米颗粒(NPs)提供了一种创新解决方案,作为CRISPR/Cas9组件的有效载体,同时具有内在的抗菌特性。纳米颗粒可以通过改善细胞摄取、提高靶标特异性和确保在生物膜环境中的控释来增强CRISPR递送。最近的进展表明,脂质体CRISPR-Cas9制剂在体外可将铜绿假单胞菌生物膜生物量减少90%以上,而金纳米颗粒载体与非载体系统相比,可将编辑效率提高3.5倍。这些混合平台还能够与抗生素共同递送,产生协同抗菌作用和卓越的生物膜破坏效果。此外,它们可以促进抗生素或抗菌肽的共同递送,进一步提高治疗效果。本综述探讨了CRISPR/Cas9与纳米颗粒在对抗生物膜相关抗生素耐药性方面的协同整合。我们讨论了作用机制、最新进展以及将该方法转化为临床实践中的当前挑战。虽然CRISPR-纳米颗粒混合系统在下一代精确抗菌疗法中具有巨大潜力,但需要进一步研究来优化递送平台、最小化脱靶效应并评估长期安全性。理解和克服这些挑战对于开发有效的生物膜靶向抗菌策略至关重要。

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