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- W2103019909 abstract "La tuberculose reste en 2009 une préoccupation majeure en santé publique. L’augmentation lente mais constante des souches multirésistantes de Mycobacterium tuberculosis et l’émergence plus récente de souches ultrarésistantes renforcent la nécessité de développer de nouvelles molécules antituberculeuses pour compléter l’arsenal des molécules existantes. Dans une première partie, cette revue présente les dernières générations de molécules actives sur d’anciennes cibles (nouvelles fluoroquinolones contre l’ADN gyrase), ainsi que les principales molécules en essai clinique développées dans le but d’inhiber de nouvelles cibles antituberculeuses (diarylquinolines, nitroimidazoles, oxazolidinones, diamines). Dans une seconde partie, les cibles potentielles issues de l’analyse génomique de M. tuberculosis seront présentées, en particulier celles qui permettent d’espérer une action spécifique vis-à-vis de la forme latente du bacille de la tuberculose (bacille « dormant »). Avec la découverte de nouvelles molécules bactéricides, les durées de traitement sont modifiées notamment chez les patients VIH+ : la recherche des produits non toxiques doit permettre d’optimiser les durées de traitement en limitant les interactions avec les antirétroviraux (inhibiteurs de protéase et inhibiteurs non-nucléosidiques de la transcriptase inverse). Tuberculosis remains one of the most worrying disease in 2009. The increase of resistance in Mycobacterium tuberculosis isolates and emergence of multiresistant strains are factors leading to search for new antituberculous molecules to be added to the existing armamentarium. This review presents the last generations of molecules, active against well-known targets (fluoroquinolones against DNA gyrase) as well as new molecules involved in clinical trials: the latter drugs have been developed in order to act by inhibiting new antituberculous targets (diarylquinolines, nitroimidazoles, oxazolidinones, diamines). A second part of the review is devoted to potential targets resulting from genomic analysis of M. tuberculosis, predominantly those permitting a specific action against the latent form of M. tuberculosis (“dormant” bacilli). The discovery of new bactericidal drugs has an impact on treatment durations, especially in HIV patients: there is a need for non toxic molecules which do not interact with antiretroviral drugs (protease inhibitors and non-nucleosidic inhibitors) and permitting the optimisation of treatment durations." @default.
- W2103019909 created "2016-06-24" @default.
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- W2103019909 date "2009-09-01" @default.
- W2103019909 modified "2023-09-26" @default.
- W2103019909 title "Nouvelles cibles bactériennes pour les mycobactéries" @default.
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- W2103019909 doi "https://doi.org/10.1016/j.antib.2009.01.003" @default.
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