双倍β-乳酸疗法以改善Mycobacterium病治疗结果
Marta Pozuelo Torres1, Jakko van Ingen1
1Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands.
概括
双β-乳酸和β-乳酸/β-乳酸酶抑制剂组合显示出治疗Mycobacterium疹感染的前景. 需要进一步的临床前和临床研究来证实它们的有效性和安全性.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 由于毒性和效果差,Mycobacterium疹感染很难用当前的抗生素治疗.
- 双β-乳酸和β-乳酸/β-乳酸酶抑制剂的组合有可能改善治疗结果.
研究的目的:
- 审查和总结评估双β-lactam和β-lactam/β-lactamase抑制剂组合抗 Mycobacterium abscessus 的临床前研究.
主要方法:
- 使用PubMed.com进行了文献搜索.
- 采用雪球采样来确定其他相关研究.
主要成果:
- 一些β-乳糖和β-乳糖/β-乳糖酶抑制剂组合显示出有希望的体外活性和对M. abscessus的协同作用.
- 在细胞内感染测定和小鼠模型中保持有效性,尽管没有任何组合具有完整的临床前资料.
- 三种药物组合没有显示出额外的杀伤能力.
结论:
- 未来的临床策略应侧重于双β-lactam或β-lactam/β-lactamase抑制剂组合.
- 伊米佩内姆-塞法托林和特比佩内姆-阿维巴克坦是有希望的候选药物,需要进一步的临床前和临床验证.
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