微生物多药耐药的新希望

Eknath D. Ahire, S. Kshirsagar
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引用次数: 2

摘要

近几十年来,微生物多药耐药(MDR)已成为多种药物治疗中的一大热点之一。由于这种影响,许多行业都受到了影响,包括制药行业、畜牧业以及在某种程度上农业部门。微生物发展出了很多机制来产生对药物的耐药性包括降解酶的发展,微生物中负责结合药物的结构修饰,以及最后但并非最不重要的发展出许多外排泵将药物分子推到微生物细胞外。许多研究表明,许多抗生素和抗癌药物主要受到细胞壁外排泵的影响。这些机制在许多常见的微生物中都可以观察到,包括革兰氏阳性和革兰氏阴性微生物。因此,为了最大限度地减少多药耐药,应优先考虑外排泵。迄今为止,关于渗透糖蛋白(P-gp)外排泵的抑制已经做了大量的工作,但仍然需要探索一些更多的创新方法来治疗耐多药。从目前的角度来看,我们讨论了与这方面的现有和未来前景有关的关键点。
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New Hope in Microbial Multidrug Resistance
From the last some decades, microbial multidrug resistance (MDR) has developed one of the big treats in the many drug therapy. Due to this effect, so many sectors were get affected including the pharmaceutical sector, animal husbandry sector as well as in some way the agriculture sector too. There are so many mechanisms were developed by the microbes to developed resistance towards the medicines consisting of the development of degrading enzymes, structural modification in the microbes which is responsible to bind the drug, as well as last but not the least developing many effluxes pumps to push drug molecules outside of the microbial cell. Many studies demonstrated that lots of antibiotics and anticancer agents are majorly get affected by efflux pumps present on the cell wall. These mechanisms are observed in many common microbes including gram-positive and gram-negative microbes. As a result, efflux pumps are to be taken on top priority for the minimization of multidrug resistance. Up to date lots of work is done regarding the permeation glycoprotein (P-gp) efflux pump inhibition but still, there is a need to explore some more innovative approaches towards MDR. In this current perspective, we have discussed the key points related to pre-existing and future prospects in this regard.
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