Targeting neutrophils for host-directed therapy to treat tuberculosis

Int J Med Microbiol. 2018 Jan;308(1):142-147. doi: 10.1016/j.ijmm.2017.10.001. Epub 2017 Oct 7.

Abstract

M. tuberculosis is one of the prime killers from infectious diseases worldwide. Infections with multidrug-resistant variants counting for almost half a million new cases per year are steadily on the rise. Tuberculosis caused by extensively drug-resistant variants that are even resistant against newly developed or last resort antibiotics have to be considered untreaTable Susceptible tuberculosis already requires a six-months combinational therapy which requires further prolongation to treat drug-resistant infections. Such long treatment schedules are often accompanied by serious adverse effects causing patients to stop therapy. To tackle the global tuberculosis emergency, novel approaches for treatment need to be urgently explored. Host-directed therapies that target components of the defense system represent such a novel approach. In this review, we put a spotlight on neutrophils and neutrophil-associated effectors as promising targets for adjunct host-directed therapies to improve antibiotic efficacy and reduce both, treatment time and long-term pathological sequelae.

Keywords: CD1; Host-directed therapy; Mycobacterium tuberculosis; Neutrophil; Small lipid mediators; Tuberculosis.

Publication types

  • Review

MeSH terms

  • Animals
  • Antitubercular Agents / pharmacology*
  • Antitubercular Agents / therapeutic use*
  • Humans
  • Lipids / immunology
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / growth & development
  • Mycobacterium tuberculosis / immunology
  • Neutrophil Infiltration / drug effects
  • Neutrophils / drug effects*
  • Neutrophils / immunology
  • Neutrophils / microbiology
  • Neutrophils / pathology
  • Tuberculosis / drug therapy*
  • Tuberculosis / immunology
  • Tuberculosis / microbiology
  • Tuberculosis / pathology

Substances

  • Antitubercular Agents
  • Lipids