Next-generation precision antimicrobials: towards personalized treatment of infectious diseases

被引:97
作者
de la Fuente-Nunez, Cesar [1 ,2 ,3 ,4 ,5 ,6 ,7 ]
Torres, Marcelo D. T. [1 ,2 ,3 ,4 ,5 ,6 ,7 ,8 ]
Mojica, Francisco J. M. [9 ]
Lu, Timothy K. [1 ,2 ,3 ,4 ,5 ,6 ,7 ]
机构
[1] MIT, Synthet Biol Ctr, Synthet Biol Grp, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[2] MIT, Res Lab Elect, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[3] MIT, Dept Biol Engn, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[4] MIT, Dept Elect Engn & Comp Sci, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[5] Broad Inst MIT & Harvard, Cambridge, MA 02142 USA
[6] Harvard Univ, Harvard Biophys Program, Boston, MA 02115 USA
[7] Ctr Microbiome Informat & Therapeut, Cambridge, MA 02139 USA
[8] Univ Fed ABC, Ctr Ciencias Nat & Humanas, Sao Paulo, Brazil
[9] Univ Alicante, Dept Fisiol Genet & Microbiol, Pavil 12, E-03080 Alicante, Spain
基金
美国国家科学基金会; 美国国家卫生研究院;
关键词
SEQUENCE-SPECIFIC ANTIMICROBIALS; PHOSPHORODIAMIDATE MORPHOLINO OLIGOMERS; PSEUDOMONAS-AERUGINOSA; ANTIBIOFILM PEPTIDES; BIOFILM FORMATION; MICROBIOME; INHIBITION; IDENTIFICATION; ANTIBIOTICS; TECHNOLOGY;
D O I
10.1016/j.mib.2017.05.014
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Antibiotics started to be used almost 90 years ago to eradicate life-threatening infections. The urgency of the problem required rapid, broad-spectrum elimination of infectious agents. Since their initial discovery, these antimicrobials have saved millions of lives. However, they are not exempt from side effects, which include the indiscriminate disruption of the beneficial microbiota. Recent technological advances have enabled the development of antimicrobials that can selectively target a gene, a cellular process, or a microbe of choice. These strategies bring us a step closer to developing personalized therapies that exclusively remove disease-causing infectious agents. Here, we advocate the preservation of our beneficial microbes and provide an overview of promising alternatives to broad-spectrum antimicrobials. Specifically, we emphasize nucleic acid and peptide-based systems as a foundation for next-generation alternatives to antibiotics that do not challenge our microbiota and may help to mitigate the spread of resistance.
引用
收藏
页码:95 / 102
页数:8
相关论文
共 52 条
[1]  
Almendros C, 2016, NAT MICROBIOL, V1, DOI [10.1038/NMICROBIOL.2016.81, 10.1038/nmicrobiol.2016.81]
[2]   Treating Clostridium difficile Infection With Fecal Microbiota Transplantation [J].
Bakken, Johan S. ;
Borody, Thomas ;
Brandt, Lawrence J. ;
Brill, Joel V. ;
Demarco, Daniel C. ;
Franzos, Marc Alaric ;
Kelly, Colleen ;
Khoruts, Alexander ;
Louie, Thomas ;
Martinelli, Lawrence P. ;
Moore, Thomas A. ;
Russell, George ;
Surawicz, Christina .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2011, 9 (12) :1044-1049
[3]   Role of the Microbiota in Immunity and Inflammation [J].
Belkaid, Yasmine ;
Hand, Timothy W. .
CELL, 2014, 157 (01) :121-141
[4]   Exploiting CRISPR-Cas nucleases to produce sequence-specific antimicrobials [J].
Bikard, David ;
Euler, Chad W. ;
Jiang, Wenyan ;
Nussenzweig, Philip M. ;
Goldberg, Gregory W. ;
Duportet, Xavier ;
Fischetti, Vincent A. ;
Marraffini, Luciano A. .
NATURE BIOTECHNOLOGY, 2014, 32 (11) :1146-1150
[5]   Antibiotic use and its consequences for the normal microbiome [J].
Blaser, Martin J. .
SCIENCE, 2016, 352 (6285) :544-545
[6]   Engineered Endolysin-Based "Artilysins" To Combat Multidrug-Resistant Gram-Negative Pathogens [J].
Briers, Yves ;
Walmagh, Maarten ;
Van Puyenbroeck, Victor ;
Cornelissen, Anneleen ;
Cenens, William ;
Aertsen, Abram ;
Oliveira, Hugo ;
Azeredo, Joana ;
Verween, Gunther ;
Pirnay, Jean-Paul ;
Miller, Stefan ;
Volckaert, Guido ;
Lavigne, Rob .
MBIO, 2014, 5 (04)
[7]   Hybrid membrane biomaterials from self-assembly in polysaccharide and peptide amphiphile mixtures: controllable structural and mechanical properties and antimicrobial activity [J].
Castelletto, V. ;
Kaur, A. ;
Hamley, I. W. ;
Barnes, R. H. ;
Karatzas, K-A. ;
Hermida-Merino, D. ;
Swioklo, S. ;
Connon, C. J. ;
Stasiak, J. ;
Reza, M. ;
Ruokolainen, J. .
RSC ADVANCES, 2017, 7 (14) :8366-8375
[8]   Sequence-specific antimicrobials using efficiently delivered RNA-guided nucleases [J].
Citorik, Robert J. ;
Mimee, Mark ;
Lu, Timothy K. .
NATURE BIOTECHNOLOGY, 2014, 32 (11) :1141-1145
[9]   Targeting virulence: a new paradigm for antimicrobial therapy [J].
Clatworthy, Anne E. ;
Pierson, Emily ;
Hung, Deborah T. .
NATURE CHEMICAL BIOLOGY, 2007, 3 (09) :541-548
[10]   The Impact of the Gut Microbiota on Human Health: An Integrative View [J].
Clemente, Jose C. ;
Ursell, Luke K. ;
Parfrey, Laura Wegener ;
Knight, Rob .
CELL, 2012, 148 (06) :1258-1270