Abstract
New chemotherapeutic drugs are the need to improve tuberculosis (TB) control particularly due to the emergence of multidrug-resistant strains and extensively drug-resistant strains of TB. These antitubercular compounds have different chemical moieties in their structure. Quinolones are generally used against many Gram-positive and Gram-negative bacteria. They are also active against atypical mycobacteria. Some quinolones (ciprofloxacin, levofloxacin, etc.) inhibit strains of Mycobacterium tuberculosis at concentrations <2.0 μg/mL. Fluoroquinolones are an important recent addition to the drugs available for TB, especially for strains that are resistant to first-line agents. The present review provides an overview of the drugs that are being used have quinolone moieties in TB treatment.
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References
Alangaden GJ, Lerner SA (1997) The clinical use of fluoroquinolones for the treatment of mycobacterial diseases. Clin Infect Dis 25:1213–1221
Alangaden GJ, Manavathu EK, Vakulenko SB, Zvonok NM, Lerner SA (1995) Characterization of fluoroquinolone-resistant mutant strains of Mycobacterium tuberculosis selected in the laboratory and isolated from patients. Antimicrob Agents Chemother 39:1700–1703
Al-Deeb AO, Alafeefy AM (2008) Synthesis of some new 3H-quinazolin-4-one derivatives as potential antitubercular agents. World Appl Sci J 5(1):94–99
Alvirez-Freites EJ, Carter JL, Cynamon MH (2002) In vitro and in vivo activities of gatifloxacin against Mycobacterium tuberculosis. Antimicrob Agents Chemother 46:1022–1025
Aubry A, Pan XS, Fisher LM, Jarlier V, Cambau E (2004) Mycobacterium tuberculosis DNA gyrase: interaction with quinolones and correlation with antimycobacterial drug activity. Antimicrob Agents Chemother 48:1281–1288
Bagchi MC, Mills D, Basak SC (2007) Quantitative structure–activity relationship (QSAR) studies of quinolone antibacterials against M. fortuitum and M. smegmatis using theoretical molecular descriptors. J Mol Model 13:111–120
Barman Balfour JA, Lamb HM (2000) Moxifloxacin. A review of its clinical potential in the management of community-acquired respiratory tract infections. Drugs 59(1):115–139
Bertino J Jr, Fish D (2000) The safety profile of the fluoroquinolones. Clin Ther 22(7):798–817
Biedenbach DJ, Sutton LD, Jones RN (1995) Antimicrobial activity of CS-940, a new trifluorinated quinolone. Antimicrob Agents Chemother 39(10):2325–2330
Bozeman L, Burman W, Metchock B, Welch L, Weiner M (2005) Fluoroquinolone susceptibility among Mycobacterium tuberculosis isolates from the United States and Canada. Clin Infect Dis 40:386–391
Brenwald NP, Gill MJ, Wise R (1998) Prevalence of a putative efflux mechanism among fluoroquinolone-resistant clinical isolates of Streptococcus pneumoniae. Antimicrob Agents Chemother 42:2032–2035
Burman WJ, Goldberg S, Johnson JL, Muzanye G, Engle M, Mosher AW, Choudhri S, Daley CL, Munsiff SS, Zhao Z et al (2006) Moxifloxacin versus ethambutol in the first 2 months of treatment for pulmonary tuberculosis. Am J Respir Crit Care Med 174:331–338
CDC (2006) Emergence of Mycobacterium tuberculosis with extensive resistance to second-line drugs—worldwide, 2000–2004. MMWR Morb Mortal Wkly Rep 55:301–305
Corbett EL, Watt CJ, Walker N, Maher D, Williams BG, Raviglione MC, Dye C (2003) The growing burden of tuberculosis: global trends and interactions with the HIV epidemic. Arch Intern Med 163:1009–1021
Coyle EA, Kaatz GW, Rybak MJ (2001) Activities of newer fluoroquinolones against ciprofloxacin-resistant Streptococcus pneumoniae. Antimicrob Agents Chemother 45:1654–1659
Cynamon MH, Sklaney M (2003) Gatifloxacin and ethionamide as the foundation for therapy of tuberculosis. Antimicrob Agents Chemother 47:2442–2444
Daffe M, Brennan PJ, Mcneil M (2007) Predominant structural features of the cell wall arabinogalactan of Mycobacterium tuberculosis as revealed through characterization. J Med Chem 50:2492
Daporta MT, Munoz Bellido JL, Guirao GY, Hernandez MS, Garcia-Rodriguez JA (2004) In vitro activity of older and newer fluoroquinolones against efflux-mediated high level ciprofloxacinresistant Streptococcus pneumoniae. Int J Antimicrob Agents 24:185–187
Dye C, Scheele S, Dolin P, Pathania V, Raviglione MC (1999) Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country. JAMA 282:677–686
Flamm RK, Vojtko C, Chu DT, Li Q, Beyer J, Hensey D, Ramer N, Clement JJ, Tanaka SK (1995) In vitro evaluation of ABT-719, a novel DNA gyrase inhibitor. Antimicrob Agents Chemother 39:964–970
Flynn JL, Chan J (2001) Tuberculosis: latency and reactivation. Infect Immun 69:4195–4201
Frieden TR, Sterling TR, Munsiff SS, Watt CJ, Dye C (2003) Tuberculosis. Lancet 362:887–899
Garay SM (2004) Pulmonary tuberculosis. In: Rom WN, Garay SM (eds) Tuberculosis. Lippincott Williams & Wilkins, Philadelphia, pp 345–394
Ginsburg AS, Grosset JH, Bishai WR (2003a) Fluoroquinolones, tuberculosis, and resistance. Lancet Infect Dis 3:432–442
Ginsburg AS, Hooper N, Parrish N, Dooley KE, Dorman SE, Booth J, Diener-West M, Merz WG, Bishai WR, Sterling TR (2003b) Fluoroquinolone resistance in patients with newly diagnosed tuberculosis. Clin Infect Dis 37:1448–1452
Ginsburg AS, Sun R, Calamita H, Scott CP, Bishai WR, Grosset JH (2005) Emergence of fluoroquinolone resistance in Mycobacterium tuberculosis during continuously dosed moxifloxacin monotherapy in a mouse model. Antimicrob Agents Chemother 49:3977–3979
Glickman SW, Rasiel EB, Hamilton CD, Kubataev A, Schulman KA (2006) Medicine. A portfolio model of drug development for tuberculosis. Science 311:1246–1247
Global Alliance for TB Drug Development (2001) Tuberculosis. Scientific blue print for tuberculosis drug development. Tuberculosis (Edinb) 81(Suppl 1):1–52
Gomez JE, McKinney JD (2004) M. tuberculosis persistence, latency, and drug tolerance. Tuberculosis (Edinb) 84:29–44
Grosset JH (1992) Treatment of tuberculosis in HIV infection. Tuber Lung Dis 73:378–383
Grosset J, Ji B (1998) Experimental chemotherapy of mycobacterial diseases. In: Gangadharam PRJ, Jenkins PA (eds) Mycobacteria, II chemotherapy. Chapman & