中药抑制金黄色葡萄球菌的研究进展
Research Progress of Traditional Chinese Medicine Inhibiting Staphylococcus aureus
摘要: 金黄色葡萄球菌(Staphylococcus aureus, SA)是广泛存在于自然界中的一种致病菌,人体一旦被感染,轻者可能会引起食物中毒,肺炎等疾病,严重则会引起败血症,感染性心内膜炎等危及性命的疾病。金黄色葡萄球菌的防治以及消除也逐渐受到广泛重视。一直以来,抗生素因为其用量少便可发挥巨大功效作为主要治疗手段,但长期使用导致不断有耐药菌株产生,甚至出现了多重耐药性,因此寻找新的治疗细菌感染的途径迫在眉睫,成为我们目前不可忽视的挑战。近些年来,我国传统治疗方法——中医药逐渐受到越来越多的关注,不断有研究表明中药不仅有消炎,抗肿瘤的作用,部分中药更是表现出显著的抑菌杀菌效果。因此根据近年来已有研究成果的中药进行切实实验,运用多种实验方法研究中药抑制金黄色葡萄球菌耐药性产生的机制,探明抑制金黄色葡萄球菌生长繁殖的原理,不断开发我国中医药的宝库,进而找出具有抑菌效果的中药,通过比较找出效果更好的中药,在一定程度上为临床寻找新型抗菌药物提供指导。
Abstract: Staphylococcus aureus (SA) is a pathogenic bacterium that exists widely in nature. Once the human body is infected, it may cause food poisoning, pneumonia and other diseases in mild cases, and infectious sepsis and endocarditis and other life-threatening diseases in severe cases. The prevention and elimination of Staphylococcus aureus has gradually received widespread attention. For a long time, antibiotics can exert great efficacy as the main treatment method because of their small dosage. However, long-term use has led to the emergence of drug-resistant strains and even multi-drug resistance. Therefore, it is urgent to find new ways to treat bacterial infections. We cannot ignore the challenges at present. In recent years, my country’s traditional treatment method— traditional Chinese medicine—has gradually received more and more attention. Constant research has shown that traditional Chinese medicine not only has anti-inflammatory and anti-tumor effects, but some Chinese medicines have shown significant antibacterial and bactericidal effects. Therefore, we have carried out practical experiments based on the Chinese medicines that have been researched in recent years, used a variety of experimental methods to study the mechanism of Chinese medicines inhibiting the development of Staphylococcus aureus resistance, ascertained the principle of inhibiting the growth and reproduction of Staphylococcus aureus, and continued to develop Chinese traditional medicines. To find out the Chinese medicine with antibacterial effect, and find out the Chinese medicine with better effect through comparison, to a certain extent, provide guidance for the clinical search for new antibacterial drugs.
文章引用:杨婷, 董晨旭, 姚晓栋, 李宏宇, 院霞, 邢丽娟, 王文娟, 潘海婷. 中药抑制金黄色葡萄球菌的研究进展[J]. 临床医学进展, 2022, 12(4): 3153-3161. https://doi.org/10.12677/ACM.2022.124455

参考文献

[1] Chessa, D., Ganau, G. and Mazzarello, V. (2015) An Overview of Staphylococcus epidermidis and Staphylococcus aureus with a Focus on Developing Countries. The Journal of Infection in Developing Countries, 9, 547-550. [Google Scholar] [CrossRef] [PubMed]
[2] 孙峥. 金黄色葡萄球菌的毒力基因检测及耐药性分析[D]: [硕士学位论文]. 大连: 大连医科大学, 2018.
[3] 饶亚岚. 金黄色葡萄球菌中外排泵分子介导的消毒剂耐药机制[J]. 中国消毒学志, 2014, 31(2): 170-173.
[4] 李雪寒, 李一荣. 耐甲氧西林金黄色葡萄球菌耐药机制及检测方法研究进展[J]. 国际检验医学杂志, 2019, 40(5): 586-589.
