Nov 2026· Anti-Infective Agents· 0 citations· 34 references
TL;DR
These technologies offer promising alternatives to failing antibiotics, especially against pathogens with complex resistance mechanisms, however, limitations include toxicity concerns, immunological variability, immunological variability, lack of clinical validation, and cost barriers.
Abstract
This review explores emerging technological strategies aimed at combating
Multidrug-Resistant Bacteria (MDRB), including MRSA, CRE, and VRE. These pathogens
pose a critical public health threat due to rising resistance to conventional antibiotics. The
study synthesizes findings on advanced approaches like nanotechnology, host-directed therapies,
novel antimicrobials, combination regimens, and phytochemicals.
A comprehensive literature review was performed using databases such as PubMed,
Scopus, Web of Science, and Google Scholar, with keywords including “nanoparticles,” “hostdirected
therapy,” and “phytochemicals.” Inclusion criteria prioritized peer-reviewed studies on
antimicrobial interventions for MDRB. Data were grouped thematically and analyzed narratively
to identify effective technologies and existing research gaps.
Nanoparticles (e.g., AgNPs, ZnO NPs) showed antibacterial effects via membrane disruption
and reactive oxygen species generation. Host-directed therapies, like cytokine modulators
and immune checkpoint inhibitors, improved bacterial clearance. New antibiotics such as
Cefiderocol and Eravacycline effectively targeted resistant Gram-negative strains. Combination
therapies improved antibiotic efficacy, especially against biofilm-forming bacteria. Phytochemicals
such as gingerol enhanced antibiotic activity and disrupted resistance mechanisms.
These technologies offer promising alternatives to failing antibiotics, especially
against pathogens with complex resistance mechanisms. However, limitations include toxicity
concerns (nanoparticles), immunological variability (host therapies), lack of clinical validation,
and cost barriers. Integration into clinical practice remains limited by regulatory and logistical
challenges.
Advanced therapeutic strategies hold strong potential for addressing MDRB. However,
successful clinical translation requires further research, global cooperation, and investment
in regulatory infrastructure.
Recent advances in nanotechnology-based strategies for combating AMR are summarized, highlighting the mechanisms of action, therapeutic applications, current research progress, and future translational prospects.
Pawan Swami, Priya D. Chouragade· Journal of Drug Delivery and...· 0 citations
Current preclinical evidence suggests that miRNAs hold promise as early-stage candidate antibacterial agents through immunomodulation, host pathway regulation, and direct bacterial gene silencing with biofilm disruption.
This review comprehensively examines resistance mechanisms across major microbial pathogens and discusses the evolution of nanomedicine as an advanced platform for combating AMR, highlighting the synergistic interactions between nanomaterials and conventional antimicrobial agents that enhance therapeutic efficacy and r...
Vishal L. Handa, Benedict B. Vyas, Abhishek Padhi et al.· Frontiers in Chemistry· 0 citations
Abstract Antimicrobial resistance is considered one of the greatest threats to global public health, being responsible for millions of deaths annually. Bacteria such as Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, and Pseudomonas aeruginosa have developed resistance to multiple classes of antibiotics...
D. Kirst, E. Sisti, A. P. Becker· Brazilian Journal of Biology· 0 citations
This review summarizes the current evidence on non-antibiotic therapeutics including bacteriophages, antimicrobial peptides, anti-virulence agents, monoclonal antibodies, microbiome-based therapies, CRISPR-Cas systems, nanoparticles, photodynamic therapy, repurposed non-antibiotic drugs and combination strategies.
Bharath Kumar Ganesan, A. Mishra, Debasish Hota et al.· Expert Review of Clinical Ph...· 0 citations
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