Recent advances and perspectives in the design and development of polymyxins.

Abstract:

:Covering: 1947-early 2017, particularly from 2005-early 2017The rise of bacterial pathogens with acquired resistance to almost all available antibiotics is becoming a serious public health issue. Polymyxins, antibiotics that were mostly abandoned a few decades ago because of toxicity concerns, are ultimately considered as a last-line therapy to treat infections caused by multi-drug resistant Gram-negative bacteria. This review surveys the progress in understanding polymyxin structure, and their chemistry, mechanisms of antibacterial activity and nephrotoxicity, biomarkers, synergy and combination with other antimicrobial agents and antibiofilm properties. An update of recent efforts in the design and development of a new generation of polymyxin drugs is also discussed. A novel approach considering the modification of the scaffold of polymyxins to integrate metabolism and detoxification issues into the drug design process is a promising new line to potentially prevent accumulation in the kidneys and reduce nephrotoxicity.

journal_name

Nat Prod Rep

journal_title

Natural product reports

authors

Rabanal F,Cajal Y

doi

10.1039/c7np00023e

subject

Has Abstract

pub_date

2017-07-06 00:00:00

pages

886-908

issue

7

eissn

0265-0568

issn

1460-4752

journal_volume

34

pub_type

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