[5] 王德海, 程国富, 胡薛英. 耐甲氧西林金黄色葡萄球菌的耐药机制分析[J]. 中国畜牧兽医, 2007, 34(6): 85-87.
[6] Nakajima, Y. (1999) Mechanisms of Bacterial Resistance to Macrolide Antibiotics. Journal of Infection and Chemotherapy, 5, 61-74. [Google Scholar] [CrossRef] [PubMed]
[7] Matsuoka, M., et al. (1998) A Plasmid That Encodes Three Genes for Resistance to Macrolide Antibiotics in Staphylococcus aureus. FEMS Microbiology Letters, 167, 221-227. [Google Scholar] [CrossRef] [PubMed]
[8] 陈寒冬, 钟利, 闫宏钧, 等. 介导对氟喹诺酮类药物耐药的金黄色葡萄球菌norA基因的研究[J]. 中国抗生素杂志, 2012, 37(11): 851-855.
[9] 姜凤全. 达托霉素对多药耐药金黄色葡萄球菌(MRSA)体外抗菌活性的研究[D]: [硕士学位论文]. 大连: 辽宁师范大学, 2016.
[10] 程欣, 李晓鸥, 刘晓峰, 等. 耐甲氧西林金黄色葡萄球菌及其对万古霉素耐药的研究进展[J]. 中国实验诊断学, 2016, 20(10): 1785-1787.
[11] Cui, L.Z., et al. (2003) Cell Wall Thickening Is a Common Feature of Vancomycin Resistance in Staphylococcus aureus. Journal of Clinical Microbiology, 41, 5-14. [Google Scholar] [CrossRef
[12] Sakoulas, G., Eliopoulos, G.M., Moellering, R.C., Novick, R.P., Venkataraman, L., Wennersten, C., De Girolami, P.C., Schwaber, M.J. and Gold, H.S. (2003) Staphylococcus aureus Accessory Gene Regulator (agr) Group II: Is There a Relationship to the Development of Intermediate-Level Glycopeptide Resistance? The Journal of Infectious Diseases, 187, 929-938. [Google Scholar] [CrossRef] [PubMed]
[13] 钱鑫, 谢娟. 耐万古霉素金黄色葡萄球菌的研究进展[J]. 中国医院药学杂志, 2014, 34(15): 1314-1319.
[14] 高硕, 周万青, 朱宏, 等. 利奈唑胺耐药金黄色葡萄球菌耐药机制分析[J]. 临床检验杂志, 2020, 38(8): 613-616.
[15] 方颍, 黄永禄, 蔡加昌, 等. 金黄色葡萄球菌临床株对利奈唑胺耐药性及耐药机制[J]. 中国感染与化疗杂志, 2016, 16(4): 477-480.
[16] 卢中一, 陈勇, 陈伟, 等. 金黄色葡萄球菌对消毒剂的抗性及其流行病学研究进展[J]. 中国感染控制杂志, 2014, 13(7): 442-446.
[17] Waters, E.M., et al. (2016) Convergence of Staphylococcus aureus Persister and Biofilm Research: Can Biofilms Be Defined as Communities of Adherent Persister Cells? PLOS Pathogens, 12, e1006012. [Google Scholar] [CrossRef] [PubMed]
[18] Limoli, D., Jones, C. and Wozniak, D. (2015) Bacterial Extracellular Polysaccharides in Biofilm Formation and Function. Microbiology Spectrum, 3, 3. [Google Scholar] [CrossRef
[19] 杜仲业. 金黄色葡萄球菌生物被膜相关感染研究进展[J]. 黑龙江科学, 2021, 12(14): 40-41.
[20] 滕雪. 中药饮片对多重抗生素耐药细菌的抑菌作用[J]. 中国卫生标准管理, 2021, 12(2): 124-126.
[21] 陈广灿, 周树勤, 刘淑慧, 等. 小檗碱与β-内酰胺类抗生素对耐甲氧西林金黄色葡萄球菌的协同抗菌作用[J]. 广东医学, 2011, 32(14): 1812-1814.
