Center for Global Infectious Disease, Seattle Children's Research Institute, Seattle, WA, USA.
TB Discovery Research, Infectious Disease Research Institute, Seattle, WA, USA.
Microbiology (Reading). 2023 Jun;169(6). doi: 10.1099/mic.0.001345.
Indolcarboxamides are a promising series of anti-tubercular agents, which target MmpL3, the exporter of trehalose monomycolate, a key cell-wall component. We determined the kill kinetics of the lead indolcarboxamide NITD-349 and determined that while kill was rapid against low-density cultures, bactericidal activity was inoculum-dependent. A combination of NITD-349 with isoniazid (which inhibits mycolate synthesis) had an increased kill rate; this combination prevented the appearance of resistant mutants, even at higher inocula.
吲哚酰胺类化合物是一组很有前途的抗结核药物,它们的作用靶点是 MmpL3,该蛋白是海藻糖单胞壁酸的外排泵,而海藻糖单胞壁酸是细胞壁的一个关键组成部分。我们测定了先导吲哚酰胺化合物 NITD-349 的杀菌动力学,结果表明,尽管该药对低密度培养物具有快速杀菌作用,但杀菌活性依赖于接种物的数量。NITD-349 与异烟肼(抑制胞壁酸合成)联合使用具有更高的杀菌率;这种联合用药甚至在高接种量时也能防止耐药突变体的出现。