摘要
细菌感染是世界范围内死亡的主要原因之一。抗微生物药物耐药因素的出现威胁到目前所有抗微生物药物的疗效,其中一些药物已经失效,因此迫切需要新的治疗方法。世界卫生组织和欧洲疾病控制中心等国际组织已经认识到,由耐多药细菌引起的感染是全球卫生行动的优先事项。经典的抗菌药物发现包括体外筛选抗菌候选药物,结构-活性关系分析,然后是体内毒性试验。将药物从实验室带到床边需要花费大量的时间和资源。至少直到最近,由于耐药性的迅速出现,抗生素的治疗应用窗口期相对较短,这导致制药公司对抗生素发现的兴趣逐渐减弱。在这种环境下,正如最近的几项研究所反映的那样,“重新利用”(定义为研究现有已批准药物的新用途)重新引起了人们的兴趣,它可能有助于加快药物开发进程,并节省在抗菌药物开发上投入的多年昂贵研究费用。本综述的目的是对针对革兰氏阴性杆菌(GNB)的潜在驱虫药物的科学证据进行概述。特别是,我们的目标是:(i)强调驱虫药在治疗GNB感染方面的潜力,(ii)回顾它们对这些细菌的作用机制,(iii)总结针对这些细菌的已获批准的驱虫药的临床前研究结果,(iv)为进一步的驱虫药再利用开发提供关键挑战,以及(v)列出更有可能被再利用的特定驱虫药。
关键词: 药物再利用,驱虫药物,细菌,感染,抗微生物药物耐药性和治疗,耐药病原体
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