Review

Bedaquiline e The first ATP synthase inhibitor against multi drug resistant tuberculosis

Mageshwaran Lakshmanan1★, Alphienes Stanley Xavier1★ Corresponding author

  1. 1Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, INDIA.

CORRESPONDENCE

Mageshwaran Lakshmanan

Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, INDIA.

waranmagesh87@gmail.com

Received: 06-11-2013; Revised: 03-12-2013; Accepted: 30-12-2013.

Volume 5, Issue 4 · pp. 112–115 · PUBLISHED · DOI: 10.1016/j.jyp.2013.12.002

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ABSTRACT

Increasing incidence of MDR-TB, long duration of treatment and co-infection with HIV are the significant problems in achieving the eradication of tuberculosis. Bedaquiline is an anti-tuberculosis drug with unique mechanism of action. It selectively inhibits the mycobacterial energy metabolism i.e. ATP synthesis and found to be effective against all states of Mycobacterium tuberculosis like active, dormant, replicating, non-replicating, intracellular and extracellular. Preclinical studies have shown the efficacy of bedaquiline in terms of reduction in bacterial load and treatment duration. Phase II clinical studies have established the safety, tolerability and earlier sputum conversion time in patients with MDR-TB. In 2012 FDA approved bedaquiline for treatment of MDR-TB and XDR-TB.

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    Lakshmanan, M., & Xavier, A. S. (). Bedaquiline e The first ATP synthase inhibitor against multi drug resistant tuberculosis. Journal of Young Pharmacists, 5(4), 112–115. https://doi.org/10.1016/j.jyp.2013.12.002