Antibiotic discovery: where have we come from, where do we go?

Autor: Cecília R.C. Calado, Bernardo Ribeiro da Cunha, Luís P. Fonseca
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Microbiology (medical)
Streptogramins
Proteomics
medicine.medical_specialty
medicine.drug_class
Antibiotic discovery platforms
Polymyxin
030106 microbiology
Antibiotics
Review
Drug resistance
Fully synthetic antibiotics
semi-synthesis
Biochemistry
Microbiology
fully synthetic antibiotics
Macrolide Antibiotics
03 medical and health sciences
proteomics
genomics
Medicine
Metabolomics
Pharmacology (medical)
drug screening
General Pharmacology
Toxicology and Pharmaceutics

Intensive care medicine
metagenomics
business.industry
Semi-synthesis
lcsh:RM1-950
Genomics
metabolomics
lcsh:Therapeutics. Pharmacology
030104 developmental biology
Infectious Diseases
Drug screening
Lipidomics
lipidomics
antibiotic discovery platforms
Metagenomics
business
Amphenicols
Beta lactam antibiotics
Zdroj: Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
Antibiotics, Vol 8, Iss 2, p 45 (2019)
Antibiotics
Popis: Given the increase in antibiotic-resistant bacteria, alongside the alarmingly low rate of newly approved antibiotics for clinical usage, we are on the verge of not having effective treatments for many common infectious diseases. Historically, antibiotic discovery has been crucial in outpacing resistance and success is closely related to systematic procedures—platforms—that have catalyzed the antibiotic golden age, namely the Waksman platform, followed by the platforms of semi-synthesis and fully synthetic antibiotics. Said platforms resulted in the major antibiotic classes: aminoglycosides, amphenicols, ansamycins, beta-lactams, lipopeptides, diaminopyrimidines, fosfomycins, imidazoles, macrolides, oxazolidinones, streptogramins, polymyxins, sulphonamides, glycopeptides, quinolones and tetracyclines. During the genomics era came the target-based platform, mostly considered a failure due to limitations in translating drugs to the clinic. Therefore, cell-based platforms were re-instituted, and are still of the utmost importance in the fight against infectious diseases. Although the antibiotic pipeline is still lackluster, especially of new classes and novel mechanisms of action, in the post-genomic era, there is an increasingly large set of information available on microbial metabolism. The translation of such knowledge into novel platforms will hopefully result in the discovery of new and better therapeutics, which can sway the war on infectious diseases back in our favor.
Databáze: OpenAIRE