[22] 周树勤, 姚芬, 黄源春, 等. 小檗碱对MRSA自溶酶系统作用的研究[J]. 中国感染与化疗杂志, 2012, 12(4): 310-312.
[23] 华德兴, 彭青, 曾香连, 等. 绿茶及其提取物抗耐甲氧西林金黄色葡萄球菌作用研究[J]. 中国抗生素杂志, 2010, 35(3): 228-233.
[24] 周学章, 贾芳, 宋振威. 苦豆子碱对产β-内酰胺酶动物源性菌株的药敏分析[J]. 中国动物检疫, 2010, 27(4): 45-47.
[25] 鞠洪涛, 韩文瑜, 王世若, 等. 大肠杆菌耐药基因定位及耐药质粒消除[J]. 中国兽医学报, 2000, 20(6): 561-564.
[26] 陈晴, 谢鲲鹏, 云宝仪, 等. 黄柏等中草药对MRSA的抑菌作用及其对质粒的消除作用[J]. 微生物学杂志, 2013, 33(3): 54-57.
[27] 李仝, 胡凯文, 陈信义, 等. 浙贝母对呼吸系统耐药金黄色葡萄球菌逆转作用的临床研究[J]. 北京中医药大学学报, 2001, 24(5): 51-52.
[28] Stermitz, F.R., et al. (2000) Synergy in a Medicinal Plant: Antimicrobial Action of Berberine Potentiated by 5’-methoxyhydnocarpin, a Multidrug Pump Inhibitor. Proceedings of the National Academy of Sciences of the United States of America, 97, 1433-1437. [Google Scholar] [CrossRef] [PubMed]
[29] 汪晓辉, 郭溶, 聂晓彬, 等. 佛手抗菌活性及其药效成分橙皮苷对金黄色葡萄球菌的作用机制研究[J]. 中国抗生素杂志, 2021, 46(5): 437-441.
[30] 李仲兴, 王秀华, 时东彦, 等. 五倍子提取物对表皮葡萄球菌的抗菌作用及其扫描和透射电镜观察[J]. 中国中医药信息杂志, 2004, 11(10): 867-869.
[31] 杜仲业, 陈一强, 孔晋亮, 等. 黄芩苷对金黄色葡萄球菌生物膜抑制作用的体外研究[J]. 中华医院感染学杂志, 2012, 22(8): 1541-1543.
[32] 何敏. 金银花对细菌生物膜的抑制作用及其化学成分研究[D]: [硕士学位论文]. 长春: 长春中医药大学, 2011.
[33] 杨菁华, 郑清阁, 张晓晨, 等. 中药在呼吸道黏膜抗流感病毒免疫应答中的作用研究进展[J]. 中国免疫学杂志, 2020, 36(3): 375-381.
[34] 王洪彪. 乌拉草黄酮化学成分分析及其抗氧化和抑菌活性研究[D]: [硕士学位论文]. 吉林: 吉林化工学院, 2020.
[35] 陈希文, 赖守勋, 尹苗, 等. 22种中药多糖对猪源金黄色葡萄球菌的体外抑菌活性[J]. 江苏农业科学, 2016, 44(9): 264-267.
[36] Liu, Q.-Q., et al. (2016) Potentiation Activity of Multiple Antibacterial Agents by Salvianolate from the Chinese Medicine Danshen against Methicillin-Resistant Staphylococcus aureus (MRSA). Journal of Pharmacological Sciences, 131, 13-17. [Google Scholar] [CrossRef] [PubMed]
[37] 杨君, 吴俊清, Lenka Langhansova, 蒋健, 尹洁, 朱丽云, 张拥军. 炭梅叶精油的化学成分分析与抗氧化、抑菌活性研究[J]. 食品科技, 2014, 39(1): 286-290.
[38] 邓丽红, 谢臻, 麦蓝尹, 等. 蒽醌类化合物抗菌活性及其机制研究进展[J]. 中国新药杂志, 2016, 25(21): 2450-2455.