2017
DOI: 10.1016/j.tips.2017.01.005
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Emerging Approaches to Tuberculosis Drug Development: At Home in the Metabolome

Abstract: Once considered a crowning achievement of modern drug development, tuberculosis (TB) chemotherapy has proven increasingly unable to keep pace with the spread of the pandemic and rise of drug resistance. Efforts to revive the TB drug development pipeline have, in the meantime, faltered. Closer analysis reveals key experimental deficiencies that have hindered our ability to ‘reverse engineer’ knowledge of antibiotic mechanism into rational drug development. Here, we discuss the emerging potential of metabolomics… Show more

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Cited by 25 publications
(20 citation statements)
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“…We identified a number of central carbon metabolism genes with differential genetic requirements from our TnSeq data ( Fig 3 ). Bacterial metabolism has emerged as a promising target for antibiotic development [ 46 , 47 ] but our data suggests that molecules targeting these pathways may have variable efficacy across clinical strains. For example, the clinical strains varied in their requirement for glcB , which encodes malate synthase (GlcB), the second enzyme in the glyoxylate shunt ( Fig 3 , S7 Table ).…”
Section: Resultsmentioning
confidence: 99%
“…We identified a number of central carbon metabolism genes with differential genetic requirements from our TnSeq data ( Fig 3 ). Bacterial metabolism has emerged as a promising target for antibiotic development [ 46 , 47 ] but our data suggests that molecules targeting these pathways may have variable efficacy across clinical strains. For example, the clinical strains varied in their requirement for glcB , which encodes malate synthase (GlcB), the second enzyme in the glyoxylate shunt ( Fig 3 , S7 Table ).…”
Section: Resultsmentioning
confidence: 99%
“…Compound 1b exhibited no depletion from the media indicating a lack of uptake or rapid efflux (Supplementary Table 3). Compound 2b, in contrast, exhibited complete depletion from the media but accumulated in M. tuberculosis to levels that accounted for less than 2% of the amount consumed (Supplementary Table 3), indicative of its likely intrabacterial metabolism [36][37][38][39] . These results explain the observed differences in potency between the enzymatic assay and whole cell activity and shows that they are related to low compound permeation/high efflux for 1b and metabolism in the case of 2b.…”
Section: Resultsmentioning
confidence: 99%
“…Certain constituents of the cell, such as mycolic acids, arabinogalactan, peptidoglycan and mycobactin, may represent specific targets for new anti-TB drugs [ 37 , 92 ]. Many compounds that inhibit specific steps in either arabinogalactan or mycolic acid biosynthesis have been discovered [ 93 ]. Novel efficacious and safe anti-TB drugs are currently needed so as: to shorten the duration of TB therapy; treat MDR, XDR and totally drug resistant (TDR) TB strains; and latent TB; act synergistically with other co-administered anti-TB drugs; and, finally, to be safely co-administered with anti-HIV agents [ 37 ].…”
Section: Metabolomics Approaches and Its Application To Medicinal Plamentioning
confidence: 99%