Sharma Devesh, Gautam Sakshi, Singh Sakshi, Srivastava Nalini, Khan Abdul Mabood, Bisht Deepa
Department of Biochemistry, ICMR-National JALMA Institute for Leprosy and Other Mycobacterial Diseases, Agra, India.
School of Studies in Biochemistry, Jiwaji University, Gwalior, India.
Front Microbiol. 2025 Jan 9;15:1391345. doi: 10.3389/fmicb.2024.1391345. eCollection 2024.
A significant global health crisis is predicted to emerge due to antimicrobial resistance by 2050, with an estimated 10 million deaths annually. Increasing antibiotic resistance necessitates continuous therapeutic innovation as conventional antibiotic treatments become increasingly ineffective. The naturally occurring antibacterial, antifungal, and antiviral compounds offer a viable alternative to synthetic antibiotics. This review presents bacterial resistance mechanisms, nanocarriers for drug delivery, and plant-based compounds for nanoformulations, particularly nanoantibiotics (nAbts). Green synthesis of nanoparticles has emerged as a revolutionary approach, as it enhances the effectiveness, specificity, and transport of encapsulated antimicrobials. In addition to minimizing systemic side effects, these nanocarriers can maximize therapeutic impact by delivering the antimicrobials directly to the infection site. Furthermore, combining two or more antibiotics within these nanoparticles often exhibits synergistic effects, enhancing the effectiveness against drug-resistant bacteria. Antimicrobial agents are routinely obtained from secondary metabolites of plants, including essential oils, phenols, polyphenols, alkaloids, and others. Integrating plant-based antibacterial agents and conventional antibiotics, assisted by suitable nanocarriers for codelivery, is a potential solution for addressing bacterial resistance. In addition to increasing their effectiveness and boosting the immune system, this synergistic approach provides a safer and more effective method of tackling future bacterial infections.
预计到2050年,抗微生物药物耐药性将引发一场重大的全球健康危机,估计每年有1000万人死亡。随着传统抗生素治疗的效果越来越差,抗生素耐药性不断增加,这就需要持续进行治疗创新。天然存在的抗菌、抗真菌和抗病毒化合物为合成抗生素提供了一种可行的替代方案。本文综述了细菌耐药机制、药物递送纳米载体以及用于纳米制剂(特别是纳米抗生素)的植物基化合物。纳米颗粒的绿色合成已成为一种革命性的方法,因为它提高了包封抗菌剂的有效性、特异性和转运能力。除了将全身副作用降至最低外,这些纳米载体还可以通过将抗菌剂直接递送至感染部位来最大化治疗效果。此外,在这些纳米颗粒中组合两种或更多种抗生素通常会表现出协同效应,增强对耐药细菌的有效性。抗菌剂通常从植物的次生代谢产物中获得,包括精油、酚类、多酚类、生物碱等。在合适的共递送纳米载体的辅助下,将植物基抗菌剂与传统抗生素相结合,是解决细菌耐药性问题的一个潜在解决方案。这种协同方法除了提高其有效性和增强免疫系统外,还提供了一种更安全、更有效的方法来应对未来的细菌感染。