Targeting Non-Replicating Mycobacterium tuberculosis and Latent Infection: Alternatives and Perspectives (Mini-Review)

Int J Mol Sci. 2021 Dec 10;22(24):13317. doi: 10.3390/ijms222413317.

Abstract

Latent tuberculosis infection (LTBI) represents a major challenge to curing TB disease. Current guidelines for LTBI management include only three older drugs and their combinations-isoniazid and rifamycins (rifampicin and rifapentine). These available control strategies have little impact on latent TB elimination, and new specific therapeutics are urgently needed. In the present mini-review, we highlight some of the alternatives that may potentially be included in LTBI treatment recommendations and a list of early-stage prospective small molecules that act on drug targets specific for Mycobacterium tuberculosis latency.

Keywords: LTBI treatment; anti-TB drugs; dormant Mycobacterium tuberculosis; latent tuberculosis infection.

Publication types

  • Review

MeSH terms

  • Drug Therapy, Combination
  • Humans
  • Isoniazid / therapeutic use*
  • Latent Tuberculosis / drug therapy*
  • Latent Tuberculosis / metabolism
  • Latent Tuberculosis / pathology
  • Rifampin / analogs & derivatives*
  • Rifampin / therapeutic use*

Substances

  • Isoniazid
  • Rifampin
  • rifapentine