Therapeutic Strategies to Combat Increasing Rates of Multidrug Resistant Pathogens.

IF 3.5 3区 医学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pharmaceutical Research Pub Date : 2024-08-01 Epub Date: 2024-08-06 DOI:10.1007/s11095-024-03756-5
Antonio Vitiello, Giovanni Rezza, Andrea Silenzi, Antonio Salzano, Mosè Alise, Maria Rosaria Boccellino, Annarita Ponzo, Andrea Zovi, Michela Sabbatucci
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Abstract

The emergence of antimicrobic-resistant infectious pathogens and the consequent rising in the incidence and prevalence of demises caused by or associated to infections which are not sensitive to drug treatments is one of today's major global health challenges. Antimicrobial resistance (AMR) can bring to therapeutic failure, infection's persistence and risk of serious illness, in particular in vulnerable populations such as the elderly, patients with neoplastic diseases or the immunocompromised. It is assessed that AMR will induce until 10 million deaths per year by 2050, becoming the leading cause of disease-related deaths. The World Health Organisation (WHO) and the United Nations General Assembly urgently call for new measures to combat the phenomenon. Research and development of new antimicrobial agents has decreased due to market failure. However, promising results are coming from new alternative therapeutic strategies such as monoclonal antibodies, microbiome modulators, nanomaterial-based therapeutics, vaccines, and phages. This narrative review aimed to analyse the benefits and weaknesses of alternative therapeutic strategies to antibiotics which treat multidrug-resistant bacterial infections.

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应对耐多药病原体发病率不断上升的治疗策略。
抗菌性传染病病原体的出现,以及随之而来的由对药物治疗不敏感的感染引起或与之相关的死亡发生率和流行率的上升,是当今全球健康面临的主要挑战之一。抗菌药耐药性(AMR)会导致治疗失败、感染持续存在和严重疾病风险,尤其是在老年人、肿瘤疾病患者或免疫力低下者等易感人群中。据估计,到 2050 年,AMR 每年将导致 1 000 万人死亡,成为疾病相关死亡的主要原因。世界卫生组织(WHO)和联合国大会紧急呼吁采取新措施应对这一现象。由于市场失灵,新型抗菌剂的研发工作有所减少。然而,单克隆抗体、微生物组调节剂、基于纳米材料的疗法、疫苗和噬菌体等新的替代治疗策略正在取得可喜的成果。这篇叙述性综述旨在分析治疗耐多药细菌感染的抗生素替代疗法的优缺点。
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来源期刊
Pharmaceutical Research
Pharmaceutical Research 医学-化学综合
CiteScore
6.60
自引率
5.40%
发文量
276
审稿时长
3.4 months
期刊介绍: Pharmaceutical Research, an official journal of the American Association of Pharmaceutical Scientists, is committed to publishing novel research that is mechanism-based, hypothesis-driven and addresses significant issues in drug discovery, development and regulation. Current areas of interest include, but are not limited to: -(pre)formulation engineering and processing- computational biopharmaceutics- drug delivery and targeting- molecular biopharmaceutics and drug disposition (including cellular and molecular pharmacology)- pharmacokinetics, pharmacodynamics and pharmacogenetics. Research may involve nonclinical and clinical studies, and utilize both in vitro and in vivo approaches. Studies on small drug molecules, pharmaceutical solid materials (including biomaterials, polymers and nanoparticles) biotechnology products (including genes, peptides, proteins and vaccines), and genetically engineered cells are welcome.
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