Review: Lessons Learned From Clinical Trials Using Antimicrobial Peptides (AMPs).

Review: Lessons Learned From Clinical Trials Using Antimicrobial Peptides (AMPs).
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综述:从使用抗菌肽(AMPs)的临床试验中吸取的经验教训。

DOI:
10.3389/fmicb.2021.616979
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发表时间:
2021
影响因子:
5.2
通讯作者:
Boekema BKHL
Boekema BKHL
中科院分区:
生物学2区
文献类型:
--
作者:
Dijksteel GS;Ulrich MMW;Middelkoop E;Boekema BKHL

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抗菌肽(AMPs)或宿主防御肽保护宿主免受各种病原体的侵害,例如酵母菌、真菌、病毒和细菌。抗菌肽还表现出免疫调节特性,其范围从炎症反应的调节到促进伤口愈合。更有趣的是,抗菌肽通过与病原体膜表面的非特异性相互作用导致细胞破裂。这很可能是许多抗菌肽很少或有限出现细菌耐药性的原因。尽管抗生素耐药细菌的数量不断增加,且新型抗菌肽对抗此类病原体具有效力,但只有少数抗菌肽用于临床。因此,本篇综述描述了(i)抗菌肽作为抗生素替代品的潜力,(ii)抗菌肽临床应用所面临的挑战,以及(iii)提高抗菌肽临床试验成功率的策略,强调了我们可以从这些试验中吸取的经验教训。
Antimicrobial peptides (AMPs) or host defense peptides protect the host against various pathogens such as yeast, fungi, viruses and bacteria. AMPs also display immunomodulatory properties ranging from the modulation of inflammatory responses to the promotion of wound healing. More interestingly, AMPs cause cell disruption through non-specific interactions with the membrane surface of pathogens. This is most likely responsible for the low or limited emergence of bacterial resistance against many AMPs. Despite the increasing number of antibiotic-resistant bacteria and the potency of novel AMPs to combat such pathogens, only a few AMPs are in clinical use. Therefore, the current review describes (i) the potential of AMPs as alternatives to antibiotics, (ii) the challenges toward clinical implementation of AMPs and (iii) strategies to improve the success rate of AMPs in clinical trials, emphasizing the lessons we could learn from these trials.
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