中国药学杂志2024,Vol.59Issue(18) :1695-1704.DOI:10.11669/cpj.2024.18.005

幽门螺杆菌治疗药物研究进展

Progress in Medications for Helicobacter pylori Treatment

文睿 程天恒 王妮涵 王婷 杨华丽 刘洋 程卯生
中国药学杂志2024,Vol.59Issue(18) :1695-1704.DOI:10.11669/cpj.2024.18.005

幽门螺杆菌治疗药物研究进展

Progress in Medications for Helicobacter pylori Treatment

文睿 1程天恒 1王妮涵 1王婷 1杨华丽 1刘洋 1程卯生1
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作者信息

  • 1. 沈阳药科大学制药工程学院,基于靶点的药物设计与研究教育部重点实验室,沈阳 110016
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摘要

幽门螺杆菌(Helicobacter pylori,H.pylori)是一种定植于胃内,具有螺旋状结构的微需氧革兰阴性菌,1982年被首次发现,可以导致胃炎、消化性溃疡以及胃癌等疾病的发生.目前,幽门螺杆菌已经感染全球近半数人口,且随着抗生素的大量应用,幽门螺杆菌的耐药问题也愈发严重,亟需能够克服幽门螺杆菌耐药性的新治疗药物.这也促进了大量针对幽门螺杆菌治疗药物的开发,其中已进入临床在研阶段的药物包括以合成抗菌药为主的化学药物和以疫苗、益生菌为主的生物药物.本文简述了幽门螺杆菌的致病机制和治疗现状,对已上市和临床在研的幽门螺杆菌治疗药物进行了总结和评述,以期为后续的幽门螺杆菌治疗药物开发提供思路.

Abstract

Helicobacter pylori(H.pylori)is a microaerophilic,Gram-negative bacterium that colonizes the gastric mucosa and exhibits a distinctive spiral morphology.It was found to be involved in the development of diseases such as gastritis,peptic ulcers,and gastric cancer in 1982.Currently,H.pylori infection affects more than half of the global population,and the emergence of antibiotic resistance poses a significant challenge.Consequently,there is an urgent need for novel therapeutic agents capable of overcoming H.pylori resistance.This review provides a concise overview of the pathogenic mechanisms associated with H.pylori while summari-zing and discussing both approved pharmaceuticals and investigational drugs targeting this bacterium,with the aim of facilitating the advancement of subsequent therapeutic agents targeting H.pylori.

关键词

幽门螺杆菌/耐药性/抗生素/幽门螺杆菌疫苗/益生菌

Key words

Helicobacter pylori/drug resistance/antibiotics/H.pylori vaccine/probiotics

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出版年

2024
中国药学杂志
中国药学会

中国药学杂志

CSTPCD北大核心
影响因子:0.957
ISSN:1001-2494
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