Targeting DNA Gyrase to Combat Mycobacterium tuberculosis: An Update

Curr Top Med Chem. 2019;19(8):579-593. doi: 10.2174/1568026619666190304130218.

Abstract

DNA gyrase is a clinically validated drug target, currently targeted only by fluoroquinolone class of antibacterials. However, owing to increasing drug resistance as well as a concomitant reduction in the availability of newer classes of antibiotics, fluoroquinolones are increasingly being over-utilized in order to treat serious infections, including multi-drug resistant tuberculosis. This, in turn, increases the probability of resistance to fluoroquinolones, which is mediated by a single amino acid change in gyrA, leading to class-wide resistance. In this review, we provide an overview of the recent progress in identifying novel scaffolds which target DNA gyrase and provide an update on their discovery and development status.

Keywords: Aminocoumarins; Antibacterials; DNA gyrase; Fluoroquinolones; Mycobacterium tuberculosis; Pathogen..

Publication types

  • Review

MeSH terms

  • Antitubercular Agents / chemistry
  • Antitubercular Agents / pharmacology*
  • DNA Gyrase / drug effects
  • DNA Gyrase / metabolism*
  • Drug Discovery
  • Drug Resistance, Multiple, Bacterial
  • Humans
  • Molecular Structure
  • Mycobacterium tuberculosis / enzymology*
  • Topoisomerase II Inhibitors / pharmacology*
  • Tuberculosis / drug therapy
  • Tuberculosis / microbiology

Substances

  • Antitubercular Agents
  • Topoisomerase II Inhibitors
  • DNA Gyrase