首页|单克隆抗体在耐多药细菌感染治疗中的研究进展

单克隆抗体在耐多药细菌感染治疗中的研究进展

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在新型冠状病毒感染大流行时期,世界卫生组织发布指南提出,除非临床怀疑有细菌感染,否则不建议对疑似或确诊的轻度新型冠状病毒感染患者使用抗生素.然而,最近有统计学研究指出,感染新冠病毒的患者使用非必需抗生素的比例非常高,导致了大量细菌产生耐药性,造成众多生命的死亡和巨大的经济损失,针对耐药菌引发的疾病治疗问题,抗生素的作用越发局限,成为了后疫情时代紧迫的社会性问题.近年来,随着生物技术的进步以及肿瘤研究领域中单抗药的广泛应用,耐多药细菌感染治疗的单克隆抗体开发逐渐受到重视,目前在实验室内的研究已经取得了一定进展,部分产品的临床试验也取得了良好的结果,但在临床上还未实现广泛应用.本文综述了目前抗菌性单克隆抗体的类型、优势、相关临床试验的研究进展,并对未来的发展和挑战进行了展望.
Progress on monoclonal antibodies in the treatment of multidrug-resistant bacterial infections
During the Corona Virus Disease 2019 pandemic,the World Health Organization issued guidelines suggesting that antibiotics should not be used in patients with suspected or confirmed mild novel coronavirus infection unless there is clinical suspicion of bacterial infection.However,recent statistical studies have pointed out that the proportion of non-essential antibiotics used by patients infected with the novel coronavirus is very high,resulting in a large number of bacteria resistances,causing tens of thousands of lives and huge economic losses.The role of antibiotics in the treatment of diseases caused by drug-resistant bacteria is increasingly limited,and it has become an urgent social issue in the post-epidemic era.In recent years,with the progress of biotechnology and the wide application of monoclonal antibodies in the field of tumor research,the development of monoclonal antibodies for the treatment of multidrug-resistant bacterial infections has gradually attracted attention.At present,certain progress has been made in laboratory research,and the clinical trials of some products have also achieved good results,but they have not been widely used in clinical practice.This article reviews the types,advantages and related clinical trials of antimicrobial monoclonal antibodies,and looks forward to the future development and challenges.

Antibiotic resistanceMonoclonal antibodyAntibacterial infection

武舒佳、刘艳红、武军驻

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100011,北京和合医学诊断技术股份有限公司

430060,武汉大学人民医院检验科(武汉大学人民医院转化医学研究院)

430071,武汉大学泰康医学院(基础医学院)

抗生素耐药性 单克隆抗体 抗菌感染

湖北省自然科学基金

2024AFC016

2024

免疫学杂志
第三军医大学,中国免疫学会

免疫学杂志

CSTPCD
影响因子:0.704
ISSN:1000-8861
年,卷(期):2024.40(4)