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Predicting population dynamics of antimicrobial resistance using mechanistic modeling and machine learning 利用机械建模和机器学习预测抗菌素耐药性的种群动态
IF 16.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-05 DOI: 10.1016/j.addr.2025.115661
Zhengqing Zhou, Irida Shyti, Jaemin Kim, Lingchong You
Antimicrobial resistance (AMR) infections have become a global public health burden. The pipeline for new antibiotic discovery is draining due to the rapid emergence of resistance to new antibiotics, the limited economic return, and regulatory hurdles. Current strategies to combat the AMR crisis include improving clinical practices under antibiotic stewardship and repurposing FDA-approved drugs. Quantitative modeling of the population dynamics of AMR can inform these strategies by identifying key mechanisms and consequences of resistance development and predicting resistance persistence, with the potential of guiding treatment design. Here we review the current progress of using mechanistic and machine learning (ML) models to understand and predict the population dynamics of AMR in microbial communities. We highlight the current challenges in mechanistic model construction, explore how ML can overcome these limitations, and discuss the translational potential of the computational models.
抗微生物药物耐药性(AMR)感染已成为全球公共卫生负担。由于对新抗生素的耐药性迅速出现,经济回报有限,以及监管障碍,新抗生素的发现渠道正在枯竭。目前对抗抗生素耐药性危机的策略包括改善抗生素管理下的临床实践和重新利用fda批准的药物。AMR种群动态的定量建模可以通过确定耐药性发展的关键机制和后果以及预测耐药性持久性来为这些策略提供信息,并具有指导治疗设计的潜力。本文综述了利用机制和机器学习(ML)模型来理解和预测微生物群落中AMR的种群动态的最新进展。我们强调了目前在机械模型构建方面的挑战,探讨了机器学习如何克服这些限制,并讨论了计算模型的转化潜力。
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引用次数: 0
Applications of DNA-based nanostructures in immunotherapy dna纳米结构在免疫治疗中的应用
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-30 DOI: 10.1016/j.addr.2025.115660
Dandan Li , Huarui Liu , Xintong Li , Changping Yang , Hanyin Zhu , Hong Wang , Jianbing Liu , Baoquan Ding
DNA, as a carrier of genetic information, has further been efficiently utilized as a foundational element in creating diverse nanostructures of different shapes and sizes through precise base pairing. With spatial addressability, structural programmability, and remarkable biocompatibility, self-assembled DNA-based nanostructures have been broadly applied in various biomedical research areas, such as bio-imaging, disease diagnosis, and drug delivery. Of particular note, immunotherapy, known for its outstanding therapeutic efficacy, has garnered much attention. In this review, we highlight the recent applications of DNA-based nanostructures (including DNA junction, DNA polyhedron, DNA origami, RCA-based DNA structure, DNA hydrogel, and spherical nucleic acid) in immunotherapy (based on the delivery of CpG adjuvant, tumor antigen, PD1 inhibitor, mRNA vaccine, virus antigen, or direct regulating immune cells). Furthermore, the challenges and future prospects of DNA-based nanostructures for in vivo immunotherapy are discussed.
DNA作为遗传信息的载体,通过精确的碱基配对,进一步有效地利用DNA作为基础元素,创造出不同形状和大小的纳米结构。基于dna的自组装纳米结构具有空间可寻址性、结构可编程性和显著的生物相容性,已广泛应用于生物成像、疾病诊断和药物传递等生物医学研究领域。尤其值得注意的是,以其突出的治疗效果而闻名的免疫疗法引起了人们的广泛关注。在这篇综述中,我们重点介绍了基于DNA的纳米结构(包括DNA连接、DNA多面体、DNA折纸、基于rca的DNA结构、DNA水凝胶和球形核酸)在免疫治疗中的最新应用(基于递送CpG佐剂、肿瘤抗原、PD1抑制剂、mRNA疫苗、病毒抗原或直接调节免疫细胞)。此外,还讨论了基于dna的纳米结构在体内免疫治疗中的挑战和未来前景。
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引用次数: 0
Carbon dots as multi-modal contrast agents: opportunities and open challenges for in vivo bioimaging 碳点作为多模态造影剂:体内生物成像的机遇和挑战
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-23 DOI: 10.1016/j.addr.2025.115659
Elisa Sturabotti , Beatriz Sierra-Serrano , Samantha Marcelino Apresto , Michele Cesco , Luca Comparini , Lucia Cardo , Maurizio Prato
Carbon dots (CDs), a class of carbonaceous and fluorescent nanomaterials with ultra-small dimensions (below 10 nm), have become popular nanoparticles in several fields, such as nanomedicine, catalysis, sensing or electronics. Due to their chemical versatility, luminescence, surface functional groups, biocompatibility and water solubility, they have been extensively studied in biomedical field. In this review, we focused on CDs used as nano contrast agents (nCAs) for fluorescence, magnetic resonance or computed tomography imaging in small animal models. We described the advantages of using CDs, highlighting some relevant examples, as well as the current issues that slow down their effective use in biomedicine, such as the rational synthetic design, scant purification and poor characterization. Lastly, we gathered some perspectives to develop carbon dots with more reliable properties and accomplish cutting-edge applications.
