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Published on: May 8, 2017
The relevance of persisters in tuberculosis drug discovery
Soma Mandal1, Samuel Njikan1, Anuradha Kumar1
1TB Discovery Research, Infectious Disease Research Institute, 1616 Eastlake Ave. E, Suite 400, Seattle, WA 98102, USA.
Abstract:
Bacterial persisters are a subpopulation of cells that exhibit phenotypic resistance during exposure to a lethal dose of antibiotics. They are difficult to target and thought to contribute to the long treatment duration required for tuberculosis. Understanding the molecular and cellular biology of persisters is critical to finding new tuberculosis drugs that shorten treatment. This review focuses on mycobacterial persisters and describes the challenges they pose in tuberculosis therapy, their characteristics and formation, how persistence leads to resistance, and the current approaches being used to target persisters within mycobacterial drug discovery.
Insights
Bacterial persister cells survive antibiotic treatment, complicating tuberculosis therapy. Targeting these resilient cells is key to developing new drugs that shorten treatment durations for tuberculosis.
Area of Science:
- Microbiology
- Drug Discovery
- Infectious Diseases
Background:
- Bacterial persisters are phenotypic variants contributing to antibiotic tolerance.
- These cells are implicated in the prolonged treatment required for tuberculosis (TB).
- Targeting persisters is crucial for developing novel TB therapeutics.
Purpose of the Study:
- To review the characteristics and formation of mycobacterial persisters.
- To discuss the challenges persisters present in TB treatment.
- To explore current strategies for targeting persisters in drug discovery.
Main Methods:
- Literature review of mycobacterial persister biology.
- Analysis of persister formation and resistance mechanisms.
- Overview of current drug discovery approaches targeting persisters.
Main Results:
- Persisters exhibit phenotypic resistance, hindering antibiotic efficacy.
- Formation mechanisms and characteristics of mycobacterial persisters are complex.
- Targeting persisters remains a significant challenge in TB drug development.
Conclusions:
- Understanding persister cell biology is vital for advancing TB drug discovery.
- New therapeutic strategies must address the persistence phenomenon.
- Effective targeting of persisters could significantly shorten TB treatment.
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