马玉茹, 赵红霞, 高清志. 新德里金属β-内酰胺酶NDM-1的研究进展J. 药学学报, 2018,53(1): 28-36. doi: 10.16438/j.0513-4870.2017-0915
引用本文: 马玉茹, 赵红霞, 高清志. 新德里金属β-内酰胺酶NDM-1的研究进展J. 药学学报, 2018,53(1): 28-36. doi: 10.16438/j.0513-4870.2017-0915
MA Yu-ru, ZHAO Hong-xia, GAO Qing-zhi. Advances in the study of New Delhi metallo-β-lactamase 1J. Acta Pharmaceutica Sinica, 2018,53(1): 28-36. doi: 10.16438/j.0513-4870.2017-0915
Citation: MA Yu-ru, ZHAO Hong-xia, GAO Qing-zhi. Advances in the study of New Delhi metallo-β-lactamase 1J. Acta Pharmaceutica Sinica, 2018,53(1): 28-36. doi: 10.16438/j.0513-4870.2017-0915

新德里金属β-内酰胺酶NDM-1的研究进展

Advances in the study of New Delhi metallo-β-lactamase 1

  • 摘要: 2010年首次报道的新德里金属β-内酰胺酶(NDM-1)能水解几乎所有β-内酰胺类抗生素,产生NDM-1的菌株被称为"超级细菌"。由于缺乏有效的抗生素,目前临床上还没有能够完全治愈超级细菌感染的方法。因此针对超级细菌抑制剂的创新药物研究已经成为一个充满挑战的研究方向。本文对NDM-1抑制剂的研究现状、抗药原理及发展前景等做了详细的分析、整理和阐述。

     

    Abstract: The New Delhi metallo-β-lactamase-1 (NDM-1) was first reported in 2010, detected in a Klebsiella pneumoniae isolate from a Swedish patient of Indian origin. It has recently attracted extensive attention for its biological activities to catalyze the hydrolysis of almost all of β-lactam antibiotics. The gene for NDM-1 can spread from one strain of bacteria to another by horizontal gene transfer. The most troubling aspect is that there are currently no clinically available inhibitors to block the metallo-β-lactamase action. Therefore, there is urgent need to develop new NDM-1 inhibitors, which can protect β-lactam antibiotics from the hydrolysis effect of NDM-1. In this review, the current research, drug-assistant mechanism and potential NDM-1 inhibitors are summarized.

     

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