Combination therapies for combating antimicrobial resistance

被引:187
作者
Fischbach, Michael A. [1 ,2 ]
机构
[1] Univ Calif San Francisco, Dept Bioengn & Therapeut Sci, San Francisco, CA 94158 USA
[2] Univ Calif San Francisco, Calif Inst Quantitat Biosci, San Francisco, CA 94158 USA
关键词
BIOSYNTHETIC GENE-CLUSTER; ANTIBIOTIC RESISTOME; DRUG-INTERACTIONS; GENOME SEQUENCE; MYCOBACTERIUM-TUBERCULOSIS; DNA GYRASE; STREPTOMYCES; EVOLUTION; SIMOCYCLINONE; ARTEMISININS;
D O I
10.1016/j.mib.2011.08.003
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
New drug development strategies are needed to combat antimicrobial resistance. The object of this perspective is to highlight one such strategy: treating infections with sets of drugs rather than individual drugs. We will highlight three categories of combination therapy: those that inhibit targets in different pathways; those that inhibit distinct nodes in the same pathway; and those that inhibit the very same target in different ways. We will then consider examples of naturally occurring combination therapies produced by micro-organisms, and conclude by discussing key opportunities and challenges for making more widespread use of drug combinations.
引用
收藏
页码:519 / 523
页数:5
相关论文
共 52 条
[1]   Investigation of the Streptomyces clavuligerus cephamycin C gene cluster and its regulation by the CcaR protein [J].
Alexander, DC ;
Jensen, SE .
JOURNAL OF BACTERIOLOGY, 1998, 180 (16) :4068-4079
[2]   Metabolite-enabled eradication of bacterial persisters by aminoglycosides [J].
Allison, Kyle R. ;
Brynildsen, Mark P. ;
Collins, James J. .
NATURE, 2011, 473 (7346) :216-+
[3]   Cluster organization of the genes of Streptomyces pristinaespiralis involved in pristinamycin biosynthesis and resistance elucidated by pulsed-field gel electrophoresis [J].
Bamas-Jacques, N ;
Lorenzon, S ;
Lacroix, P ;
de Swetschin, C ;
Crouzet, J .
JOURNAL OF APPLIED MICROBIOLOGY, 1999, 87 (06) :939-948
[4]   Targeting tyrosine kinases in cancer: The second wave [J].
Baselga, Jose .
SCIENCE, 2006, 312 (5777) :1175-1178
[5]   HIV monotherapy with ritonavir-boosted protease inhibitors: a systematic review [J].
Bierman, Wouter F. W. ;
van Agtmael, Michiel A. ;
Nijhuis, Monique ;
Danner, Sven A. ;
Boucher, Charles A. B. .
AIDS, 2009, 23 (03) :279-291
[6]   Resolution of Gene Regulatory Conflicts Caused by Combinations of Antibiotics [J].
Bollenbach, Tobias ;
Kishony, Roy .
MOLECULAR CELL, 2011, 42 (04) :413-425
[7]   Nonoptimal Microbial Response to Antibiotics Underlies Suppressive Drug Interactions [J].
Bollenbach, Tobias ;
Quan, Selwyn ;
Chait, Remy ;
Kishony, Roy .
CELL, 2009, 139 (04) :707-718
[8]   Dysregulation of bacterial proteolytic machinery by a new class of antibiotics [J].
Brötz-Oesterhelt, H ;
Beyer, D ;
Kroll, HP ;
Endermann, R ;
Ladel, C ;
Schroeder, W ;
Hinzen, B ;
Raddatz, S ;
Paulsen, H ;
Henninger, K ;
Bandow, JE ;
Sahl, HG ;
Labischinski, H .
NATURE MEDICINE, 2005, 11 (10) :1082-1087
[9]  
Bryskier A, 2005, ANTIMICROBIAL AGENTS: ANTIBACTERIALS AND ANTIFUNGALS, P1
[10]   Antibiotic interactions that select against resistance [J].
Chait, Remy ;
Craney, Allison ;
Kishony, Roy .
NATURE, 2007, 446 (7136) :668-671