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结核病药物研发:基于机制范式的历史与演进

Tuberculosis Drug Development: History and Evolution of the Mechanism-Based Paradigm.

作者信息

Chakraborty Sumit, Rhee Kyu Y

机构信息

Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York 10021 Department of Microbiology and Immunology, Weill Cornell Medical College, New York, New York 10021.

出版信息

Cold Spring Harb Perspect Med. 2015 Apr 15;5(8):a021147. doi: 10.1101/cshperspect.a021147.

Abstract

Modern tuberculosis (TB) chemotherapy is widely viewed as a crowning triumph of anti-infectives research. However, only one new TB drug has entered clinical practice in the past 40 years while drug resistance threatens to further destabilize the pandemic. Here, we review a brief history of TB drug development, focusing on the evolution of mechanism(s)-of-action studies and key conceptual barriers to rational, mechanism-based drugs.

摘要

现代结核病化疗被广泛视为抗感染研究的一项至高无上的成就。然而,在过去40年里,只有一种新型结核病药物进入临床应用,而耐药性有可能进一步破坏这场全球流行病的防控局势。在此,我们回顾结核病药物研发的简要历史,重点关注作用机制研究的演变以及合理的、基于作用机制的药物所面临的关键概念障碍。

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