天然化合物与抗菌药物联用应对细菌耐药性研究进展
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R181.3+2 R378

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湖南省自然科学基金(2025JJ60745,2024JJ7516);国家级大学生创新创业训练项目(S202310545009);湖南省教育厅科学研究优秀青年项目(24B0778);生物医药产业化中试技术研发公共服务平台(4692201)


Research progress on the combination of natural compounds and antimicrobial agents to cope with antimicrobial resistance of bacteria
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    摘要:

    细菌耐药性的出现导致抗菌药物疗效下降甚至失效,给临床抗感染治疗带来巨大挑战,严重威胁人类健康。因此,应对细菌耐药性已成为全球公共卫生领域的重大挑战与研究热点。天然化合物因其来源广泛、生物活性多样,在养殖业“减抗、替抗”的实践中已展现出重要价值。近年来,研究发现多种天然化合物可作为抗菌药物的增效剂,与抗菌药物联用可恢复耐药菌对药物的敏感性,并增强其抗菌疗效。这表明,天然化合物具有作为应对细菌耐药性新策略的潜力。本文基于细菌主要耐药机制,综述了天然化合物与抗菌药物联合应用的协同抗菌机制,展望了其应用前景与面临的挑战,以期为应对细菌耐药性危机提供新的思路与策略。

    Abstract:

    The emergence of antimicrobial resistance (AMR) of bacteria leads to a decrease or even failure in the effectiveness of antimicrobial treatment, poses a huge challenge to clinical anti-infective treatment, and seriously threatens human life. Therefore, coping with AMR of bacteria has become a major challenge and research hot spot in the field of global public health. Due to the wide sources and diverse biological activities, natural compounds play an important role in the practice of "reduction of antimicrobial agents, replacement for antimicrobial agents, and free of antimicrobial agents" in the breeding industry. In recent years, studies have discovered that a variety of natural compounds can serve as enhancer for antimicrobial agents, and the combined use of natural compounds with antimicrobial agents can restore the antimicrobial sensitivity of antimicrobial-resistant bacteria and enhance antimicrobial effects. This indicates that natural compounds have the potential to serve as new strategies in coping with AMR of bacteria. This paper reviews the synergistic antibacterial mechanism of natural compounds combined with antimicrobial agents based on the main resistance mechanisms of bacteria, and looks forward to their application prospects and challenges, in the hope of providing new ideas and strategies for coping with the crisis of bacteria AMR.

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江超,胡杰,李玉娟,等.天然化合物与抗菌药物联用应对细菌耐药性研究进展[J]. 中国感染控制杂志,2025,24(10):1497-1503. DOI:10.12138/j. issn.1671-9638.20252253.
JIANG Chao, HU Jie, LI Yujuan, et al. Research progress on the combination of natural compounds and antimicrobial agents to cope with antimicrobial resistance of bacteria[J]. Chin J Infect Control, 2025,24(10):1497-1503. DOI:10.12138/j. issn.1671-9638.20252253.

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  • 收稿日期:2025-03-19
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  • 在线发布日期: 2025-10-29
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