Molecular biology of drug resistance in Mycobacterium tuberculosis.
Molecular biology of drug resistance in Mycobacterium tuberculosis.
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DOI:
10.1007/82_2012_279
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发表时间:
2013
影响因子:
--
通讯作者:
Liem Nguyen
中科院分区:
文献类型:
--
作者:
Smith, Tasha;Wolff, Kerstin A.;Liem Nguyen
Tuberculosis (TB) has become a curable disease thanks to the discovery of antibiotics. However, it has remained one of the most difficult infections to treat. Most current TB regimens consist of six to nine months of daily doses of four drugs that are highly toxic to patients. The purpose of these lengthy treatments is to completely eradicate Mycobacterium tuberculosis, notorious for its ability to resist most antibacterial agents, thereby preventing the formation of drug resistant mutants. On the contrary, the prolonged therapies have led to poor patient adherence. This, together with a severe limit of drug choices, has resulted in the emergence of strains that are increasingly resistant to the few available antibiotics. Here we review our current understanding of molecular mechanisms underlying the profound drug resistance of M. tuberculosis. This knowledge is essential for the development of more effective antibiotics that not only are potent against drug resistant M. tuberculosis strains but also help shorten the current treatment courses required for drug susceptible TB.
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