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Daptomycin

達托黴素
Mechanism of action:
Daptomycin 是一種環狀脂肽類抗生素(cyclic lipopeptide antibiotic),由玫瑰孢鏈黴菌(Streptomyces roseosporus)發現。Daptomycin 的殺菌作用機制與多數傳統抗生素不同,屬於細胞膜去極化型(membrane depolarizing)。Daptomycin 的脂肪酸尾端可在鈣離子幫助下嵌入細菌細胞膜,誘導細菌膜形成小孔,造成鉀離子等離子外洩,使細胞膜電位喪失,進而干擾能量代謝與大分子合成,最終導致細菌快速死亡。
Reference(s):
1. Woodworth JR et al. (1992). Single-dose pharmacokinetics and antibacterial activity of daptomycin, a new lipopeptide antibiotic, in healthy volunteers. Antimicrob Agents Chemother.
2. Tally FP et al. (2000). Development of daptomycin for gram-positive infections. J Antimicrob Chemother.
3. Charles PG et al. (2004). The dearth of new antibiotic development: why we should be worried and what we can do about it. Med J Aust.
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