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1.
Int J Mol Sci ; 22(23)2021 Nov 23.
Article En | MEDLINE | ID: mdl-34884459

Urinary tract infections (UTIs) represent a health problem of the first magnitude since they affect large segments of the population, cause increased mortality and comorbidity, and have a high incidence of relapse. Therefore, UTIs cause a major socioeconomic concern. Current antibiotic treatments have various limitations such as the appearance of resistance to antibiotics, nephrotoxicity, and side effects such as gastrointestinal problems including microbiota alterations that contribute to increasing antibiotic resistance. In this context, Itxasol© has emerged, approved as an adjuvant for the treatment of UTIs. Designed with biomimetic principles, it is composed of arbutin, umbelliferon, and N-acetyl cysteine. In this work, we review the activities of these three compounds concerning the changes they produce in the expression of bacterial genes and those related to inflammation as well as assess how they are capable of affecting the DNA of bacteria and fungi.


Anti-Bacterial Agents/pharmacology , Bacteria/genetics , Bacterial Proteins/genetics , Urinary Tract Infections/microbiology , Acetylcysteine/pharmacology , Acetylcysteine/therapeutic use , Anti-Bacterial Agents/therapeutic use , Arbutin/pharmacology , Arbutin/therapeutic use , Bacteria/drug effects , Drug Combinations , Gene Expression Regulation, Bacterial/drug effects , Humans , Molecular Mimicry , Umbelliferones/pharmacology , Umbelliferones/therapeutic use , Urinary Tract Infections/drug therapy
2.
Molecules ; 26(15)2021 Jul 28.
Article En | MEDLINE | ID: mdl-34361723

Genito-urinary tract infections have a high incidence in the general population, being more prevalent among women than men. These diseases are usually treated with antibiotics, but very frequently, they are recurrent and lead to the creation of resistance and are associated with increased morbidity and mortality. For this reason, it is necessary to develop new compounds for their treatment. In this work, our objective is to review the characteristics of the compounds of a new formulation called Itxasol© that is prescribed as an adjuvant for the treatment of UTIs and composed of ß-arbutin, umbelliferon and n-acetyl cysteine. This formulation, based on biomimetic principles, makes Itxasol© a broad-spectrum antibiotic with bactericidal, bacteriostatic and antifungal properties that is capable of destroying the biofilm and stopping its formation. It also acts as an anti-inflammatory agent, without the adverse effects associated with the recurrent use of antibiotics that leads to renal nephrotoxicity and other side effects. All these characteristics make Itxasol© an ideal candidate for the treatment of UTIs since it behaves like an antibiotic and with better characteristics than other adjuvants, such as D-mannose and cranberry extracts.


Acetylcysteine/therapeutic use , Arbutin/therapeutic use , Biological Products/therapeutic use , Umbelliferones/therapeutic use , Urinary Tract Infections/drug therapy , Acetylcysteine/chemistry , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/chemistry , Anti-Inflammatory Agents/therapeutic use , Antifungal Agents/chemistry , Antifungal Agents/therapeutic use , Arbutin/chemistry , Biofilms/drug effects , Biofilms/growth & development , Biological Products/chemistry , Biomimetic Materials/chemistry , Biomimetic Materials/therapeutic use , Candida/drug effects , Candida/growth & development , Candida/pathogenicity , Drug Combinations , Female , Gram-Negative Bacteria/drug effects , Gram-Negative Bacteria/growth & development , Gram-Negative Bacteria/pathogenicity , Gram-Positive Bacteria/drug effects , Gram-Positive Bacteria/growth & development , Gram-Positive Bacteria/pathogenicity , Humans , Male , Microbial Sensitivity Tests , Umbelliferones/chemistry , Urinary Tract Infections/microbiology , Urinary Tract Infections/pathology
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