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贝达喹啉:治疗耐多药结核病的新希望。

Bedaquiline: a new hope to treat multi-drug resistant tuberculosis.

作者信息

Patel Rahul V, Riyaz S D, Park Se Won

机构信息

Organic Research Laboratory, Department of Bioresources and Food Science, College of Life and Environmental Sciences, Konkuk University, Seoul- 143 701, South Korea.

出版信息

Curr Top Med Chem. 2014;14(16):1866-74. doi: 10.2174/1568026614666140929114822.

Abstract

Each year, a huge number of new cases accounts of TB with added problems due to multidrug resistant TB varieties. Globally, TB is one of the top causes of loss of life among people living with HIV who are more likely than others to get TB infection. Current TB treatment includes long term administration of cocktail of drugs; hence, the development of an alternative armamentarium against TB is the primary requirement. In fact, new drugs with novel activity against mycobacteria are of significant importance in order to combat existing levels of resistance. The present report covers the discovery of a diarylquinoline TB drug, bedaquiline, its antituberculosis effects and mode of action. Clinical studies conducted on bedaquiline which brought it to the accelerated FDA acceptance have been described. This report is of great attention for therapeutic apothecaries working in TB medication growth in terms of creating further diarylquinoline applicants with a wide variety of antimycobacterial results.

摘要

每年,大量新的结核病病例因耐多药结核菌株而出现更多问题。在全球范围内,结核病是艾滋病毒感染者死亡的主要原因之一,这些感染者比其他人更容易感染结核病。目前的结核病治疗包括长期服用药物组合;因此,开发替代的抗结核药物库是首要需求。事实上,具有抗分枝杆菌新活性的新药对于对抗现有耐药水平至关重要。本报告涵盖了二芳基喹啉类抗结核药物贝达喹啉的发现、其抗结核作用及作用方式。描述了对贝达喹啉进行的使其获得美国食品药品监督管理局加速批准的临床研究。就开发具有多种抗分枝杆菌效果的更多二芳基喹啉类药物而言,本报告对于从事结核病药物研发的治疗药剂师具有极大的参考价值。

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