Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies

Tuberculosis (TB) is an infection caused by the pathogen Mycobacterium tuberculosis. The disease causes around 2 million deaths worldwide, and incidences of drug resistance only makes increases the number. The most vulnerable victims of TB infections are children and human immunodeficiency virus (HI...

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Main Authors: Xin, Bernadette Jie Tune, Annatasha Stephen, Rhanye Mac Guad, Neeraj Kumar Fuloria, Vetriselvan Subramaniyan, Mahendran Sekar, Yuan, Seng Wu
Format: Article
Language:English
English
Published: HH Publisher 2024
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/38830/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/38830/2/FULL%20TEXT.pdf
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author Xin, Bernadette Jie Tune
Annatasha Stephen
Rhanye Mac Guad
Neeraj Kumar Fuloria
Vetriselvan Subramaniyan
Mahendran Sekar
Yuan, Seng Wu
author_facet Xin, Bernadette Jie Tune
Annatasha Stephen
Rhanye Mac Guad
Neeraj Kumar Fuloria
Vetriselvan Subramaniyan
Mahendran Sekar
Yuan, Seng Wu
author_sort Xin, Bernadette Jie Tune
collection UMS
description Tuberculosis (TB) is an infection caused by the pathogen Mycobacterium tuberculosis. The disease causes around 2 million deaths worldwide, and incidences of drug resistance only makes increases the number. The most vulnerable victims of TB infections are children and human immunodeficiency virus (HIV) patients. TB and HIV co-infections can be deadly in AIDS sufferers, as the immune system is not able to combat TB infections, hence worsening the infection. Common drugs to treat TB are available in the market, first-line drugs such as isoniazid and rifamycin are broad-spectrum drugs. Second-line antibiotics such as fluoroquinolones are also available. In this review, the mechanisms of action of TB drugs are briefly discussed, as wells as the respective resistant mechanisms of M. tuberculosis against these drugs. An updated treatment regime for TB management using bedaquiline, pretomanid and linezolid was also discussed, which shows 90% therapeutic efficacy against highly drug-resistant tuberculosis cases. Furthermore, novel strategies such as nanoparticle-conjugated TB drugs can improve drug delivery, TB drug efficiency while reducing side effects. However, importance on patient compliance to the treatment regime is still the most crucial part of TB management, hence initiatives can be put to improve patient awareness and education.
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spelling ums.eprints-388302024-06-12T02:08:24Z https://eprints.ums.edu.my/id/eprint/38830/ Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies Xin, Bernadette Jie Tune Annatasha Stephen Rhanye Mac Guad Neeraj Kumar Fuloria Vetriselvan Subramaniyan Mahendran Sekar Yuan, Seng Wu RC306-320.5 Tuberculosis RM265-267 Antibiotic therapy. Antibiotics Tuberculosis (TB) is an infection caused by the pathogen Mycobacterium tuberculosis. The disease causes around 2 million deaths worldwide, and incidences of drug resistance only makes increases the number. The most vulnerable victims of TB infections are children and human immunodeficiency virus (HIV) patients. TB and HIV co-infections can be deadly in AIDS sufferers, as the immune system is not able to combat TB infections, hence worsening the infection. Common drugs to treat TB are available in the market, first-line drugs such as isoniazid and rifamycin are broad-spectrum drugs. Second-line antibiotics such as fluoroquinolones are also available. In this review, the mechanisms of action of TB drugs are briefly discussed, as wells as the respective resistant mechanisms of M. tuberculosis against these drugs. An updated treatment regime for TB management using bedaquiline, pretomanid and linezolid was also discussed, which shows 90% therapeutic efficacy against highly drug-resistant tuberculosis cases. Furthermore, novel strategies such as nanoparticle-conjugated TB drugs can improve drug delivery, TB drug efficiency while reducing side effects. However, importance on patient compliance to the treatment regime is still the most crucial part of TB management, hence initiatives can be put to improve patient awareness and education. HH Publisher 2024 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/38830/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/38830/2/FULL%20TEXT.pdf Xin, Bernadette Jie Tune and Annatasha Stephen and Rhanye Mac Guad and Neeraj Kumar Fuloria and Vetriselvan Subramaniyan and Mahendran Sekar and Yuan, Seng Wu (2024) Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies. Progress In Drug Discovery & Biomedical Science. pp. 1-14. ISSN 2710-6039 https://doi.org/10.36877/pddbs.a0000438
spellingShingle RC306-320.5 Tuberculosis
RM265-267 Antibiotic therapy. Antibiotics
Xin, Bernadette Jie Tune
Annatasha Stephen
Rhanye Mac Guad
Neeraj Kumar Fuloria
Vetriselvan Subramaniyan
Mahendran Sekar
Yuan, Seng Wu
Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies
title Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies
title_full Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies
title_fullStr Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies
title_full_unstemmed Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies
title_short Pharmacological Management of Tuberculosis, Challenges, and Potential Strategies
title_sort pharmacological management of tuberculosis challenges and potential strategies
topic RC306-320.5 Tuberculosis
RM265-267 Antibiotic therapy. Antibiotics
url https://eprints.ums.edu.my/id/eprint/38830/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/38830/2/FULL%20TEXT.pdf
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