在开发针对非结核菌菌的新抗菌剂方面取得的最新进展
Jane Cross1, Nupur Gargate1, Khondaker Miraz Rahman1
1Institute of Pharmaceutical Science, King's College London, 150 Stamford Street, London SE1 9NH, UK.
Antibiotics (Basel, Switzerland)
|December 30, 2025
概括
非结核菌菌 (NTM) 感染正在增加,由于耐药性,这给治疗带来了挑战. 新兴的战略重点是新型药物,并重新利用现有的药物来对抗这些难以治疗的感染.
科学领域:
- 微生物学与传染病的研究
- 抗微生物耐药性 抗微生物耐药性
- 药物发现 药物发现 药物发现
背景情况:
- 非结核性真菌菌 (NTM) 引起严重感染,特别是在免疫受损的个体.
- 全球NTM感染的发病率正在上升,治疗选择有限且具有挑战性.
- 开发用于NTM的抗菌药物面临着高成本和低商业回报.
研究的目的:
- 提供针对NTM新兴抗微生物策略的最新概述.
- 为了突出最近在NTM治疗的进步.
- 讨论NTM药物开发中的转化挑战和机遇.
主要方法:
- 对新型抗菌剂的临床前和临床数据的审查.
- 对NTM的药物重用机会的分析.
- 检查针对生物膜和抵抗机制的策略.
主要成果:
- 随着NTM药物管道的不断扩展,采用了多种方法,包括新型小分子和主体导向策略.
- 重新使用的药物如gepotidacin,sulbactam-durlobactam和contezolid对NTM治疗有很大的前景.
- 存在翻译性挑战,如SPR720的暂停所示,突出了发展风险.
结论:
- 预计NTM疗法的近期进展将来自重新定位的药物和优化组合.
- 针对生物膜和抵抗机制的早期候选药物提供了未来的治疗途径.
- 加快开发有效的NTM疗法需要解决翻译挑战和促进创新.
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