Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges

ABSTRACT Increasing incidences of multidrug resistance in pathogenic bacteria threaten our ability to treat and manage bacterial infection. The development and FDA approval of novel antibiotics have slowed over the past decade; therefore, the adoption and improvement of alternative therapeutic strat...

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Autores principales: Chih-Yuan Chiang, Ijeoma Uzoma, Richard T. Moore, Merle Gilbert, Allen J. Duplantier, Rekha G. Panchal
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Publicado: American Society for Microbiology 2018
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Acceso en línea:https://doaj.org/article/7de0eec81d1e40dc8ff6383e4cf2aa95
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spelling oai:doaj.org-article:7de0eec81d1e40dc8ff6383e4cf2aa952021-11-15T15:53:26ZMitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges10.1128/mBio.01932-172150-7511https://doaj.org/article/7de0eec81d1e40dc8ff6383e4cf2aa952018-03-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01932-17https://doaj.org/toc/2150-7511ABSTRACT Increasing incidences of multidrug resistance in pathogenic bacteria threaten our ability to treat and manage bacterial infection. The development and FDA approval of novel antibiotics have slowed over the past decade; therefore, the adoption and improvement of alternative therapeutic strategies are critical for addressing the threat posed by multidrug-resistant bacteria. Host-directed therapies utilize small-molecule drugs and proteins to alter the host response to pathogen infection. Here, we highlight strategies for modulating the host inflammatory response to enhance bacterial clearance, small-molecule potentiation of innate immunity, and targeting of host factors that are exploited by pathogen virulence factors. Application of state-of-the-art “omic” technologies, including proteomics, transcriptomics, and image-omics (image-based high-throughput phenotypic screening), combined with powerful bioinformatics tools will enable the modeling of key signaling pathways in the host-pathogen interplay and aid in the identification of host proteins for therapeutic targeting and the discovery of host-directed small molecules that will regulate bacterial infection. We conclude with an outlook on research needed to overcome the challenges associated with transitioning host-directed therapies into a clinical setting.Chih-Yuan ChiangIjeoma UzomaRichard T. MooreMerle GilbertAllen J. DuplantierRekha G. PanchalAmerican Society for Microbiologyarticleantibiotic resistancefluorescent image analysisinflammationinnate immunitymultidrug resistanceproteomicsMicrobiologyQR1-502ENmBio, Vol 9, Iss 1 (2018)
institution DOAJ
collection DOAJ
language EN
topic antibiotic resistance
fluorescent image analysis
inflammation
innate immunity
multidrug resistance
proteomics
Microbiology
QR1-502
spellingShingle antibiotic resistance
fluorescent image analysis
inflammation
innate immunity
multidrug resistance
proteomics
Microbiology
QR1-502
Chih-Yuan Chiang
Ijeoma Uzoma
Richard T. Moore
Merle Gilbert
Allen J. Duplantier
Rekha G. Panchal
Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges
description ABSTRACT Increasing incidences of multidrug resistance in pathogenic bacteria threaten our ability to treat and manage bacterial infection. The development and FDA approval of novel antibiotics have slowed over the past decade; therefore, the adoption and improvement of alternative therapeutic strategies are critical for addressing the threat posed by multidrug-resistant bacteria. Host-directed therapies utilize small-molecule drugs and proteins to alter the host response to pathogen infection. Here, we highlight strategies for modulating the host inflammatory response to enhance bacterial clearance, small-molecule potentiation of innate immunity, and targeting of host factors that are exploited by pathogen virulence factors. Application of state-of-the-art “omic” technologies, including proteomics, transcriptomics, and image-omics (image-based high-throughput phenotypic screening), combined with powerful bioinformatics tools will enable the modeling of key signaling pathways in the host-pathogen interplay and aid in the identification of host proteins for therapeutic targeting and the discovery of host-directed small molecules that will regulate bacterial infection. We conclude with an outlook on research needed to overcome the challenges associated with transitioning host-directed therapies into a clinical setting.
format article
author Chih-Yuan Chiang
Ijeoma Uzoma
Richard T. Moore
Merle Gilbert
Allen J. Duplantier
Rekha G. Panchal
author_facet Chih-Yuan Chiang
Ijeoma Uzoma
Richard T. Moore
Merle Gilbert
Allen J. Duplantier
Rekha G. Panchal
author_sort Chih-Yuan Chiang
title Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges
title_short Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges
title_full Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges
title_fullStr Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges
title_full_unstemmed Mitigating the Impact of Antibacterial Drug Resistance through Host-Directed Therapies: Current Progress, Outlook, and Challenges
title_sort mitigating the impact of antibacterial drug resistance through host-directed therapies: current progress, outlook, and challenges
publisher American Society for Microbiology
publishDate 2018
url https://doaj.org/article/7de0eec81d1e40dc8ff6383e4cf2aa95
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