碳点(CDs)是一类具有超小尺寸(小于10 nm)的碳质荧光纳米材料,已成为纳米医学、催化、传感或电子等多个领域的热门纳米颗粒。由于其化学通用性、发光性、表面官能团、生物相容性和水溶性等特点,在生物医学领域得到了广泛的研究。在这篇综述中,我们重点介绍了CDs作为纳米造影剂(nCAs)在小动物模型中的荧光、磁共振或计算机断层扫描成像。我们描述了使用cd的优点,重点介绍了一些相关的例子,以及目前阻碍其在生物医学上有效应用的问题,如合成设计不合理、纯化不足和表征不佳。最后,我们收集了一些开发性能更可靠的碳点和实现前沿应用的观点。
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引用次数: 0
Advances in carbon nanomaterials and their polymeric composites in neural tissue engineering 碳纳米材料及其聚合物复合材料在神经组织工程中的研究进展
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-22 DOI: 10.1016/j.addr.2025.115658
Baishali Kanjilal , Prince David Okoro , Razieh Jaberi , Ashley Taepakdee , Nourouddin Sharifi , Joshua Morgan , Vijayalakshmi Santhakumar , Victor G. Rodgers , Arameh Masoumi , Iman Noshadi
Carbon‐based nanomaterials (CBMs) and their polymeric composites have garnered widespread interest in treating neurotrauma and neurodegenerative diseases, where restoring damaged central and peripheral nervous systems remains a persistent clinical challenge. These materials provide exceptional electrical conductivity, mechanical robustness, and tunable nanoscale architectures conducive to guiding neuronal growth, synaptic connectivity, and targeted biomolecule delivery. In this review, we explore the rationale, recent advances, and translational potential of CBM scaffolds in promoting neuronal survival, neurite outgrowth, and functional maturity across various experimental models. We detail key fabrication strategies, including electrospinning, phase inversion, 3D bioprinting, and pyrolysis that enable precise control over scaffolds’ structural and mechanical properties while facilitating the incorporation of neurotrophic factors, genes, and therapeutic drugs. Emerging in vivo findings suggest that CBM nanocomposites promote regenerative outcomes in peripheral nerve injuries at levels comparable to, or exceeding conventional autografts, underscoring their promise as off‐the‐shelf solutions. Nonetheless, concerns persist regarding large-scale manufacturing, cytotoxicity, and meeting regulatory standards for clinical use. By highlighting cutting-edge innovations and remaining bottlenecks, this review aims to guide future research endeavors in harnessing CBM scaffolds for safe and effective neural tissue repair.
