阿斯珀吉洛马拉斯明A克服了金属β-乳糖酶抗生素耐药性的作用
Andrew M King1, Sarah A Reid-Yu2, Wenliang Wang3
11] M.G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario L8S 4K1, Canada [2] Department of Chemistry and Chemical Biology, McMaster University, Hamilton, Ontario L8S 4K1, Canada.
Nature
|June 27, 2014
概括
一种新的真菌化合物阿斯伯吉洛马拉斯A (AMA) 有效地抑制金属β-乳酸酶 (MBLs). AMA恢复了对耐药格拉姆阴性病原体的卡巴胺抗生素的有效性,提供了潜在的新疗法.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 药物发现 药物发现 药物发现
背景情况:
- 耐卡巴胺的格拉姆阴性病原体对全球健康构成重大威胁.
- 金属β-乳酸酶 (MBLs),像NDM-1,是关键的酶赋予耐药性至关重要的抗生素.
- 现有的治疗方法是有限的,因为广泛的耐药性.
研究的目的:
- 为了确定MBL酶的新型抑制剂.
- 评估这些抑制剂在恢复抗生素对抗耐药细菌的活性方面的潜力.
- 在临床前模型中评估治疗疗效.
主要方法:
- 查真菌天然产品的MBL抑制活性.
- 生物化学测试以确定酶抑制功效.
- 在实验室测试抗生素再敏感性在耐药的阴性细菌.
- 在小鼠感染模型中的体内疗效研究.
主要成果:
- 阿斯伯吉洛马拉斯A (AMA) 被确定为NDM-1和VIM-2MBLs的强有力的抑制剂.
- 亚马恢复了对各种格拉姆阴性病原体的美罗胺活性,包括肠杆菌,阿辛托巴克特菌种类和伪杆菌种类.
- 与AMA和美罗的联合治疗在Klebsiella肺炎感染的小鼠模型中显示出治疗潜力.
结论:
- 阿斯珀吉洛马拉斯A是一种有前途的MBL抑制剂,具有对抗卡巴胺耐药性的潜力.
- 亚马可以使抗卡巴胺的抗性格拉姆阴性病原体重新敏感.
- 联合治疗AMA和卡巴胺为治疗由MBL产生细菌引起的感染提供了一种可行的策略.
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