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Chapter 9. Metal-based Antimicrobials 第9章。金属抗菌素
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00252
N. K. Monych, N. Gugala, R. Turner
This chapter describes the antimicrobial uses of metals and metal-based compounds. It follows the historical use of metal-based antimicrobials (MBAs), their decline with the emergence of antibiotics and subsequent rediscovery with the advent of antibiotic resistance. Here, the potential mechanisms of metal toxicity are discussed, including binding biochemistries, production of reactive oxygen/nitrogen species, inhibition of protein/enzyme activity, interaction with the lipid cell membrane and effects on nutrient uptake and DNA damage. The potential of MBA nanoparticles, their use and the mechanisms of toxicity are briefly discussed. Current applications and formulations of a wide range of MBAs are examined and the consequences associated with their use provides the reader with recognition of our responsibility to prevent misuse.
本章介绍金属和金属基化合物的抗菌用途。在此之前,金属基抗菌剂(mba)的历史使用随着抗生素的出现而减少,随后随着抗生素耐药性的出现而重新发现。本文讨论了金属毒性的潜在机制,包括结合生物化学、活性氧/氮的产生、蛋白质/酶活性的抑制、与脂质细胞膜的相互作用以及对营养吸收和DNA损伤的影响。简要讨论了纳米MBA的潜力、应用及其毒性机制。目前的应用和广泛的mba的配方进行了审查,并与他们的使用相关的后果提供读者认识到我们的责任,以防止滥用。
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引用次数: 2
Chapter 8. Antimicrobial Biomaterials in Ophthalmology 第八章。抗菌生物材料在眼科中的应用
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00228
Debarun Dutta, Renxun Chen, N. Kumar, M. Willcox
We are familiar with the use of various ophthalmic biomaterials such as intraocular lenses and contact lenses. However, all these intraocular, periocular, and orbital biomaterials are subject to microbial colonisation and infections that are associated with increased morbidity and cost of ophthalmic care. Development of novel antimicrobial materials for the prevention of such infections is critical to safeguarding vision. In order to achieve this, several antimicrobial strategies have emerged and these are described in this chapter.
我们熟悉各种眼科生物材料的使用,如人工晶状体和隐形眼镜。然而,所有这些眼内、眼周和眼窝生物材料都容易受到微生物定植和感染的影响,这与眼科护理的发病率和成本增加有关。开发新型抗菌材料预防此类感染对保护视力至关重要。为了实现这一目标,出现了几种抗菌策略,并在本章中进行了描述。
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引用次数: 0
Chapter 5. Synthetic Cationic Water-soluble Antimicrobial Polymers: An Alternative to Conventional Small-molecule Antibiotics 第五章。合成阳离子水溶性抗菌聚合物:传统小分子抗生素的替代品
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00137
Steven Mankoci, Chao Peng, Abraham Joy
The emergence of microbial resistance to several antimicrobials of last resort is causing a global crisis and presents a scenario where hospitals will be unable to address healthcare issues that become complicated due to drug-resistant bacteria. Natural or synthetic antimicrobials are the standard of care for addressing bacterial infections. However, due to the rapid emergence of resistance to these classes of antimicrobials, alternative platforms such as antimicrobial polymers are being evaluated as viable options. In this regard, synthetic cationic water-soluble polymers are an emerging class of antimicrobials that deserve a closer look. Over the decades, several classes of antimicrobial polymers have been explored and have been demonstrated to have good antimicrobial activity, which is normally due to the cationic nature of the polymers. The challenge in such cationic polymers is to maximize their bacterial activity while minimizing the collateral damage to mammalian cells. In this chapter, various classes of synthetic cationic water-soluble antimicrobial polymers are described, spanning both older versions such as polyhexanide and newer cationic polyurethanes.
