Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall

<i>Mycobacterium tuberculosis</i> (Mtb) is one of the most successful bacterial pathogens in human history. Even in the antibiotic era, Mtb is widespread and causes millions of new cases of tuberculosis each year. The ability to disrupt the host’s innate and adaptive immunity, as well as...

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Main Authors: Maria S. Kotliarova, Mikhail S. Shumkov, Anna V. Goncharenko
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/13/1/21
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author Maria S. Kotliarova
Mikhail S. Shumkov
Anna V. Goncharenko
author_facet Maria S. Kotliarova
Mikhail S. Shumkov
Anna V. Goncharenko
author_sort Maria S. Kotliarova
collection DOAJ
description <i>Mycobacterium tuberculosis</i> (Mtb) is one of the most successful bacterial pathogens in human history. Even in the antibiotic era, Mtb is widespread and causes millions of new cases of tuberculosis each year. The ability to disrupt the host’s innate and adaptive immunity, as well as natural persistence, complicates disease control. Tuberculosis traditional therapy involves the long-term use of several antibiotics. Treatment failures are often associated with the development of resistance to one or more drugs. The development of medicines that act on new targets will expand treatment options for tuberculosis caused by multidrug-resistant or extensively drug-resistant Mtb. Therefore, the development of drugs that target virulence factors is an attractive strategy. Such medicines do not have a direct bacteriostatic or bactericidal effect, but can disarm the pathogen so that the host immune system becomes able to eliminate it. Although cell wall-associated targets are being actively studied for anti-TB drug development, other virulence factors important for adaptation and host interaction are also worth comprehensive analysis. In this review, specific Mtb virulence factors (such as secreted phosphatases, regulatory systems, and the ESX-1 secretion system) are identified as promising targets for novel anti-virulence drug development. Additionally, models for the search of virulence inhibitors are discussed, such as virtual screening in silico, in vitro enzyme inhibition assay, the use of recombinant Mtb strains with reporter constructs, phenotypic analysis using in vitro cell infection models and specific environments.
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spelling doaj-art-210a395af8ab4304b17b05bc90884fe02025-01-24T13:42:19ZengMDPI AGMicroorganisms2076-26072024-12-011312110.3390/microorganisms13010021Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell WallMaria S. Kotliarova0Mikhail S. Shumkov1Anna V. Goncharenko2Bach Institute of Biochemistry, Fundamentals of Biotechnology, Federal Research Center, Russian Academy of Sciences, Moscow 119071, RussiaBach Institute of Biochemistry, Fundamentals of Biotechnology, Federal Research Center, Russian Academy of Sciences, Moscow 119071, RussiaBach Institute of Biochemistry, Fundamentals of Biotechnology, Federal Research Center, Russian Academy of Sciences, Moscow 119071, Russia<i>Mycobacterium tuberculosis</i> (Mtb) is one of the most successful bacterial pathogens in human history. Even in the antibiotic era, Mtb is widespread and causes millions of new cases of tuberculosis each year. The ability to disrupt the host’s innate and adaptive immunity, as well as natural persistence, complicates disease control. Tuberculosis traditional therapy involves the long-term use of several antibiotics. Treatment failures are often associated with the development of resistance to one or more drugs. The development of medicines that act on new targets will expand treatment options for tuberculosis caused by multidrug-resistant or extensively drug-resistant Mtb. Therefore, the development of drugs that target virulence factors is an attractive strategy. Such medicines do not have a direct bacteriostatic or bactericidal effect, but can disarm the pathogen so that the host immune system becomes able to eliminate it. Although cell wall-associated targets are being actively studied for anti-TB drug development, other virulence factors important for adaptation and host interaction are also worth comprehensive analysis. In this review, specific Mtb virulence factors (such as secreted phosphatases, regulatory systems, and the ESX-1 secretion system) are identified as promising targets for novel anti-virulence drug development. Additionally, models for the search of virulence inhibitors are discussed, such as virtual screening in silico, in vitro enzyme inhibition assay, the use of recombinant Mtb strains with reporter constructs, phenotypic analysis using in vitro cell infection models and specific environments.https://www.mdpi.com/2076-2607/13/1/21virulenceanti-virulence drugstuberculosis
spellingShingle Maria S. Kotliarova
Mikhail S. Shumkov
Anna V. Goncharenko
Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall
Microorganisms
virulence
anti-virulence drugs
tuberculosis
title Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall
title_full Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall
title_fullStr Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall
title_full_unstemmed Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall
title_short Toward <i>Mycobacterium tuberculosis</i> Virulence Inhibition: Beyond Cell Wall
title_sort toward i mycobacterium tuberculosis i virulence inhibition beyond cell wall
topic virulence
anti-virulence drugs
tuberculosis
url https://www.mdpi.com/2076-2607/13/1/21
work_keys_str_mv AT mariaskotliarova towardimycobacteriumtuberculosisivirulenceinhibitionbeyondcellwall
AT mikhailsshumkov towardimycobacteriumtuberculosisivirulenceinhibitionbeyondcellwall
AT annavgoncharenko towardimycobacteriumtuberculosisivirulenceinhibitionbeyondcellwall