Mycobacterium abscessus: It's Complex.

Mycobacterium abscessus: It's Complex.
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DOI:
10.3390/microorganisms10071454
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发表时间:
2022-07-19
期刊:
影响因子:
4.5
通讯作者:
--
中科院分区:
生物学3区
文献类型:
--
作者:

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脓肿分枝杆菌(M.脓肿)是一种机会性病原体,通常定植在异常的肺气道中,常见于囊性纤维化患者。目前,在临床开发中还没有针对脓肿分枝杆菌的疫苗。由于对几种常用抗生素的内在耐药性,脓肿分枝杆菌相关肺部疾病的治疗是特殊的。由于缺乏适当的实验动物模型,脓肿分枝杆菌肺部感染的预防性或治疗性干预措施的发展受到阻碍。在这篇综述中,我们概述了与脓疡分枝杆菌毒力机制、宿主-病原体相互作用以及与脓疡分枝杆菌肺部感染相关的治疗挑战相关的关键因素。有效对抗这种病原体的挑战包括开发适当的临床前动物感染模型,开发适当的诊断方法,以及设计治疗耐药脓肿分枝杆菌的新策略。
Mycobacterium abscessus (M. abscessus) is an opportunistic pathogen usually colonizing abnormal lung airways and is often seen in patients with cystic fibrosis. Currently, there is no vaccine available for M. abscessus in clinical development. The treatment of M. abscessus-related pulmonary diseases is peculiar due to intrinsic resistance to several commonly used antibiotics. The development of either prophylactic or therapeutic interventions for M. abscessus pulmonary infections is hindered by the absence of an adequate experimental animal model. In this review, we outline the critical elements related to M. abscessus virulence mechanisms, host–pathogen interactions, and treatment challenges associated with M. abscessus pulmonary infections. The challenges of effectively combating this pathogen include developing appropriate preclinical animal models of infection, developing proper diagnostics, and designing novel strategies for treating drug-resistant M. abscessus.
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