Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs

Antimicrobial resistance, the so-called <i>silent pandemic</i>, is pushing industry and academia to find novel antimicrobial agents with new mechanisms of action in order to be active against susceptible and drug-resistant microorganisms. In the case of tuberculosis, the need of novel an...

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Autores principales: José Manuel Ezquerra-Aznárez, Pedro E. Almeida da Silva, José A. Aínsa
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:f7705edc6599407fbc05f8f9286b2d272021-11-25T18:25:13ZOvercoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs10.3390/microorganisms91123352076-2607https://doaj.org/article/f7705edc6599407fbc05f8f9286b2d272021-11-01T00:00:00Zhttps://www.mdpi.com/2076-2607/9/11/2335https://doaj.org/toc/2076-2607Antimicrobial resistance, the so-called <i>silent pandemic</i>, is pushing industry and academia to find novel antimicrobial agents with new mechanisms of action in order to be active against susceptible and drug-resistant microorganisms. In the case of tuberculosis, the need of novel anti-tuberculosis drugs is specially challenging because of the intricate biology of its causative agent, <i>Mycobacterium tuberculosis</i>. The repurposing of medicines has arisen in recent years as a fast, low-cost, and efficient strategy to identify novel biomedical applications for already approved drugs. This review is focused on anti-parasitic drugs that have additionally demonstrated certain levels of anti-tuberculosis activity; along with this, natural products with a dual activity against parasites and against <i>M. tuberculosis</i> are discussed. A few clinical trials have tested antiparasitic drugs in tuberculosis patients, and have revealed effective dose and toxicity issues, which is consistent with the natural differences between tuberculosis and parasitic infections. However, through medicinal chemistry approaches, derivatives of drugs with anti-parasitic activity have become successful drugs for use in tuberculosis therapy. In summary, even when the repurposing of anti-parasitic drugs for tuberculosis treatment does not seem to be an easy job, it deserves attention as a potential contributor to fuel the anti-tuberculosis drug pipeline.José Manuel Ezquerra-AznárezPedro E. Almeida da SilvaJosé A. AínsaMDPI AGarticleantituberculosis drugsantiparasitic drugsdrug resistancerepurposingdrug discoveryBiology (General)QH301-705.5ENMicroorganisms, Vol 9, Iss 2335, p 2335 (2021)
institution DOAJ
collection DOAJ
language EN
topic antituberculosis drugs
antiparasitic drugs
drug resistance
repurposing
drug discovery
Biology (General)
QH301-705.5
spellingShingle antituberculosis drugs
antiparasitic drugs
drug resistance
repurposing
drug discovery
Biology (General)
QH301-705.5
José Manuel Ezquerra-Aznárez
Pedro E. Almeida da Silva
José A. Aínsa
Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs
description Antimicrobial resistance, the so-called <i>silent pandemic</i>, is pushing industry and academia to find novel antimicrobial agents with new mechanisms of action in order to be active against susceptible and drug-resistant microorganisms. In the case of tuberculosis, the need of novel anti-tuberculosis drugs is specially challenging because of the intricate biology of its causative agent, <i>Mycobacterium tuberculosis</i>. The repurposing of medicines has arisen in recent years as a fast, low-cost, and efficient strategy to identify novel biomedical applications for already approved drugs. This review is focused on anti-parasitic drugs that have additionally demonstrated certain levels of anti-tuberculosis activity; along with this, natural products with a dual activity against parasites and against <i>M. tuberculosis</i> are discussed. A few clinical trials have tested antiparasitic drugs in tuberculosis patients, and have revealed effective dose and toxicity issues, which is consistent with the natural differences between tuberculosis and parasitic infections. However, through medicinal chemistry approaches, derivatives of drugs with anti-parasitic activity have become successful drugs for use in tuberculosis therapy. In summary, even when the repurposing of anti-parasitic drugs for tuberculosis treatment does not seem to be an easy job, it deserves attention as a potential contributor to fuel the anti-tuberculosis drug pipeline.
format article
author José Manuel Ezquerra-Aznárez
Pedro E. Almeida da Silva
José A. Aínsa
author_facet José Manuel Ezquerra-Aznárez
Pedro E. Almeida da Silva
José A. Aínsa
author_sort José Manuel Ezquerra-Aznárez
title Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs
title_short Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs
title_full Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs
title_fullStr Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs
title_full_unstemmed Overcoming the Prokaryote/Eukaryote Barrier in Tuberculosis Treatment: A Prospect for the Repurposing and Use of Antiparasitic Drugs
title_sort overcoming the prokaryote/eukaryote barrier in tuberculosis treatment: a prospect for the repurposing and use of antiparasitic drugs
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f7705edc6599407fbc05f8f9286b2d27
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