Insights into the preventive actions of natural compounds against Klebsiella pneumoniae infections and drug resistance

抗生素 抗生素耐药性 肺炎克雷伯菌 穿心莲内酯 微生物学 肺炎 抗药性 生物 医学 药理学 大肠杆菌 生物化学 内科学 基因
作者
Sana Saifi,Anam Ashraf,Gulam Mustafa Hasan,Anas Shamsi,Md. Imtaiyaz Hassan
出处
期刊:Fitoterapia [Elsevier]
卷期号:173: 105811-105811 被引量:8
标识
DOI:10.1016/j.fitote.2023.105811
摘要

Klebsiella pneumoniae is a type of Gram-negative bacteria that causes a variety of infections, including pneumonia, bloodstream infections, wound infections, and meningitis. The treatment of K. pneumoniae infection depends on the type of infection and the severity of the symptoms. Antibiotics are generally used to treat K. pneumoniae infections. However, some strains of K. pneumoniae have become resistant to antibiotics, thus, it may be difficult to treat the infection. This comprehensive review examines the potential of natural compounds as effective strategies against K. pneumonia infections. The alarming rise in antibiotic resistance underscores the urgent need for alternative therapies. This article represents current research on the effects of diverse natural compounds, highlighting their anti-microbial and antibiofilm properties against K. pneumonia. Notably, compounds such as andrographolide, artemisinin, baicalin, berberine, curcumin, epigallocatechin gallate (EGCG), eugenol, mangiferin, piperine, quercetin, resveratrol, and thymol have been extensively investigated. These compounds exhibit multifaceted mechanisms, including disruption of bacterial biofilms, interference with virulence factors, and augmentation of antibiotic effectiveness. Mechanistic insights into their actions include membrane perturbation, oxidative stress induction, and altered gene expression. While promising, challenges such as limited bioavailability and varied efficacy across bacterial strains are addressed. This review further discusses the potential of natural compounds as better alternatives in combating K. pneumonia infection and emphasizes the need for continued research to harness their full therapeutic potential. As antibiotic resistance persists, these natural compounds offer a promising avenue in the fight against K. pneumonia and other multidrug-resistant pathogens.

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