The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review

Tuberculosis (TB) remains a global health emergency, with an estimated 2 billion people infected across the world, and 1.4 million people dying to this disease every year. Many aspects of the causative agent, <i>Mycobacterium tuberculosis</i>, make this disease difficult for healthcare a...

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Main Authors: Chiyun Lee, Sanjib Bhakta
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/10/1/91
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author Chiyun Lee
Sanjib Bhakta
author_facet Chiyun Lee
Sanjib Bhakta
author_sort Chiyun Lee
collection DOAJ
description Tuberculosis (TB) remains a global health emergency, with an estimated 2 billion people infected across the world, and 1.4 million people dying to this disease every year. Many aspects of the causative agent, <i>Mycobacterium tuberculosis</i>, make this disease difficult for healthcare and laboratory researchers to fight against, such as unique pathophysiology, latent infection and long and complex treatment regimens, thus causing patient non-compliance with the treatment. Development of new drugs is critical for tackling these problems. Repurposing drugs is a promising strategy for generating an effective drug treatment whilst circumventing many of the challenges of conventional drug development. In this regard, the incorporation of immunomodulatory drugs into the standard regimen to potentiate frontline drugs is found to be highly appealing. Drugs of diverse chemical classes and drug categories are increasingly being evidenced to possess antitubercular activity, both in vitro and in vivo. This article explores and discusses the molecular entities that have shown promise in being repurposed for use in anti-TB adjunctive therapy and aims to provide the most up-to-date picture of their progress.
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spelling doaj.art-edc87ef1e7484dc99a1616dc66f3cb832023-12-03T13:44:33ZengMDPI AGAntibiotics2079-63822021-01-011019110.3390/antibiotics10010091The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical ReviewChiyun Lee0Sanjib Bhakta1Department of Biochemistry, University of Cambridge, Hopkins Building, Tennis Court Road, Cambridge CB2 1QW, UKMycobacteria Research Laboratory, Department of Biological Sciences, The Institute of Structural and Molecular Biology, Birkbeck, University of London, Malet Street, London WC1E 7HX, UKTuberculosis (TB) remains a global health emergency, with an estimated 2 billion people infected across the world, and 1.4 million people dying to this disease every year. Many aspects of the causative agent, <i>Mycobacterium tuberculosis</i>, make this disease difficult for healthcare and laboratory researchers to fight against, such as unique pathophysiology, latent infection and long and complex treatment regimens, thus causing patient non-compliance with the treatment. Development of new drugs is critical for tackling these problems. Repurposing drugs is a promising strategy for generating an effective drug treatment whilst circumventing many of the challenges of conventional drug development. In this regard, the incorporation of immunomodulatory drugs into the standard regimen to potentiate frontline drugs is found to be highly appealing. Drugs of diverse chemical classes and drug categories are increasingly being evidenced to possess antitubercular activity, both in vitro and in vivo. This article explores and discusses the molecular entities that have shown promise in being repurposed for use in anti-TB adjunctive therapy and aims to provide the most up-to-date picture of their progress.https://www.mdpi.com/2079-6382/10/1/91tuberculosisdrug resistancerepurposingimmunomodulatory drugsNSAIDsadjunctive therapy
spellingShingle Chiyun Lee
Sanjib Bhakta
The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review
Antibiotics
tuberculosis
drug resistance
repurposing
immunomodulatory drugs
NSAIDs
adjunctive therapy
title The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review
title_full The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review
title_fullStr The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review
title_full_unstemmed The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review
title_short The Prospect of Repurposing Immunomodulatory Drugs for Adjunctive Chemotherapy against Tuberculosis: A Critical Review
title_sort prospect of repurposing immunomodulatory drugs for adjunctive chemotherapy against tuberculosis a critical review
topic tuberculosis
drug resistance
repurposing
immunomodulatory drugs
NSAIDs
adjunctive therapy
url https://www.mdpi.com/2079-6382/10/1/91
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