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Going Beyond Host Defence Peptides: Horizons of Chemically Engineered Peptides for Multidrug-Resistant Bacteria
Journal article   Open access   Peer reviewed

Going Beyond Host Defence Peptides: Horizons of Chemically Engineered Peptides for Multidrug-Resistant Bacteria

Bernardo Cavallazzi Sebold, Junjie Li, Guoying Ni, Quanlan Fu, Hejie Li, Xiaosong Liu and Tianfang Wang
BioDrugs, Vol.37(5), pp.607-623
2023
PMCID: PMC10432368
PMID: 37300748
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Going Beyond Host Defence Peptides Horizons of Chemically Engineered Peptides for Multidrug-Resistant Bacteria1.20 MBDownloadView
Published Version Open Access CC BY-NC V4.0
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https://doi.org/10.1007/s40259-023-00608-3View
Published Version

Abstract

Multidrug-resistant (MDR) bacteria are considered a health threat worldwide, and this problem is set to increase over the decades. The ESKAPE, a group of six pathogens including Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter spp. is the major source of concern due to their high death incidence and nosocomial acquired infection. Host defence peptides (HDPs) are a class of ribosomally synthesised peptides that have shown promising results in combating MDR, including the ESKAPE group, in- and outside bacterial biofilms. However, their poor pharmacokinetics in physiological mediums may impede HDPs from becoming viable clinical candidates. To circumvent this problem, chemical engineering of HDPs has been seen as an emergent approach to not only improve their pharmacokinetics but also their efficacy against pathogens. In this review, we explore several chemical modifications of HDPs that have shown promising results, especially against ESKAPE pathogens, and provide an overview of the current findings with respect to each modification.

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