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CRISPR-Cas 系统在 ESKAPE 感染的诊断和治疗中的应用。

Application of CRISPR-Cas system in the diagnosis and therapy of ESKAPE infections.

机构信息

Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China.

出版信息

Front Cell Infect Microbiol. 2023 Aug 17;13:1223696. doi: 10.3389/fcimb.2023.1223696. eCollection 2023.

Abstract

Antimicrobial-resistant ESKAPE (, , , , , and species) pathogens represent a global threat to human health. ESKAPE pathogens are the most common opportunistic pathogens in nosocomial infections, and a considerable number of their clinical isolates are not susceptible to conventional antimicrobial therapy. Therefore, innovative therapeutic strategies that can effectively deal with ESKAPE pathogens will bring huge social and economic benefits and ease the suffering of tens of thousands of patients. Among these strategies, CRISPR (clustered regularly interspaced short palindromic repeats) system has received extra attention due to its high specificity. Regrettably, there is currently no direct CRISPR-system-based anti-infective treatment. This paper reviews the applications of CRISPR-Cas system in the study of ESKAPE pathogens, aiming to provide directions for the research of ideal new drugs and provide a reference for solving a series of problems caused by multidrug-resistant bacteria (MDR) in the post-antibiotic era. However, most research is still far from clinical application.

摘要

耐抗菌药物的 ESKAPE(肠杆菌科、金黄色葡萄球菌、肺炎克雷伯菌、鲍曼不动杆菌、铜绿假单胞菌和屎肠球菌)病原体对人类健康构成了全球性威胁。ESKAPE 病原体是医院感染中最常见的机会性病原体,其相当数量的临床分离株对常规抗菌治疗不敏感。因此,能够有效应对 ESKAPE 病原体的创新治疗策略将带来巨大的社会效益和经济效益,缓解成千上万患者的痛苦。在这些策略中,由于其高度特异性,CRISPR(成簇规律间隔短回文重复序列)系统受到了额外的关注。遗憾的是,目前尚无直接基于 CRISPR 系统的抗感染治疗方法。本文综述了 CRISPR-Cas 系统在 ESKAPE 病原体研究中的应用,旨在为理想新药的研究提供方向,并为解决抗生素后时代由多药耐药菌(MDR)引起的一系列问题提供参考。然而,大多数研究仍远未达到临床应用的程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3262/10470840/f1d4d8449667/fcimb-13-1223696-g001.jpg

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