The increasing demand for novel antitubercular agents has been the main 'force' of
many TB research efforts due to the uncontrolled growing number of drug-resistant strains of M.
tuberculosis in the clinical setting. Many strategies have been employed to address the drug-resistant
issue, including a trend that is gaining attention, which is the design and discovery of Mtb inhibitors
that are either dual- or multitargeting. The multiple-target design concept is not new in
medicinal chemistry. With a growing number of newly discovered Mtb proteins, numerous targets
are now available for developing new biochemical/cell-based assays and computer-aided drug design
(CADD) protocols. To describe the achievements and overarching picture of this field in anti-
infective drug discovery, we provide in this review small molecules that exhibit profound inhibitory
activity against the tubercle bacilli and are identified to trace two or more Mtb targets. This review
also presents emerging design methodologies for developing new anti-TB agents, particularly
tailored to structure-based CADD.
Dedicated on the special occasion of the 70th birthday of Prof. Dr. Ma. Alicia Aguinaldo, whose
scientific efforts elevated antituberculosis drug discovery in the Philippines.