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Advancing host-directed therapy for tuberculosis
Abstract
Improved treatments are needed for nearly all forms of Mycobacterium tuberculosis infection. Adjunctive host-directed therapies have the potential to shorten tuberculosis treatment duration, prevent resistance and reduce lung injury by promoting autophagy, antimicrobial peptide production and other macrophage effector mechanisms, as well as by modifying specific mechanisms that cause lung inflammation and matrix destruction. The range of candidates is broad, including several agents approved for other clinical indications that are ready for evaluation in Phase II clinical trials. The promise of new and existing host-directed therapies that could accelerate response and improve tuberculosis treatment outcomes is discussed in this Opinion article.
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“In addition, repeated higher doses of drugs are needed to reach therapeutic levels, which is one of the major reasons for MDR-TB.201”
From Targeted therapy in chronic diseases using nanomaterial-based drug delivery vehicles (2019) · cites this paper as [201]
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Metadata
- Authors
- Wallis, R. S., & Hafner, R.
- Affiliations
- Aurum Institute (ZA)
- National Institutes of Health (US)
- Corresponding author
- Wallis, Robert S.
- Venue
- Nature Reviews Immunology
- Published
- 2015-03-13
- Volume
- 15
- Issue
- 4
- Pages
- 255-263
- ISSN
- 1474-1733 (ISSN-L)
- 1474-1741
- OpenAlex
- W1980411188
- Cited by
- 291
- References
- 121
- Citations by year
- 2026: 20 · 2025: 13 · 2024: 14 · 2023: 16 · 2022: 19 · 2021: 26 · 2020: 34 · 2019: 39 · 2018: 33 · 2017: 35 · 2016: 28 · 2015: 14
- FWCI
- 5.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Immunology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- U.S. Public Health Service (HHSN272201200009C)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
- Keywords
- tuberculosis, host-directed therapy, Mycobacterium tuberculosis, adjunctive therapy, autophagy, antimicrobial peptides, lung injury, treatment duration, antimicrobial resistance, lung inflammation
- MeSH terms
- Humans, Immunity, Inflammation, Mycobacterium tuberculosis, Tuberculosis, Host-Pathogen Interactions
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