Halting Tuberculosis in Its Tracks: Advances and Strategies for Discovering Therapeutic Targets in Mycobacterium

Ayushi Sharma1,2, Gyanendra Singh3, Rahul Shrivastava1

  • 1Department of Biotechnology and Bioinformatics, Jaypee University of Information Technology, Waknaghat, Solan, Himachal Pradesh, India.

Drug Development Research
|February 2, 2026
PubMed

Insights

Tuberculosis drug discovery faces challenges from resistant strains. This review highlights key Mycobacterium tuberculosis targets and emerging drugs to combat drug-resistant tuberculosis and improve treatment outcomes.

Area of Science:

  • Microbiology
  • Drug Discovery
  • Infectious Diseases

Background:

  • Tuberculosis (TB) remains a global health emergency, complicated by rising multidrug-resistant (MDR) and extensively drug-resistant (XDR) Mycobacterium tuberculosis strains.
  • Existing chemotherapy durations are long, and therapeutic progress is hampered by biological uncertainties, necessitating new drug development.

Purpose of the Study:

  • To review critical Mycobacterium tuberculosis drug targets and novel antitubercular agents in preclinical and clinical development.
  • To discuss strategies for discovering new therapeutic determinants and developing more effective TB drugs.

Main Methods:

  • Literature review of current tuberculosis research, focusing on drug targets and development pipelines.
  • Analysis of key M. tuberculosis targets including F1/F0 ATP synthase, isocitrate lyase, KasA, KasB, QcrB, MbtA, and MbtI.
  • Examination of drugs in preclinical and clinical stages targeting these pathways.

Main Results:

  • Identified essential M. tuberculosis drug targets crucial for bacterial survival and virulence.
  • Highlighted several novel drug candidates and strategies aimed at overcoming drug resistance.
  • Noted the recent approval of delamanid and bedaquiline, signaling renewed progress in TB drug research.

Conclusions:

  • Continued discovery of novel drug targets and leads is essential to strengthen the tuberculosis therapeutic pipeline.
  • Understanding M. tuberculosis drug targets and development strategies is vital for advancing tuberculosis control and treatment.
  • New drugs are needed to combat MDR and XDR tuberculosis and shorten treatment durations.

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