微生物对几种最后手段抗菌素的耐药性的出现正在引起全球危机,并呈现出一种情况,即医院将无法解决因耐药细菌而变得复杂的医疗保健问题。天然或合成抗菌素是处理细菌感染的标准护理方法。然而,由于对这类抗菌素的耐药性迅速出现,正在评估抗菌聚合物等替代平台作为可行的选择。在这方面,合成阳离子水溶性聚合物是一类新兴的抗菌剂,值得进一步研究。在过去的几十年里,已经探索了几种抗菌聚合物,并已证明具有良好的抗菌活性,这通常是由于聚合物的阳离子性质。这种阳离子聚合物面临的挑战是,在最大限度地提高细菌活性的同时,尽量减少对哺乳动物细胞的附带损害。在本章中,描述了各种类型的合成阳离子水溶性抗菌聚合物,包括旧版本,如聚己烷和新阳离子聚氨酯。
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引用次数: 0
Chapter 4. Biomimetic Antimicrobial Polymers 第四章。仿生抗菌聚合物
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00113
Upayan Baul, Satyavani Vemparala
Increased levels of antibiotic drug resistance of virulent bacteria is an urgent healthcare issue that needs to be rethought, not in terms of producing more potent antibiotics, but requiring a paradigm shift. A class of small proteins called host defense peptides are a promising area to understand the evolution of such peptides as an integral part of innate immunity system, and learn design principles which can be used to develop biomimetic synthetic polymers with antimicrobial properties. The goal of such research is to understand at a fundamental level the role of oft-repeated specific motifs present in such peptides, including presence of both charged and hydrophobic entities and facial amphiphilicity in their antimicrobial mechanism, and adopt them into the synthetic polymers. Another goal of such research is to use these peptides or biomimetic polymers as a platform to investigate a fundamental paradigm of biology: structure–function relationship. Recent studies show that many biomimetic polymers and a class of proteins called intrinsically disordered proteins are capable of acquiring functional structures under specific conditions without such a structure built into the system. Such capabilities open up the possibilities of design of smart polymers, which may be very cost-effective and functionally relevant when required. In this chapter we primarily focus on mechanistic design and computational details of biomimetic antimicrobial polymers and their interaction with model membranes, particularly highlighting the effect of such polymers on structural integrity of membranes.
有毒细菌对抗生素耐药性的增加是一个迫切需要重新考虑的卫生保健问题,不是就生产更有效的抗生素而言,而是需要转变思维模式。一类被称为宿主防御肽的小蛋白质是一个有前途的领域,可以了解这类肽作为先天免疫系统不可分割的一部分的进化,并学习设计原则,可用于开发具有抗菌性能的仿生合成聚合物。这些研究的目标是在基本层面上理解这些肽中经常重复的特定基序的作用,包括带电和疏水实体的存在以及表面两亲性在其抗菌机制中的作用,并将其应用于合成聚合物中。此类研究的另一个目标是使用这些肽或仿生聚合物作为研究生物学基本范式的平台:结构-功能关系。最近的研究表明,许多仿生聚合物和一类被称为内在无序蛋白质的蛋白质能够在特定条件下获得功能结构,而无需将这种结构内置到系统中。这种能力开辟了智能聚合物设计的可能性,在需要时可能非常具有成本效益和功能相关。在本章中,我们主要关注仿生抗菌聚合物的机械设计和计算细节,以及它们与模型膜的相互作用,特别强调这些聚合物对膜结构完整性的影响。
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引用次数: 2
Chapter 13. Recent Advances in Antimicrobial Hydrogels 第13章。抗菌水凝胶的最新进展
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00348
K. R. Kunduru, A. Domb
Antibiotic resistance in pathogens is a global healthcare challenge. Localized application of antimicrobial materials is a good choice to overcome antimicrobial resistance. A hydrogel matrix is one of the prominent choices for the localized application of antimicrobials. Hydrogels are fabricated from either natural or synthetic polymers. They contain a three-dimensional network with crosslinked hydrophilic polymer chains and retain a large amount of water. Hydrogels have been applied for various biomedical purposes such as drug delivery, tissue engineering, wound care, and implant coating. In this chapter, we discuss recent advancements in antimicrobial hydrogels. Various antimicrobial hydrogel categories possessing inherent antimicrobial activities and hydrogels loaded with antimicrobial materials such as metal nanoparticles, antibiotics, peptides and other molecules are discussed.
