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Alternative Therapeutic Interventions: Antimicrobial Peptides and Small Molecules to Treat Microbial Keratitis
Praveen Kumar Jadi1, Prerana Sharma1,2, Bharathi Bhogapurapu1
1Prof, Brien Holden Eye Research Centre, LV Prasad Eye Institute, Hyderabad, India.
Abstract:
Microbial keratitis is a leading cause of blindness worldwide and results in unilateral vision loss in an estimated 2 million people per year. Bacteria and fungus are two main etiological agents that cause corneal ulcers. Although antibiotics and antifungals are commonly used to treat corneal infections, a clear trend with increasing resistance to these antimicrobials is emerging at rapid pace. Extensive research has been carried out to determine alternative therapeutic interventions, and antimicrobial peptides (AMPs) are increasingly recognized for their clinical potential in treating infections. Small molecules targeted against virulence factors of the pathogens and natural compounds are also explored to meet the challenges and growing demand for therapeutic agents. Here we review the potential of AMPs, small molecules, and natural compounds as alternative therapeutic interventions for the treatment of corneal infections to combat antimicrobial resistance. Additionally, we have also discussed about the different formats of drug delivery systems for optimal administration of drugs to treat microbial keratitis.
Insights
Microbial keratitis causes vision loss, and rising antimicrobial resistance necessitates new treatments. This review explores antimicrobial peptides, small molecules, and natural compounds as alternatives for corneal infections.
Area of Science:
- Ophthalmology
- Microbiology
- Pharmacology
Background:
- Microbial keratitis is a major cause of blindness, affecting millions annually.
- Bacterial and fungal infections are primary causes of corneal ulcers.
- Increasing antimicrobial resistance to conventional treatments poses a significant clinical challenge.
Purpose of the Study:
- To review alternative therapeutic interventions for microbial keratitis.
- To explore the potential of antimicrobial peptides (AMPs), small molecules, and natural compounds.
- To discuss drug delivery systems for optimal treatment of corneal infections.
Main Methods:
- Literature review of current research on alternative therapies for microbial keratitis.
- Analysis of the efficacy and mechanisms of AMPs, small molecules, and natural compounds.
- Examination of various drug delivery systems for corneal infections.
Main Results:
- Antimicrobial peptides (AMPs), small molecules targeting virulence factors, and natural compounds show promise.
- These alternatives offer potential solutions to combat rising antimicrobial resistance.
- Diverse drug delivery systems can enhance the efficacy of these novel treatments.
Conclusions:
- Antimicrobial peptides, small molecules, and natural compounds represent viable alternatives to combat antimicrobial resistance in microbial keratitis.
- Optimized drug delivery systems are crucial for effective treatment of corneal infections.
- Further research is warranted to translate these findings into clinical practice.
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