» Articles » PMID: 20546189

Current Development and Future Prospects in Chemotherapy of Tuberculosis

Overview
Journal Respirology
Specialty Pulmonary Medicine
Date 2010 Jun 16
PMID 20546189
Citations 21
Authors
Affiliations
Soon will be listed here.
Abstract

Although treatment of drug-susceptible tuberculosis (TB) under ideal conditions may be successful in >or=95% of cases, cure rates in the field are often significantly lower due to the logistical challenges of administering and properly supervising the intake of combination chemotherapy for 6-9 months. Success rates are far worse for multidrug-resistant and extensively drug-resistant TB cases. There is general agreement that new anti-TB drugs are needed to shorten or otherwise simplify treatment for drug-susceptible and multidrug-resistant/extensively drug-resistant-TB, including TB associated with HIV infection. For the first time in over 40 years, a nascent pipeline of new anti-TB drug candidates has been assembled. Eleven candidates from seven classes are currently being evaluated in clinical trials. They include novel chemical entities belonging to entirely new classes of antibacterials, agents approved for use against infections other than TB, and an agent already approved for limited use against TB. In this article, we review the current state of TB treatment and its limitations and provide updates on the status of new drugs in clinical trials. In the conclusion, we briefly highlight ongoing efforts to discover new compounds and recent advances in alternative drug delivery systems.

Citing Articles

Pediatric Tuberculosis Management: A Global Challenge or Breakthrough?.

Maphalle L, Michniak-Kohn B, Ogunrombi M, Adeleke O Children (Basel). 2022; 9(8).

PMID: 36010011 PMC: 9406656. DOI: 10.3390/children9081120.


Application of Lipid-Based Nanocarriers for Antitubercular Drug Delivery: A Review.

Buya A, Witika B, Bapolisi A, Mwila C, Mukubwa G, Memvanga P Pharmaceutics. 2021; 13(12).

PMID: 34959323 PMC: 8708335. DOI: 10.3390/pharmaceutics13122041.


Inhibition of Transglutaminase 2 as a Potential Host-Directed Therapy Against .

Palucci I, Maulucci G, De Maio F, Sali M, Romagnoli A, Petrone L Front Immunol. 2020; 10:3042.

PMID: 32038614 PMC: 6992558. DOI: 10.3389/fimmu.2019.03042.


Drug regimens identified and optimized by output-driven platform markedly reduce tuberculosis treatment time.

Lee B, Clemens D, Silva A, Dillon B, Maslesa-Galic S, Nava S Nat Commun. 2017; 8:14183.

PMID: 28117835 PMC: 5287291. DOI: 10.1038/ncomms14183.


Rifamycins, Alone and in Combination.

Rothstein D Cold Spring Harb Perspect Med. 2016; 6(7).

PMID: 27270559 PMC: 4930915. DOI: 10.1101/cshperspect.a027011.


References
1.
Alcala L, Ruiz-Serrano M, Garcia de Viedma D, Diaz-Infantes M, Marin-Arriaza M, Bouza E . In vitro activities of linezolid against clinical isolates of Mycobacterium tuberculosis that are susceptible or resistant to first-line antituberculous drugs. Antimicrob Agents Chemother. 2002; 47(1):416-7. PMC: 148996. DOI: 10.1128/AAC.47.1.416-417.2003. View

2.
Koul A, Dendouga N, Vergauwen K, Molenberghs B, Vranckx L, Willebrords R . Diarylquinolines target subunit c of mycobacterial ATP synthase. Nat Chem Biol. 2007; 3(6):323-4. DOI: 10.1038/nchembio884. View

3.
Chan E, Iseman M . Multidrug-resistant and extensively drug-resistant tuberculosis: a review. Curr Opin Infect Dis. 2008; 21(6):587-95. DOI: 10.1097/QCO.0b013e328319bce6. View

4.
Nuermberger E, Rosenthal I, Tyagi S, Williams K, Almeida D, Peloquin C . Combination chemotherapy with the nitroimidazopyran PA-824 and first-line drugs in a murine model of tuberculosis. Antimicrob Agents Chemother. 2006; 50(8):2621-5. PMC: 1538692. DOI: 10.1128/AAC.00451-06. View

5.
Williams K, Stover C, Zhu T, Tasneen R, Tyagi S, Grosset J . Promising antituberculosis activity of the oxazolidinone PNU-100480 relative to that of linezolid in a murine model. Antimicrob Agents Chemother. 2008; 53(4):1314-9. PMC: 2663111. DOI: 10.1128/AAC.01182-08. View