开发新的抗菌剂和新的抗菌剂替代品的新靶点

Q1 Medicine Human Microbiome Journal Pub Date : 2019-03-01 DOI:10.1016/j.humic.2019.01.001
Tafere Mulaw Belete
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引用次数: 66

摘要

在过去的半个世纪里,抗菌剂拯救了许多人的生命,促进了现代医学的发展。耐药性的出现,危及这些挽救生命的治疗的有效性。这清楚地表明,迫切需要新的和改进的抗菌药物,以新的靶点和新的分子结构剂来消除交叉耐药。本文综述了发现新型抗菌药物的可能新途径。目前研究最广泛的新药物靶点是群体感应生物合成、细菌毒力因子、细菌细胞分裂机制、细菌细胞壁合成、PDF抑制剂、类异戊二烯生物合成、shikimate合成途径、生物膜合成和脂肪酸生物合成。这些新的发现途径已经产生了临床前试验的药物。本综述还讨论了作用于细菌或任何针对宿主的方法的替代方法。临床开发中最先进的方法是噬菌体,临床前开发的其他方法是抗菌肽。这些替代方法可以用作辅助治疗,这表明传统的抗菌药物仍然是必不可少的。
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Novel targets to develop new antibacterial agents and novel alternatives to antibacterial agents

Antibacterial agents have saved many lives and helped the growth of modern medicine over the past half century. The emergence of drug resistance, jeopardizing the effectiveness of these life-saving treatments. This clearly highlights the urgent need for new and improved antibacterial drugs with a novel target and new molecular structure agent to obviate cross-resistance. This paper reviewed the possible new ways to discover novel antibacterial agents. The most widely studied new bacterial targets for novel drug development are quorum sensor biosynthesis, bacterial virulence factor, bacteria cell division machinery, Bacterial cell wall synthesis, PDF inhibitor, isoprenoid biosynthesis, shikimate synthesis pathway, biofilm synthesis and fatty acid biosynthesis. These new discovery routes have given rise to agents that are in preclinical trials. This review also discusses the alternatives approaches that act bacteria or any approaches that target the host. The most advanced approaches that are on clinical development are phages and other approaches that are on preclinical development are antimicrobial peptides. These alternatives ways may use as adjunctive therapies, which suggest that conventional antibacterial agents are still essential.

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来源期刊
Human Microbiome Journal
Human Microbiome Journal Medicine-Infectious Diseases
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期刊介绍: The innumerable microbes living in and on our bodies are known to affect human wellbeing, but our knowledge of their role is still at the very early stages of understanding. Human Microbiome is a new open access journal dedicated to research on the impact of the microbiome on human health and disease. The journal will publish original research, reviews, comments, human microbe descriptions and genome, and letters. Topics covered will include: the repertoire of human-associated microbes, therapeutic intervention, pathophysiology, experimental models, physiological, geographical, and pathological changes, and technical reports; genomic, metabolomic, transcriptomic, and culturomic approaches are welcome.
期刊最新文献
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