Alternatives to Conventional Antibiotics in the Era of Antimicrobial Resistance

被引:476
作者
Ghosh, Chandradhish [1 ]
Sarkar, Paramita [1 ]
Issa, Rahaf [2 ]
Haldar, Jayanta [1 ]
机构
[1] Jawaharlal Nehru Ctr Adv Sci Res, Antimicrobial Res Lab, New Chem Unit, Jakkur 560064, Bengaluru, India
[2] Univ Sheffield, Dept Infect Immun & Cardiovasc Dis, Sheffield, S Yorkshire, England
关键词
DE-NOVO DESIGN; HOST-DEFENSE PEPTIDES; SEQUENCE-SPECIFIC ANTIMICROBIALS; CATIONIC-AMPHIPHILIC POLYMERS; SMALL MOLECULES; BACTERIAL-RESISTANCE; METHICILLIN-RESISTANT; BACTERIOPHAGE ENDOLYSINS; CLOSTRIDIUM-DIFFICILE; MURINE MODEL;
D O I
10.1016/j.tim.2018.12.010
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
As more antibiotics are rendered ineffective by drug-resistant bacteria, focus must be shifted to wards alternative therapies for treating infections. Although several alternatives already exist in nature, the challenge is to implement them in clinical use. Advancements within biotechnology, genetic engineering, and synthetic chemistry have opened up new avenues towards the search for therapies that can substitute for antibiotics. This review provides an introduction to the various promising approaches that have been adopted in this regard. Whilst the use of bacteriophages and antibodies has been partly implemented, other promising strategies, such as probiotics, lysins, and antimicrobial peptides, are in various stages of development. Propitious concepts such as genetically modified phages, antibacterial oligonucleotides, and CRISPR-Cas9 are also discussed.
引用
收藏
页码:323 / 338
页数:16
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