Reappraising the use of β-lactams to treat tuberculosis

Expert Rev Anti Infect Ther. 2012 Sep;10(9):999-1006. doi: 10.1586/eri.12.96.

Abstract

The emergence of multidrug-resistant and extensively drug-resistant tuberculosis calls for novel approaches to treatment. Recent studies have shown that BlaC, the β-lactamase of Mycobacterium tuberculosis, is the major determinant of β-lactam resistance. This review invites the reader to explore evidence in order to answer the questions: can β-lactam and β-lactamase inhibitors adequately treat M. tuberculosis infection and are they a viable option in the management of resistant tuberculosis today?

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Antitubercular Agents / pharmacology
  • Antitubercular Agents / therapeutic use*
  • Bacterial Proteins / antagonists & inhibitors*
  • Bacterial Proteins / chemistry
  • Cell Wall / drug effects
  • Humans
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / genetics
  • Tuberculosis, Multidrug-Resistant / drug therapy*
  • beta-Lactamase Inhibitors*
  • beta-Lactamases / chemistry
  • beta-Lactams / pharmacology
  • beta-Lactams / therapeutic use*

Substances

  • Antitubercular Agents
  • Bacterial Proteins
  • beta-Lactamase Inhibitors
  • beta-Lactams
  • beta-Lactamases