病原体的抗生素耐药性是一项全球性的卫生保健挑战。局部应用抗菌材料是克服耐药性的良好选择。水凝胶基质是局部应用抗菌剂的重要选择之一。水凝胶由天然或合成聚合物制成。它们包含亲水性聚合物链交联的三维网络,并保留大量的水。水凝胶已应用于各种生物医学用途,如药物输送、组织工程、伤口护理和植入物涂层。在本章中,我们讨论了抗菌水凝胶的最新进展。讨论了具有固有抗菌活性的各种抗菌水凝胶类别以及负载抗菌材料(如金属纳米颗粒、抗生素、肽和其他分子)的水凝胶。
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引用次数: 0
Chapter 2. Introduction to Microbes and Infection in the Modern World 第二章。现代世界微生物与感染导论
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00038
Joshua C. Doloff
Microbial infections single-handedly account for many diseases, acute as well as chronic, throughout the modern world, in developed as well as developing nations. In many cases, microbes are required for normal immune function, as germ-free animals have dysfunctional immunity. As a consequence, the traditional idea that all bacteria are bad, and thus the over-prescription of broad-spectrum antibiotics has led not only to multi-drug resistance, but also an imbalance of innocuous vs. harmful pathogens outside in warm bodies of water where we swim, as well as on and inside of our bodies (skin, mouth, lung, gut, urinary tract, vagina, etc.). This has created many difficulties, not only for patients, but also for healthcare providers, who not only have hospital-specific profiles for which drug-resistant bacterial strains (Gram-negative and/or positive) are prevalent in various patient-care facilities, but also worries about complicating and life-threatening incurable infections, obtained by traditional modes of transmission, or following invasive surgical procedures (e.g., implants, cancer resections, corrective surgery, etc.), and spread among patients, as well as the nurses and doctors who treat them. The Human Microbiome Project is a recent initiative to help derive essential understanding of how to discern which microbes are helpful vs. harmful, in an effort to determine improved preventative healthcare (probiotic maintenance, etc.), and in cases of diagnosed disease, the best course of treatment and how we may innovate more effective therapies.
在整个现代世界,无论是在发达国家还是在发展中国家,微生物感染都是许多急性和慢性疾病的罪魁祸首。在许多情况下,微生物是正常免疫功能所必需的,因为无菌动物的免疫功能失调。因此,所有细菌都是有害的传统观念,以及广谱抗生素的过度使用,不仅导致了多重耐药性,而且还导致了无害与有害病原体在我们游泳的温暖水体中以及我们身体内外(皮肤、口腔、肺、肠道、泌尿道、阴道等)的不平衡。这不仅给病人,也给保健提供者造成了许多困难,因为他们不仅有医院特有的情况,耐药细菌菌株(革兰氏阴性和/或阳性)在各种病人护理设施中普遍存在,而且还担心通过传统传播方式或侵入性外科手术(例如植入物、癌症切除、矫正手术等)获得的无法治愈的感染会使病情复杂化和危及生命。并在病人以及治疗他们的护士和医生之间传播。人类微生物组计划是最近的一项倡议,旨在帮助人们了解如何辨别哪些微生物是有益的,哪些是有害的,以确定改进的预防性医疗保健(益生菌维持等),并在确诊疾病的情况下,确定最佳治疗方案,以及我们如何创新更有效的治疗方法。
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引用次数: 1
Chapter 17. Overview of Antimicrobial Resistance and Nanoparticulate Drug Delivery Approach to Combat Antimicrobial Resistance 第十七章。抗菌素耐药性概述和纳米颗粒给药方法对抗抗菌素耐药性
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00481
M. Saravanan, Melaku Ashagrie, Omar Ali, Balajee Ramachandran
Although high numbers of novel antibiotics are available in the market currently, it is still a challenge to treat intracellular pathogens. These therapeutic agents always need to be used in high doses, as their antibiotic concentrations are often sub-therapeutic. This is expensive and results in adverse systemic and localized side effects. The current rising threat of antibiotic resistance further complicates the treatment of intracellular pathogenic diseases. As a result, there is a crucial need for methods and systems that enable physicians to attain therapeutically effective intracellular concentrations of those antibiotics. In this scenario, the use of drug delivery systems carrying antibiotics showing targeted and effective antibacterial activity in vitro need to be considered and given due attention. Incorporating or encapsulating antibacterial drugs within these unique drug delivery systems offers better control of pharmacokinetic behavior of the active bactericidal molecule. Such new and advanced methods will replace old conventional antibiotics, which are becoming unusable due to resistance or toxicity. They are vital in rescuing the last-line therapeutic antibiotics through advancing the therapeutic index, broadening the antibiotic antimicrobial spectrum and avoiding failure due to membrane permeability problems, and thus shortening the current time required by classical treatments and reducing the extent of drug resistance. Hence, new and improved drug carriers have been established for treating intracellular pathogens, including antibiotics loaded into hydrogels, liposomes, micelles, polymeric carriers, and metal nanoparticles. This chapter focuses on the role of a drug delivery system as a potential tool against intracellular bacterial pathogens.
