用于结核病治疗的潜在重新利用药物候选物:十多年来已确定药物的进展与更新

Potential Repurposed Drug Candidates for Tuberculosis Treatment: Progress and Update of Drugs Identified in Over a Decade.

作者信息

Sharma Khushbu, Ahmed Faraz, Sharma Tarina, Grover Abhinav, Agarwal Meetu, Grover Sonam

机构信息

Department of Molecular Medicine, Jamia Hamdard, New Delhi, 110062, India.

New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey 07103, United States.

出版信息

ACS Omega. 2023 May 10;8(20):17362-17380. doi: 10.1021/acsomega.2c05511. eCollection 2023 May 23.

Abstract

The devastating impact of Tuberculosis (TB) has been a menace to mankind for decades. The World Health Organization (WHO) End TB Strategy aims to reduce TB mortality up to 95% and 90% of overall TB cases worldwide, by 2035. This incessant urge will be achieved with a breakthrough in either a new TB vaccine or novel drugs with higher efficacy. However, the development of novel drugs is a laborious process involving a timeline of almost 20-30 years with huge expenditure; on the other hand, repurposing previously approved drugs is a viable technique for overcoming current bottlenecks in the identification of new anti-TB agents. The present comprehensive review discusses the progress of almost all the repurposed drugs that have been identified to the present day (∼100) and are in the development or clinical testing phase against TB. We have also emphasized the efficacy of repurposed drugs in combination with already available frontline anti-TB medications along with the scope of future investigations. This study would provide the researchers a detailed overview of nearly all identified anti-TB repurposed drugs and may assist them in selecting the lead compounds for further /clinical research.

摘要

几十年来,结核病(TB)的毁灭性影响一直是人类的一大威胁。世界卫生组织(WHO)的终止结核病战略旨在到2035年将全球结核病死亡率降低95%,并减少90%的总体结核病病例。要实现这一持续的目标,需要在新型结核病疫苗或更高疗效的新型药物方面取得突破。然而,新型药物的研发是一个漫长的过程,耗时近20至30年,且成本巨大;另一方面,重新利用先前已批准的药物是克服当前新型抗结核药物研发瓶颈的可行技术。本综述讨论了迄今为止已确定的几乎所有(约100种)正在研发或处于抗结核临床试验阶段的重新利用药物的进展情况。我们还强调了重新利用药物与现有一线抗结核药物联合使用的疗效以及未来研究的范围。本研究将为研究人员提供几乎所有已确定的抗结核重新利用药物的详细概述,并可能帮助他们选择先导化合物进行进一步的/临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/10210030/2127e3957802/ao2c05511_0001.jpg

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