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吩噻嗪类药物硫利达嗪治疗耐药性肺结核的作用机制:“新用途”的近期专利

The mechanism by which the phenothiazine thioridazine contributes to cure problematic drug-resistant forms of pulmonary tuberculosis: recent patents for "new use".

作者信息

Amaral Leonard, Martins Ana, Spengler Gabriella, Hunyadi Attila, Molnar Joseph

机构信息

Travel Medicine, Centro de Malária Doenças Tropicais, Institute of Hygiene and Tropical Medicine, Universidade Nova de Lisboa, Rua Junqueira 100, 1349-008 Lisbon, Portugal.

出版信息

Recent Pat Antiinfect Drug Discov. 2013 Dec;8(3):206-12. doi: 10.2174/1574891x08666131210141521.

DOI:10.2174/1574891x08666131210141521
PMID:24320229
Abstract

At this moment, over half million patients suffer from multi-drug resistant tuberculosis (MDR-TB) according to the data from the WHO. A large majority is terminally ill with essentially incurable pulmonary tuberculosis. This herein mini-review provides the experimental and observational evidence that a specific phenothiazine, thioridazine, will contribute to cure any form of drug-resistant tuberculosis. This antipsychotic agent is no longer under patent protection for its initial use. The reader is informed on the recent developments in patenting this compound for "new use" with a special emphasis on the aspects of drug-resistance. Given that economic motivation can stimulate the use of this drug as an antitubercular agent, future prospects are also discussed.

摘要

根据世界卫生组织的数据,目前有超过50万患者患有耐多药结核病(MDR-TB)。其中绝大多数患者患有晚期、基本无法治愈的肺结核。本综述提供了实验和观察证据,表明一种特定的吩噻嗪类药物——硫利达嗪,将有助于治愈任何形式的耐药结核病。这种抗精神病药物最初用途的专利保护已过期。本文向读者介绍了该化合物“新用途”专利的最新进展,特别强调了耐药性方面。鉴于经济动机可以刺激该药物作为抗结核药物的使用,本文还讨论了其未来前景。

相似文献

1
The mechanism by which the phenothiazine thioridazine contributes to cure problematic drug-resistant forms of pulmonary tuberculosis: recent patents for "new use".吩噻嗪类药物硫利达嗪治疗耐药性肺结核的作用机制:“新用途”的近期专利
Recent Pat Antiinfect Drug Discov. 2013 Dec;8(3):206-12. doi: 10.2174/1574891x08666131210141521.
2
Therapy Of XDR TB with thioridazine a drug beyond patent protection but eligible for patent "as new use".使用已过专利保护期但符合“新用途专利”条件的硫利达嗪治疗广泛耐药结核病。
Recent Pat Antiinfect Drug Discov. 2010 Jun;5(2):109-14. doi: 10.2174/157489110791233540.
3
Mechanisms by which thioridazine in combination with antibiotics cures extensively drug-resistant infections of pulmonary tuberculosis.硫利达嗪与抗生素联合使用治愈广泛耐药性肺结核感染的机制。
In Vivo. 2014 Mar-Apr;28(2):267-71.
4
Potential therapy of multidrug-resistant and extremely drug-resistant tuberculosis with thioridazine.使用噻吨类药物治疗耐多药和广泛耐药结核病的潜力。
In Vivo. 2012 Mar-Apr;26(2):231-6.
5
Effective therapy with the neuroleptic thioridazine as an adjunct to second line of defence drugs, and the potential that thioridazine offers for new patents that cover a variety of "new uses".使用抗精神病药物硫利达嗪作为二线防御药物的有效疗法,以及硫利达嗪为涵盖各种“新用途”的新专利所提供的潜力。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):84-7. doi: 10.2174/157489111796064542.
6
It is anticipated that as is usually the case, financial motivation will move TZ from its current status “potential anti-MDR/XDR agent,” to one that will cure MDR and XDR TB. Foreword.正如通常情况所预期的那样,经济激励将推动替加环素从其当前“潜在抗多重耐药/广泛耐药药物”的地位,转变为能够治愈多重耐药和广泛耐药结核病的药物。前言。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):76. doi: 10.2174/157489111796064605.
7
Why thioridazine in combination with antibiotics cures extensively drug-resistant Mycobacterium tuberculosis infections.为什么硫利达嗪与抗生素联合使用能治愈广泛耐药结核分枝杆菌感染。
Int J Antimicrob Agents. 2012 May;39(5):376-80. doi: 10.1016/j.ijantimicag.2012.01.012. Epub 2012 Mar 23.
8
Global clinical trials for the treatment of TB with thioridazine.使用硫利达嗪治疗结核病的全球临床试验。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):99-103. doi: 10.2174/157489111796064533.
9
Thioridazine: the good and the bad.硫利达嗪:利弊并存。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):92-8. doi: 10.2174/157489111796064588.
10
New patentable use of an old neuroleptic compound thioridazine to combat tuberculosis: a gene regulation perspective.旧的抗精神病化合物硫利达嗪用于对抗结核病的新可专利用途:从基因调控角度看
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):128-38. doi: 10.2174/157489111796064597.

引用本文的文献

1
Thioridazine: A Non-Antibiotic Drug Highly Effective, in Combination with First Line Anti-Tuberculosis Drugs, against Any Form of Antibiotic Resistance of Mycobacterium tuberculosis Due to Its Multi-Mechanisms of Action.硫利达嗪:一种非抗生素药物,由于其多作用机制,与一线抗结核药物联合使用时,对任何形式的结核分枝杆菌抗生素耐药性均具有高效。
Antibiotics (Basel). 2017 Jan 14;6(1):3. doi: 10.3390/antibiotics6010003.