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Natural Products as Platforms To Overcome Antibiotic Resistance
Chemical Reviews ( IF 51.4 ) Pub Date : 2017-09-27 00:00:00 , DOI: 10.1021/acs.chemrev.7b00283
Sean E Rossiter 1 , Madison H Fletcher 2 , William M Wuest 1
Affiliation  

Natural products have served as powerful therapeutics against pathogenic bacteria since the golden age of antibiotics of the mid-20th century. However, the increasing frequency of antibiotic-resistant infections clearly demonstrates that new antibiotics are critical for modern medicine. Because combinatorial approaches have not yielded effective drugs, we propose that the development of new antibiotics around proven natural scaffolds is the best short-term solution to the rising crisis of antibiotic resistance. We analyze herein synthetic approaches aiming to reengineer natural products into potent antibiotics. Furthermore, we discuss approaches in modulating quorum sensing and biofilm formation as a nonlethal method, as well as narrow-spectrum pathogen-specific antibiotics, which are of interest given new insights into the implications of disrupting the microbiome.

中文翻译:

天然产物作为克服抗生素耐药性的平台

自 20 世纪中叶抗生素黄金时代以来,天然产物一直是对抗病原菌的强大疗法。然而,抗生素耐药性感染频率的增加清楚地表明新抗生素对现代医学至关重要。由于组合方法尚未产生有效的药物,因此我们建议围绕经过验证的天然支架开发新抗生素是解决日益严重的抗生素耐药性危机的最佳短期解决方案。我们在此分析旨在将天然产物重新设计成有效抗生素的合成方法。此外,我们讨论了作为非致命方法调节群体感应和生物膜形成的方法,以及窄谱病原体特异性抗生素,鉴于对破坏微生物组的影响的新见解,这些方法很有趣。
更新日期:2017-09-27
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