“…On the other hand, M. tuberculosis is known to possess genomic plasticity (Domenech et al, 2001). Most cases of drug resistance in M. tuberculosis develop via mutations of the (Andries et al, 2005;Koul et al, 2008) Targeting ATP synthase, inhibition of proton pumping activity (Huitric et al, 2010) III, FDA-approved (accelerated programme) (Cohen, 2013) PA-824 TB Alliance Nitroimidazole 150-300 ng/ml (Stover et al, 2000) Prevention of cell wall mycolic acid biosynthesis Maroz et al, 2010;Manjunatha et al, 2006Manjunatha et al, , 2009 II (Jones, 2013) OPC 87863 (Delamanid) Otsuka Nitroimidazole 6-24 ng/ml (Matsumoto et al, 2006) Prevention of cell wall mycolic acid biosynthesis (Gler et al, 2012) III (Jones, 2013) SQ109 Sequella Ethylenediamine 200-780 ng/ml (Sacksteder et al, 2012) Inhibition of mycolic acid transport to the cell wall (Boshoff et al, 2004;Tahlan et al, 2012) II (Sacksteder et al, 2012) PNU-100480 (Sutezolid) Pfizer Oxazolidinone 120 ng/ml (Barbachyn et al, 1996) Targeting 23S rRNA, inhibition of bacterial protein synthesis (Patel et al, 2001) II (Jones, 2013) AZD5847 AstraZeneca Oxazolidinone -Undisclosed data--Undisclosed data-II (Jones, 2013) target genes, such as rpoB against rifampicin, rrs against kanamycin, and gyrA against the fluoroquinones. Multidrug resistance occurs via the accumulation of independent mutations in more than one of these genes (Rattan et al, 1998).…”