Recent strategies for inhibiting multidrug-resistant and -lactamase producing bacteria: A review

被引:30
作者
Fatima, Huma [1 ]
Goel, Nikky [1 ]
Sinha, Rajeshwari
Khare, Sunil Kumar [1 ]
机构
[1] Indian Inst Technol Delhi, Enzyme & Microbial Biochem Lab, New Delhi, India
关键词
Multidrug-resistance; Antimicrobial peptides; Peptide-nanoconjugates; beta-lactamases; SPECTRUM BETA-LACTAMASES; ANTIMICROBIAL PEPTIDES; IN-VITRO; CEFTAZIDIME-AVIBACTAM; NANOPARTICLES; COMBINATION; ANTIBIOTICS; PNEUMONIAE; VIVO; DIVERSITY;
D O I
10.1016/j.colsurfb.2021.111901
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
beta-lactam antibiotics are one of the most commonly used drugs for treating bacterial infections, but their clinical effectiveness has been severely affected with bacteria developing resistance against their action. Production of 13-lactamase enzymes by bacteria that can degrade beta-lactams is the most common mechanism of acquiring such resistance, leading to the emergence of multiple-drug resistance in them. Therefore, the development of efficient approaches to combat infections caused by beta-lactamase producing and multidrug-resistant bacteria is the need of the hour. The present review attempts to understand such recent strategies that are in line for development as potential alternatives to conventional antibiotics. We find that apart from efforts being made to develop new antibiotics, several other approaches are being explored, which can help tackle infections caused by resistant bacteria. This includes the development of plant-based drugs, antimicrobial peptides, nano-formulations, bacteriophage therapy, use of CRISPR-Cas9, RNA silencing and antibiotic conjugates with nanoparticles of antimicrobial peptides. The mechanism of action of these novel approaches and potential issues limiting their translation from laboratory to clinics is also discussed. The review is important from an interesting knowledge base which can be useful for researchers working in this domain.
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页数:11
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