用于真菌感染的药物重用:优点和局限性
Rodrigo Almeida-Paes1,2, Susana Frases2,3
1Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, 21040-360, Brazil.
Future microbiology
|September 18, 2023
概括
在实验室和动物研究中,重新利用现有的药物显示出治疗真菌感染的前景. 需要进一步的研究来应对有效的人类临床使用的挑战.
科学领域:
- 菌类学 菌类学是指菌类学.
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 真菌感染对全球健康构成重大威胁,需要新的治疗策略.
- 现有的抗真菌药物面临着耐药性和毒性等挑战,推动了寻找替代品的研究.
- 药物重新定位为开发新疗法提供了更快,更具成本效益的方法.
研究的目的:
- 评估重新利用现有药物治疗真菌感染的潜力.
- 确定有前途的候选药物,用于进一步的临床前和临床开发,对抗真菌.
- 克服阻碍复用药物在抗真菌治疗中的临床应用的障碍.
主要方法:
- 对用于真菌感染的药物重用研究的系统文献综述.
- 从临床前模型中分析体外和体内数据.
- 评估候选药物的药理动力学和药理动力学特性.
主要成果:
- 几种现有的药物,最初是针对其他疾病开发的,显示出针对各种真菌病原体的显著体外活性.
- 动物模型证明了某些重新定制药物在减少真菌负担和提高生存率方面的有效性.
- 临床翻译的关键挑战包括优化剂量,配方和理解潜在的药物相互作用.
结论:
- 药物再利用是发现新抗真菌剂的可行策略.
- 进一步的研究和开发对于将有希望的临床前发现转化为有效的真菌感染临床治疗至关重要.
- 解决特定障碍将有助于在抗真菌药物治疗中成功实施重用药物.
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