碳基纳米材料(CBMs)及其聚合物复合材料在治疗神经创伤和神经退行性疾病方面引起了广泛的兴趣,其中修复受损的中枢和周围神经系统仍然是一个持续的临床挑战。这些材料具有优异的导电性、机械稳健性和可调的纳米结构,有助于指导神经元生长、突触连接和靶向生物分子传递。在这篇综述中,我们探讨了CBM支架在各种实验模型中促进神经元存活、神经突生长和功能成熟的基本原理、最新进展和转化潜力。我们详细介绍了关键的制造策略,包括静电纺丝、相转化、3D生物打印和热解,这些策略可以精确控制支架的结构和机械性能,同时促进神经营养因子、基因和治疗药物的结合。新出现的体内研究结果表明,CBM纳米复合材料促进周围神经损伤的再生结果的水平与传统的自体移植物相当,甚至超过传统的自体移植物,强调了它们作为现成解决方案的前景。尽管如此,对大规模生产、细胞毒性和临床使用是否符合监管标准的担忧仍然存在。本文通过对目前研究的前沿创新和存在的瓶颈进行综述,旨在指导未来利用CBM支架进行安全有效的神经组织修复的研究
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引用次数: 0
Convection-enhanced delivery for brain malignancies: Technical parameters, formulation strategies and clinical perspectives 脑恶性肿瘤的对流增强输送:技术参数,配方策略和临床前景
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-20 DOI: 10.1016/j.addr.2025.115657
Sara Jamshidi Parvar , Cheng In Wong , Andrew Lewis , Elwira Szychot , Christopher J. Morris , David Shorthouse , Karolina Dziemidowicz
The blood–brain barrier’s protective nature greatly restricts the entrance of active pharmaceutical ingredients (APIs), presenting a significant challenge for effective drug delivery into the brain. Convection-enhanced delivery (CED) is emerging as a promising strategy to overcome this barrier by enabling the direct infusion of APIs at therapeutic concentrations into brain tissue, thereby expanding potential treatment options for brain tumours and neurological conditions. This review provides a current and comprehensive update on the field of CED, highlighting recent advances and ongoing challenges. In addition, various formulation strategies, including nanoparticles, cyclodextrins, and hydrogels, are considered, with an emphasis on identifying optimal formulation properties required to enhance CED administration. With insights from clinical trials, device engineering and pharmaceutical perspectives, this review highlights the critical factors that influence the success of CED and outlines future directions for its effective clinical translation.
血脑屏障的保护性极大地限制了活性药物成分(api)的进入,对药物有效进入大脑提出了重大挑战。对流增强给药(CED)正成为克服这一障碍的一种有前景的策略,它使原料药以治疗浓度直接输注到脑组织中,从而扩大了脑肿瘤和神经系统疾病的潜在治疗选择。本综述提供了CED领域的当前和全面的最新情况,突出了最近的进展和当前的挑战。此外,还考虑了各种配方策略,包括纳米颗粒、环糊精和水凝胶,重点是确定提高CED给药所需的最佳配方特性。本文从临床试验、设备工程和制药的角度分析了影响CED成功的关键因素,并概述了其有效临床转化的未来方向。
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引用次数: 0
3D printing-enabled spatial patterning of biomimetic signals for bone tissue engineering 用于骨组织工程的仿生信号的3D打印空间模式
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-17 DOI: 10.1016/j.addr.2025.115656
Konstantinos Loukelis , Udayabhanu Jammalamadaka , Antonios G. Mikos
Over the years, sustained research into the role of biomolecules in bone regeneration has provided valuable insights into their potential as therapeutic agents for tissue growth. However, challenges such as short half-lives and high production costs underscore the need for advanced tissue engineering platforms. Precise spatial delivery of these biomolecules to target sites remains a critical requirement. 3D printing has emerged as a powerful technology, enabling the layer-by-layer fabrication of hierarchically complex 3D structures with tailored biomechanical properties. Additionally, it facilitates the preservation and delivery of bioactive molecules following desirable kinetic patterns. This review highlights the most recent and notable advancements of 3D printing-enabled spatial patterning of biological cues aimed at promoting the formation of bone tissue, vascularized bone, osteochondral tissue, and bone-tendon interface.
多年来,对生物分子在骨再生中的作用的持续研究为其作为组织生长治疗剂的潜力提供了有价值的见解。然而,半衰期短、生产成本高等挑战凸显了对先进组织工程平台的需求。这些生物分子精确的空间递送到靶点仍然是一个关键的要求。3D打印已经成为一项强大的技术,能够逐层制造具有定制生物力学特性的分层复杂3D结构。此外,它促进了生物活性分子的保存和传递,遵循理想的动力学模式。本文重点介绍了3D打印技术在促进骨组织、血管化骨、骨软骨组织和骨-肌腱界面形成方面的最新进展。
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引用次数: 0
Caenorhabditis elegans as an emerging high throughput chronotherapeutic drug screening platform for human neurodegenerative disorders 秀丽隐杆线虫作为一个新兴的高通量时间治疗药物筛选平台,用于人类神经退行性疾病
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-17 DOI: 10.1016/j.addr.2025.115655
Mrutyunjaya Panda , Maria Fakitsa , Maria Markaki , Nektarios Tavernarakis
An increase in the aging population is accompanied by increased susceptibility to age-associated neurodegeneration, with currently no cure. Despite the diversity of symptoms and etiologies, neurodegenerative disorders share mechanistic commonalities and many pathophysiological features. These include disruptions in circadian rhythms that affect neuronal physiology. Systematic investigations in several animal models have advanced our understanding of the molecular processes that link circadian rhythms and neurodegenerative disease states. These models have also been used to screen and validate promising chronotherapeutic drug candidates that target the circadian clock to ameliorate neurodegeneration. With the emergence of robust and reliable methodologies to measure daily rhythms, the nematode model Caenorhabditis elegans has become a versatile tool for high throughput chronotherapeutic drug screening against neurodegenerative disorders. In this review, we discuss the unique features and advantages of C. elegans as an enabling platform for chronotherapeutic drug discovery, towards the development of innovative strategies for the treatment of human neurodegenerative conditions.