虽然目前市场上有大量的新型抗生素,但治疗细胞内病原体仍然是一个挑战。这些治疗剂总是需要大剂量使用,因为它们的抗生素浓度通常是亚治疗的。这是昂贵的,并导致不利的全身和局部副作用。当前不断上升的抗生素耐药性威胁使细胞内致病性疾病的治疗进一步复杂化。因此,有一个关键的需要的方法和系统,使医生达到治疗有效的细胞内浓度的抗生素。在这种情况下,需要考虑使用携带抗生素的药物输送系统,在体外显示出靶向和有效的抗菌活性,并给予应有的重视。在这些独特的药物传递系统中合并或封装抗菌药物可以更好地控制活性杀菌分子的药代动力学行为。这些新的和先进的方法将取代旧的传统抗生素,这些抗生素由于耐药性或毒性而变得无法使用。通过提高治疗指标,拓宽抗生素抗菌谱,避免因膜透性问题而失败,从而缩短目前经典治疗所需的时间,降低耐药程度,对挽救最后一线治疗抗生素至关重要。因此,已经建立了新的和改进的药物载体来治疗细胞内病原体,包括装载到水凝胶、脂质体、胶束、聚合物载体和金属纳米颗粒中的抗生素。本章的重点是药物输送系统的作用,作为一个潜在的工具,对细胞内的细菌病原体。
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引用次数: 3
Chapter 15. Dendrimers and Hyperbranched Polymers as Antimicrobial Agents 第15章。树状大分子和超支化聚合物作为抗菌剂
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00421
Chandrakala Ummadisetti, K. R. Kunduru, A. Domb
Dendrimers and hyperbranched polymers may have structural resemblance, but they are different from each other in their topological structures. The potentials of dendrimers and hyperbranched polymers are reported to have various applications in different fields such as material science, nanotechnology, supramolecular chemistry, biomaterials, coatings, adhesives, etc. In this chapter we discuss antimicrobial applications of dendrimers and hyperbranched polymers.
