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Métodos Terapéuticos y Terapias MTCI
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Nat Commun ; 10(1): 4336, 2019 09 24.
Artículo en Inglés | MEDLINE | ID: mdl-31551496

RESUMEN

New strategies with high antimicrobial efficacy against multidrug-resistant bacteria are urgently desired. Herein, we describe a smart triple-functional nanostructure, namely TRIDENT (Thermo-Responsive-Inspired Drug-Delivery Nano-Transporter), for reliable bacterial eradication. The robust antibacterial effectiveness is attributed to the integrated fluorescence monitoring and synergistic chemo-photothermal killing. We notice that temperature rises generated by near-infrared irradiation did not only melt the nanotransporter via a phase change mechanism, but also irreversibly damaged bacterial membranes to facilitate imipenem permeation, thus interfering with cell wall biosynthesis and eventually leading to rapid bacterial death. Both in vitro and in vivo evidence demonstrate that even low doses of imipenem-encapsulated TRIDENT could eradicate clinical methicillin-resistant Staphylococcus aureus, whereas imipenem alone had limited effect. Due to rapid recovery of infected sites and good biosafety we envision a universal antimicrobial platform to fight against multidrug-resistant or extremely drug-resistant bacteria.


Asunto(s)
Antibacterianos/administración & dosificación , Infecciones Bacterianas/terapia , Sistemas de Liberación de Medicamentos , Imipenem/administración & dosificación , Infecciones Cutáneas Estafilocócicas/terapia , Animales , Antibacterianos/farmacología , Farmacorresistencia Bacteriana Múltiple/efectos de los fármacos , Imipenem/farmacología , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Ratones , Pruebas de Sensibilidad Microbiana , Nanoestructuras/química , Fototerapia/efectos adversos , Fototerapia/métodos , Prueba de Estudio Conceptual
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