老龄化人口的增加伴随着对年龄相关神经变性的易感性增加,目前尚无治愈方法。尽管症状和病因多样,但神经退行性疾病具有机制共性和许多病理生理特征。其中包括影响神经生理的昼夜节律紊乱。在几种动物模型中进行的系统研究提高了我们对昼夜节律和神经退行性疾病状态之间的分子过程的理解。这些模型也被用于筛选和验证有希望的时间治疗候选药物,这些药物以生物钟为靶点来改善神经变性。随着测量日常节律的稳健可靠方法的出现,秀丽隐杆线虫模型已成为针对神经退行性疾病的高通量时间治疗药物筛选的多功能工具。在这篇综述中,我们讨论了秀丽隐杆线虫作为时间治疗药物发现的有利平台的独特特征和优势,从而开发出治疗人类神经退行性疾病的创新策略。
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引用次数: 0
The molecular circadian clock: From fundamental mechanisms to therapeutic promise in neurological disorders 分子生物钟:从基本机制到神经疾病的治疗前景
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-12 DOI: 10.1016/j.addr.2025.115653
Adam Campbell-Galland , Akanksha Bafna , Aarti Jagannath
Circadian rhythms are intrinsic biological processes in all forms of life, governed by a molecular clock, organising physiological and behavioural cycles to align with a 24-hour light–dark cycle. The disruption of these rhythms has been linked to a plethora of neurological conditions and impacting cognitive and metabolic functions.
This review offers a clear overview of the genetic and molecular mechanisms that govern the circadian clock. It focuses on the core clock feedback loops, the pathways involved and how these mechanisms are regulated. We explore how clocks in peripheral tissues are synchronised to the suprachiasmatic nucleus and how this is achieved through neuronal and humoral pathways. Additionally, we discuss how dysregulation in circadian rhythms contribute to neurological conditions and potential therapeutic treatments targeting circadian mechanisms. Understanding the mechanisms of circadian dysregulation provides insight into disease pathology and potential therapies. Interventions targeting circadian mechanisms, such as gene and drug delivery systems, show promise to restore rhythms and mitigate neurological symptoms. This review collates current knowledge on circadian biology and its applications addressing neurological dysfunctions, providing a foundation for potential chronotherapeutic interventions.
昼夜节律是所有生命形式的内在生物过程,由分子钟控制,组织生理和行为周期,使其与24小时的光暗周期保持一致。这些节律的紊乱与过多的神经系统疾病有关,并影响认知和代谢功能。这篇综述为控制生物钟的遗传和分子机制提供了一个清晰的概述。它侧重于核心时钟反馈回路,所涉及的途径以及这些机制是如何调节的。我们将探讨外周组织中的时钟如何与视交叉上核同步,以及这是如何通过神经元和体液途径实现的。此外,我们还讨论了昼夜节律失调如何导致神经系统疾病以及针对昼夜节律机制的潜在治疗方法。了解昼夜节律失调的机制有助于深入了解疾病病理和潜在的治疗方法。针对昼夜节律机制的干预措施,如基因和药物输送系统,有望恢复节律并减轻神经系统症状。这篇综述整理了目前关于昼夜节律生物学及其在神经功能障碍方面的应用,为潜在的时间治疗干预提供了基础。
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引用次数: 0
Antibody-drug conjugates as multimodal therapies against hard-to-treat cancers 抗体-药物结合作为多模式治疗难以治疗的癌症
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-11 DOI: 10.1016/j.addr.2025.115648
Georgina B Armstrong , Harriet Graham , Anthony Cheung , Hanieh Montaseri , Glenn A Burley , Sophia N Karagiannis , Zahra Rattray
Antibody-drug conjugates (ADCs) are rapidly emerging as an effective multimodal approach for the targeted delivery of cytotoxic small molecules to tumours with aberrantly overexpressed markers. Recent advances in antibody engineering and the emergence of highly potent cytotoxic drugs have created unprecedented scope for precision-based design of novel ADCs against chemotherapy-resistant tumours. However, their clinical translation faces the challenge of balancing efficacy and toxicity. Innovations in conjugation chemistries and antibody engineering are addressing these challenges, yet a more comprehensive in vitro − in vivo correlation is critical to accelerating their clinical translation. This review examines the latest advancements in ADC-based therapies for hard-to-treat cancers, focusing on design considerations that define their efficacy in breast cancer and glioblastoma multiforme. Additionally, we highlight current challenges in reconciling ADC quality attributes influencing their in vivo performance, which impedes their clinical translation. By integrating cutting-edge advancements in antibody engineering with industrial insights, this review casts a spotlight on the pivotal role of ADCs as a powerful biomolecular toolbox for delivering next-generation therapies to address unmet clinical need.