树状大分子和超支化聚合物在结构上可能有相似之处,但它们的拓扑结构是不同的。据报道,树状大分子和超支化聚合物的潜力在材料科学、纳米技术、超分子化学、生物材料、涂料、粘合剂等不同领域有着广泛的应用。在本章中,我们讨论了树状大分子和超支化聚合物的抗菌应用。
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引用次数: 0
Chapter 3. Controlled Release of Antimicrobial Small Molecules 第三章。抗菌小分子控制释放
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00068
M. Zilberman, E. Koren, H. Guez, Lior Matsliah
Controlled release of antimicrobial small molecules is designed to be used for prevention and/or treatment infections associated with a large variety of wound occurrences, ranging from traumatic skin tears and burns to chronic ulcers and complications following surgery and device implantations. The main goal in treating infections is to decrease the bacterial load in the wound site to a level that enables wound healing processes to take place. Local delivery of antibiotics by either topical administration or a delivery device should enable the maintenance of a high local antibiotic concentration for an extended duration of release without exceeding systemic toxicity. The antimicrobial delivery system should be made of biocompatible and biodegradable materials, able to carry a sufficient drug concentration, and release the drug at the appropriate rate for an optimal treatment of the infected tissue. In recent years, various platforms have been developed in order to carry different types of antimicrobial small molecules and treat numerous organs and infections. This chapter describes the main types of these systems. These are based on nanoparticles, fibers, dendrimers, liposomes, nanotubes, and films. Emphasis is placed on processing techniques, nanostructure/microstructure, drug release profiles, biocompatibility and other relevant aspects necessary for advancing the therapeutic field of antimicrobial delivery devices. The final part of this chapter is dedicated to novel concepts in antibiotic-loaded bioresorbable films that we have developed. It focuses on structuring effects of dense and porous films, as well as novel soy protein based systems.
抗菌小分子的控释被设计用于预防和/或治疗与各种伤口事件相关的感染,从创伤性皮肤撕裂和烧伤到慢性溃疡和手术和设备植入后的并发症。治疗感染的主要目标是减少伤口部位的细菌负荷,使伤口愈合过程能够发生。通过局部给药或给药装置局部给药应该能够在不超过全身毒性的情况下维持较高的局部抗生素浓度以延长释放时间。抗菌递送系统应由生物相容性和可生物降解材料制成,能够携带足够的药物浓度,并以适当的速率释放药物,以最佳治疗感染组织。近年来,为了携带不同类型的抗菌小分子,治疗多种器官和感染,开发了各种平台。本章描述了这些系统的主要类型。它们是基于纳米颗粒、纤维、树突、脂质体、纳米管和薄膜。重点放在加工技术、纳米结构/微观结构、药物释放谱、生物相容性和其他相关方面,以推进抗菌药物输送装置的治疗领域。本章的最后一部分致力于我们开发的抗生素负载生物可吸收膜的新概念。它侧重于致密和多孔膜的结构效应,以及新的大豆蛋白为基础的系统。
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引用次数: 0
Chapter 1. Antimicrobial Materials—An Overview 第1章。抗菌材料综述
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00001
Shaheen Mahira, Anjali Jain, Wahid Khan, A. Domb
Infectious disease management has become an increasing challenge in recent years. According to the Centers for Disease Control and Prevention and the World Health Organization, microbial infections are a top concern. Pathogenic microorganisms are of main concern in hospitals and other healthcare locations, as they affect the optimal functioning of medical devices, surgical devices, bone cements, etc. Combatting microbial infections has become a serious health concern and major challenging issue due to antimicrobial resistance or multidrug resistance and has become an important research field in science and medicine. Antibiotic resistance is a phenomenon where microorganisms acquire or innately possess resistance to antimicrobial agents. New materials offer a promising antimicrobial strategy as they can kill or inhibit microbial growth on their surface or within the surrounding environment with superior efficacy, low toxicity and minimized environmental problems. The present chapter focuses on classification of antimicrobial materials, surface modification and design requirements, their mode of action, antimicrobial evaluation tests and clinical status.
近年来,传染病管理已成为日益严峻的挑战。根据美国疾病控制与预防中心和世界卫生组织的数据,微生物感染是人们最关心的问题。病原微生物是医院和其他医疗场所主要关注的问题,因为它们影响医疗器械、手术器械、骨水泥等的最佳功能。微生物感染的防治已成为一个严重的健康问题和重大的挑战性问题,由于抗菌素耐药或多药耐药,已成为科学和医学的重要研究领域。抗生素耐药性是微生物获得或天生具有抗微生物药物耐药性的一种现象。新材料具有杀灭或抑制其表面或周围环境中微生物生长的优越性、低毒性和最小化环境问题的特点,是一种很有前景的抗菌策略。本章重点介绍抗菌材料的分类、表面改性和设计要求、它们的作用方式、抗菌评价试验和临床现状。
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引用次数: 19
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