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Therapeutic Potential of Antimicrobial Peptides in Polymicrobial Biofilm-Associated Infections
Giovanna Batoni1, Giuseppantonio Maisetta1, Semih Esin1
1Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56123 Pisa, Italy.
Abstract:
It is widely recognized that many chronic infections of the human body have a polymicrobial etiology. These include diabetic foot ulcer infections, lung infections in cystic fibrosis patients, periodontitis, otitis, urinary tract infections and even a proportion of systemic infections. The treatment of mixed infections poses serious challenges in the clinic. First, polymicrobial communities of microorganisms often organize themselves as biofilms that are notoriously recalcitrant to antimicrobial therapy and clearance by the host immune system. Secondly, a plethora of interactions among community members may affect the expression of virulence factors and the susceptibility to antimicrobials of individual species in the community. Therefore, new strategies able to target multiple pathogens in mixed populations need to be urgently developed and evaluated. In this regard, antimicrobial or host defense peptides (AMPs) deserve particular attention as they are endowed with many favorable features that may serve to this end. The aim of the present review is to offer a comprehensive and updated overview of studies addressing the therapeutic potential of AMPs in mixed infections, highlighting the opportunities offered by this class of antimicrobials in the fight against polymicrobial infections, but also the limits that may arise in their use for this type of application.
Insights
Antimicrobial peptides (AMPs) show promise for treating polymicrobial infections, which are complex due to biofilms and microbial interactions. This review explores AMPs
Area of Science:
- Microbiology
- Infectious Diseases
- Biochemistry
Background:
- Many chronic human infections, such as diabetic foot ulcers and cystic fibrosis lung infections, involve multiple microbial species (polymicrobial etiology).
- These polymicrobial communities often form biofilms, which are resistant to conventional antimicrobial treatments and host immune responses.
- Interactions within these microbial communities can alter virulence and susceptibility to antimicrobials, complicating treatment strategies.
Purpose of the Study:
- To provide a comprehensive review of the therapeutic potential of antimicrobial peptides (AMPs) in treating mixed microbial infections.
- To highlight the advantages and limitations of using AMPs against polymicrobial infections.
Main Methods:
- Literature review of studies investigating AMPs against polymicrobial infections.
- Analysis of AMP mechanisms of action in the context of microbial communities and biofilms.
- Evaluation of existing research on AMP efficacy and challenges in clinical applications.
Main Results:
- Antimicrobial peptides (AMPs) exhibit broad-spectrum activity and unique mechanisms that may be effective against polymicrobial infections.
- AMPs can disrupt biofilms and modulate host immune responses, offering potential advantages over traditional antibiotics.
- However, challenges remain regarding AMP stability, delivery, and potential resistance development in complex microbial communities.
Conclusions:
- AMPs represent a promising therapeutic avenue for combating challenging polymicrobial infections.
- Further research and development are crucial to overcome existing limitations and fully realize the clinical potential of AMPs.
- Targeting multiple pathogens simultaneously with AMPs could revolutionize the treatment of chronic and complex infections.
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