Challenges facing the drug discovery pipeline for non-tuberculous mycobacteria

J Med Microbiol. 2016 Jan;65(1):1-8. doi: 10.1099/jmm.0.000198. Epub 2015 Oct 29.

Abstract

Non-tuberculous mycobacteria (NTM) infections are increasingly being reported worldwide. They are a major concern for healthcare professionals for multiple reasons, ranging from the intrinsic resistance of NTM to most conventionally utilized antimicrobials to inharmonious diagnostic criteria utilized for evaluation of NTM-infected patients, leading to high morbidity. In this review, we highlight the paucity of drugs having potent anti-NTM activity amongst the new antimicrobials currently under various stages of development for anti-tubercular activity and issue a call for the establishment of a concerted dedicated drug discovery pipeline targeting NTM.

Publication types

  • Review

MeSH terms

  • Adamantane / analogs & derivatives
  • Adamantane / pharmacology
  • Aminopyridines / pharmacology
  • Anti-Bacterial Agents / pharmacology*
  • Azepines / pharmacology
  • Benzamides / pharmacology
  • Clinical Trials as Topic
  • Diarylquinolines / pharmacology
  • Drug Discovery*
  • Ethylenediamines / pharmacology
  • Fluoroquinolones / pharmacology
  • Humans
  • Minocycline / analogs & derivatives
  • Minocycline / pharmacology
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Nitroimidazoles / pharmacology
  • Nontuberculous Mycobacteria / drug effects*
  • Oxazoles / pharmacology
  • Piperazines / pharmacology
  • Spiro Compounds / pharmacology
  • Thiazines / pharmacology
  • Tigecycline
  • Uridine / analogs & derivatives
  • Uridine / pharmacology

Substances

  • 2-(2-methyl-1,4-dioxa-8-azaspiro(4.5)dec-8-yl)-8-nitro-6-(trifluoromethyl)-4H-1,3-benzothiazin-4-one
  • 7-(7-amino-7-methyl-5-azaspiro(2.4)heptan-5-yl)-6-fluoro-1-(2-fluoro-1-cyclopropyl)-1,4-dihydro-8-methoxy-4-oxo-3-quinolinecarboxylic acid
  • Aminopyridines
  • Anti-Bacterial Agents
  • Azepines
  • Benzamides
  • CPZEN-45
  • Diarylquinolines
  • Ethylenediamines
  • Fluoroquinolones
  • N-geranyl-N'-(2-adamantyl)ethane-1,2-diamine
  • Nitroimidazoles
  • OPC-67683
  • Oxazoles
  • Piperazines
  • SQ-641
  • Spiro Compounds
  • Thiazines
  • Tigecycline
  • bedaquiline
  • nitromide
  • macozinone
  • Minocycline
  • Adamantane
  • Uridine