Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2022 Nov;14(6):e1819. doi: 10.1002/wnan.1819.
Infections caused by antibiotic-resistant bacteria continue to challenge the medical field, mostly due to conventional treatments inefficiency after years of overuse and misuse in clinics. Cases of multiresistant bacterial infections are increasing every year. This led the World Health Organization (WHO) to update the list of resistant micro-organisms that represent greatest threat to human health. To stop the growing of the global resistance to antimicrobial drugs, new alternatives are necessary to fight these pathogens. In this context, antimicrobials peptides (AMPs) emerge as a new alternative to the current antibiotics in the pharmaceutical market. To improve their antimicrobial activity, different strategies are being developed to overcome antibiotic-resistant bacteria. Nanotechnology can be used to further potentiate antimicrobials, by increasing their activity or assisting in their delivering, frequently using nanostructured materials. There are already several antimicrobial peptides used in therapeutics, some of them coupled to nanoparticles. Additionally, detection strategies taking advantage of peptides as recognition agents are also being explored. Several examples are detailed of peptides that are specific to bacterial targets, and how that specificity can be used in diagnostics systems, coupled with nanoparticles-based signal detection approaches. Thus, the same properties of AMPs that enable specific neutralization can be harnessed to detect the very same bacteria they target. Overall, this review is focused on current research on nanoparticles coupled to antimicrobial peptides and how they can be used against multidrug-resistant bacteria as antimicrobials and/or as detection system. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Infectious Disease Nanotechnology Approaches to Biology > Nanoscale Systems in Biology.
抗生素耐药菌引起的感染继续对医学领域构成挑战,主要是由于多年来在临床中过度和不当使用,常规治疗效果不佳。多重耐药细菌感染的病例每年都在增加。这导致世界卫生组织(WHO)更新了对人类健康构成最大威胁的耐药微生物清单。为了阻止全球对抗微生物药物的耐药性不断增加,需要新的替代品来对抗这些病原体。在这种情况下,抗菌肽(AMPs)作为医药市场中现有抗生素的替代品出现。为了提高其抗菌活性,正在开发不同的策略来克服抗生素耐药菌。纳米技术可用于通过增加其活性或协助其递送来进一步增强抗菌剂,经常使用纳米结构材料。已经有几种抗菌肽用于治疗,其中一些与纳米颗粒偶联。此外,还在探索利用肽作为识别剂的检测策略。详细介绍了几种针对细菌靶标的肽,以及如何将这种特异性用于诊断系统,结合基于纳米颗粒的信号检测方法。因此,可以利用 AMPs 实现特异性中和的相同特性来检测它们所针对的相同细菌。总的来说,这篇综述集中于目前关于与抗菌肽偶联的纳米颗粒的研究,以及它们如何作为抗生素和/或作为检测系统用于对抗多药耐药菌。本文属于以下类别: 治疗方法和药物发现 > 抗感染的纳米医学 纳米生物技术在生物学中的应用 > 生物学中的纳米尺度系统。