抗体-药物偶联物(adc)正迅速成为一种有效的多模式方法,用于靶向递送细胞毒性小分子到具有异常过表达标记物的肿瘤。抗体工程的最新进展和高效细胞毒药物的出现,为针对化疗耐药肿瘤的新型adc的精确设计创造了前所未有的空间。然而,它们的临床翻译面临着平衡疗效和毒性的挑战。偶联化学和抗体工程的创新正在解决这些挑战,但更全面的体外-体内相关性对于加速其临床转化至关重要。本文综述了基于adc的治疗难以治疗的癌症的最新进展,重点是确定其对乳腺癌和多形性胶质母细胞瘤疗效的设计考虑。此外,我们强调了当前在协调影响其体内性能的ADC质量属性方面的挑战,这阻碍了它们的临床转化。通过将抗体工程的前沿进展与工业见解相结合,本综述聚焦于adc作为提供下一代治疗方法以解决未满足临床需求的强大生物分子工具箱的关键作用。
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引用次数: 0
Lights out for Superbugs: Is antimicrobial blue light a potential approach for future infection Control? 超级细菌熄灯:抗菌蓝光是未来感染控制的潜在方法吗?
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-10 DOI: 10.1016/j.addr.2025.115654
Gizem D. Ozdemir , Carolina dos Anjos , Mehmet A. Ozdemir , Leon G. Leanse , Tianhong Dai
The rise of antimicrobial resistance (AMR) poses a significant threat to global health, as traditional antimicrobials are increasingly losing efficacy against a broad spectrum of pathogens. Antimicrobial blue light (aBL), an innovative light-based approach that utilizes wavelengths between 405 and 470 nm, has emerged as a prominent alternative. Unlike conventional antimicrobials, aBL inactivates microorganisms without promoting resistance by targeting endogenous chromophores within pathogens to generate reactive oxygen species (ROS). This review first provides an in-depth analysis of aBL’s mechanisms of action, highlighting its unique ROS-driven effects on microbial membranes, DNA, and proteins. Moreover, we discussed recent developments in aBL’s applications across bacterial, viral, and fungal pathogens and evaluated its effectiveness in biofilm eradication and combinational therapies with conventional antimicrobials as well as with multimodal innovations. This review also examines the safety and regulatory considerations associated with aBL. While aBL holds tremendous potential, challenges remain in its clinical translation, including optimizing dosages, ensuring safety in complex biological systems, and advancing device design. Future research must address these gaps to facilitate the clinical translation of aBL and expand its role in combating resistant infections.
抗菌素耐药性(AMR)的上升对全球健康构成重大威胁,因为传统抗菌素对广泛的病原体越来越失去功效。抗菌蓝光(aBL)是一种创新的基于光的方法,利用波长在405和470 nm之间,已经成为一种突出的替代方案。与传统抗菌剂不同,aBL通过靶向病原体内的内源性发色团产生活性氧(ROS)来灭活微生物而不促进耐药性。本文首先对aBL的作用机制进行了深入分析,重点介绍了其对微生物膜、DNA和蛋白质的独特ros驱动作用。此外,我们讨论了aBL在细菌、病毒和真菌病原体中的应用的最新进展,并评估了其在生物膜根除和与传统抗菌剂联合治疗以及与多模态创新的有效性。本综述还探讨了与aBL相关的安全性和监管考虑。虽然aBL具有巨大的潜力,但其临床转化仍面临挑战,包括优化剂量,确保复杂生物系统中的安全性以及推进设备设计。未来的研究必须解决这些空白,以促进aBL的临床转化,并扩大其在对抗耐药感染中的作用。
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引用次数: 0
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Advanced drug delivery reviews
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