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Published on: February 24, 2023
Present and future therapeutic strategies for melioidosis and glanders
D Mark Estes1, Steven W Dow, Herbert P Schweizer
1Department of Microbiology and Immunology, Department of Pathology and The Sealy Center for Vaccine Development, University of Texas Medical Branch, Galveston, TX 77555-1070, USA. dmestes@utmb.edu
Abstract:
Burkholderia pseudomallei and Burkholderia mallei are the causative agents of melioidosis and glanders, respectively. Both Gram-negative pathogens are endemic in many parts of the world. Although natural acquisition of these pathogens is rare in the majority of countries, these bacteria have recently gained much interest because of their potential as bioterrorism agents. In modern times, their potential destructive impact on public health has escalated owing to the ability of these pathogens to cause opportunistic infections in diabetic and perhaps otherwise immunocompromised people, two growing populations worldwide. For both pathogens, severe infection in humans carries a high mortality rate, both species are recalcitrant to antibiotic therapy - B. pseudomallei more so than B. mallei - and no licensed vaccine exists for either prophylactic or therapeutic use. The potential malicious use of these organisms has accelerated the investigation of new ways to prevent and to treat the diseases. The availability of several B. pseudomallei and B. mallei genome sequences has greatly facilitated target identification and development of new therapeutics. This review provides a compilation of literature covering studies in antimelioidosis and antiglanders antimicrobial drug discovery, with a particular focus on potential novel therapeutic approaches to combat these diseases.
Insights
Burkholderia pathogens cause melioidosis and glanders, posing bioterrorism risks. New antimicrobial drugs and therapies are urgently needed due to high mortality and antibiotic resistance, with genome sequencing aiding discovery.
Area of Science:
- Microbiology and Infectious Diseases
- Bacteriology
- Drug Discovery
Background:
- Burkholderia pseudomallei and Burkholderia mallei are Gram-negative bacteria responsible for melioidosis and glanders.
- These pathogens are endemic globally and of increasing concern due to their potential as bioterrorism agents and opportunistic infections in immunocompromised individuals.
- Severe infections lead to high mortality rates, and both species exhibit significant antibiotic recalcitrance, with no existing vaccines.
Purpose of the Study:
- To review and compile existing literature on antimicrobial drug discovery for melioidosis and glanders.
- To highlight novel therapeutic approaches for combating diseases caused by B. pseudomallei and B. mallei.
- To leverage advancements in genome sequencing for identifying new therapeutic targets.
Main Methods:
- Literature review and compilation of studies on antimicrobial drug discovery.
- Focus on novel therapeutic strategies and target identification.
- Analysis of research facilitated by B. pseudomallei and B. mallei genome sequences.
Main Results:
- Identification of numerous studies focusing on antimicrobial drug discovery for melioidosis and glanders.
- Exploration of various novel therapeutic approaches against these challenging pathogens.
- Genome sequencing data has significantly aided in identifying potential drug targets.
Conclusions:
- There is a critical need for new antimicrobial agents and vaccines against B. pseudomallei and B. mallei.
- Ongoing research, aided by genomic information, is crucial for developing effective treatments.
- Novel therapeutic strategies are essential to combat the public health threat posed by these bacteria.
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