Beyond Antibiotics: What the Future Holds

The prevalence of multidrug resistance (MDR) and stagnant drug-development pipelines have led to the rapid rise of hard-to-treat antibiotic-resistant bacterial infections. These infectious diseases are no longer just nosocomial but are also becoming community-acquired. The spread of MDR has reached...

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Main Author: Payam Benyamini
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/13/10/919
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author Payam Benyamini
author_facet Payam Benyamini
author_sort Payam Benyamini
collection DOAJ
description The prevalence of multidrug resistance (MDR) and stagnant drug-development pipelines have led to the rapid rise of hard-to-treat antibiotic-resistant bacterial infections. These infectious diseases are no longer just nosocomial but are also becoming community-acquired. The spread of MDR has reached a crisis level that needs immediate attention. The landmark O’Neill report projects that by 2050, mortality rates associated with MDR bacterial infections will surpass mortality rates associated with individuals afflicted with cancer. Since conventional antimicrobials are no longer very reliable, it is of great importance to investigate different strategies to combat these life-threatening infectious diseases. Here, we provide an overview of recent advances in viable alternative treatment strategies mainly targeting a pathogen’s virulence capability rather than viability. Topics include small molecule and immune inhibition of virulence factors, quorum sensing (QS) quenching, inhibition of biofilm development, bacteriophage-mediated therapy, and manipulation of an individual’s macroflora to combat MDR bacterial infections.
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spelling doaj-art-e7d633ed14904ba7a199708bfbb098b42025-08-20T02:10:57ZengMDPI AGAntibiotics2079-63822024-09-01131091910.3390/antibiotics13100919Beyond Antibiotics: What the Future HoldsPayam Benyamini0Department of Health Sciences at Extension, University of California Los Angeles, 1145 Gayley Ave., Los Angeles, CA 90024, USAThe prevalence of multidrug resistance (MDR) and stagnant drug-development pipelines have led to the rapid rise of hard-to-treat antibiotic-resistant bacterial infections. These infectious diseases are no longer just nosocomial but are also becoming community-acquired. The spread of MDR has reached a crisis level that needs immediate attention. The landmark O’Neill report projects that by 2050, mortality rates associated with MDR bacterial infections will surpass mortality rates associated with individuals afflicted with cancer. Since conventional antimicrobials are no longer very reliable, it is of great importance to investigate different strategies to combat these life-threatening infectious diseases. Here, we provide an overview of recent advances in viable alternative treatment strategies mainly targeting a pathogen’s virulence capability rather than viability. Topics include small molecule and immune inhibition of virulence factors, quorum sensing (QS) quenching, inhibition of biofilm development, bacteriophage-mediated therapy, and manipulation of an individual’s macroflora to combat MDR bacterial infections.https://www.mdpi.com/2079-6382/13/10/919phage therapypilicidesquorum sensing and biofilm inhibitorstoxoidsmicrofloral transplantstype III secretion system inhibitors
spellingShingle Payam Benyamini
Beyond Antibiotics: What the Future Holds
Antibiotics
phage therapy
pilicides
quorum sensing and biofilm inhibitors
toxoids
microfloral transplants
type III secretion system inhibitors
title Beyond Antibiotics: What the Future Holds
title_full Beyond Antibiotics: What the Future Holds
title_fullStr Beyond Antibiotics: What the Future Holds
title_full_unstemmed Beyond Antibiotics: What the Future Holds
title_short Beyond Antibiotics: What the Future Holds
title_sort beyond antibiotics what the future holds
topic phage therapy
pilicides
quorum sensing and biofilm inhibitors
toxoids
microfloral transplants
type III secretion system inhibitors
url https://www.mdpi.com/2079-6382/13/10/919
work_keys_str_mv AT payambenyamini beyondantibioticswhatthefutureholds