Combination and nanotechnology based pharmaceutical strategies for combating respiratory bacterial biofilm infections
Research output: Contribution to journal › Review › Research › peer-review
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Combination and nanotechnology based pharmaceutical strategies for combating respiratory bacterial biofilm infections. / Zhang, Li; Bera, Hriday; Wang, Hengzhuang; Wang, Junwei; Guo, Yi; Shi, Changzhi; Cun, Dongmei; Moser, Claus; Høiby, Niels; Yang, Mingshi.
In: International Journal of Pharmaceutics, Vol. 616, 121507, 2022.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Combination and nanotechnology based pharmaceutical strategies for combating respiratory bacterial biofilm infections
AU - Zhang, Li
AU - Bera, Hriday
AU - Wang, Hengzhuang
AU - Wang, Junwei
AU - Guo, Yi
AU - Shi, Changzhi
AU - Cun, Dongmei
AU - Moser, Claus
AU - Høiby, Niels
AU - Yang, Mingshi
N1 - Publisher Copyright: © 2022 Elsevier B.V.
PY - 2022
Y1 - 2022
N2 - Respiratory infections are one of the major global health problems. Among them, chronic respiratory infections caused by biofilm formation are difficult to treat because of both drug tolerance and poor drug penetration into the complex biofilm structure. A major part of the current research on combating respiratory biofilm infections have been focused on destroying the matrix of extracellular polymeric substance and eDNA of the biofilm or promoting the penetration of antibiotics through the extracellular polymeric substance via delivery technologies in order to kill the bacteria inside. There are also experimental data showing that certain inhaled antibiotics with simple formulations can effectively penetrate EPS to kill surficially located bacteria and centrally located dormant bacteria or persisters. This article aims to review recent advances in the pharmaceutical strategies for combating respiratory biofilm infections with a focus on nanotechnology-based drug delivery approaches. The formation and characteristics of bacterial biofilm infections in the airway mucus are presented, which is followed by a brief review on the current clinical approaches to treat respiratory biofilm infections by surgical removal and antimicrobial therapy, and also the emerging clinical treatment approaches. The current combination of antibiotics and non-antibiotic adjuvants to combat respiratory biofilm infections are also discussed.
AB - Respiratory infections are one of the major global health problems. Among them, chronic respiratory infections caused by biofilm formation are difficult to treat because of both drug tolerance and poor drug penetration into the complex biofilm structure. A major part of the current research on combating respiratory biofilm infections have been focused on destroying the matrix of extracellular polymeric substance and eDNA of the biofilm or promoting the penetration of antibiotics through the extracellular polymeric substance via delivery technologies in order to kill the bacteria inside. There are also experimental data showing that certain inhaled antibiotics with simple formulations can effectively penetrate EPS to kill surficially located bacteria and centrally located dormant bacteria or persisters. This article aims to review recent advances in the pharmaceutical strategies for combating respiratory biofilm infections with a focus on nanotechnology-based drug delivery approaches. The formation and characteristics of bacterial biofilm infections in the airway mucus are presented, which is followed by a brief review on the current clinical approaches to treat respiratory biofilm infections by surgical removal and antimicrobial therapy, and also the emerging clinical treatment approaches. The current combination of antibiotics and non-antibiotic adjuvants to combat respiratory biofilm infections are also discussed.
KW - Antimicrobial therapy
KW - Biofilm infections
KW - Combination therapy
KW - Inhalation therapy
KW - Nanotechnology-based drug delivery systems
KW - P. aeruginosa
KW - Respiratory infections
U2 - 10.1016/j.ijpharm.2022.121507
DO - 10.1016/j.ijpharm.2022.121507
M3 - Review
C2 - 35085729
AN - SCOPUS:85123865181
VL - 616
JO - International Journal of Pharmaceutics
JF - International Journal of Pharmaceutics
SN - 0378-5173
M1 - 121507
ER -
ID: 291603832