Title:ATP Synthase, an Emerging Target in TB Drug Discovery: Review of SAR and Clinical Pharmacology of Diarylquinoline Inhibitors
Volume: 22
Issue: 11
Author(s): Abhijeet Dhulap*Paromita Banerjee
Affiliation:
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh- 201 002,India
Keywords:
ATP synthase, tuberculosis, diarylquinoline, bedaquiline, mycobacterial, drug target.
Abstract: Tuberculosis (TB) caused by Mycobacterium tuberculosis (MTB) is one of the leading
causes of mortality worldwide, with an estimated 1.5 million deaths annually. The majority of infection
cases are reported from the Southeast Asian region, including India. After the discovery of Streptomycin
in 1943 and its anti-tubercular activity in 1945, drug discovery efforts identified Isoniazid,
Ethambutol, and Rifampin as TB-actives. However, over the years, these drugs have been rendered
ineffective due to genetic mutations in mycobacterial strains. This has shifted drug discovery efforts
towards identifying new targets and drugs for drug-resistant forms of bacteria. ATP synthase was
identified as one of the key targets of MDR-TB. This review provides key insights into the ATP synthase
target, structure activity relationship studies (SAR) of diarylquinoline class of inhibitors and
their clinical relevance for treating MDR-TB.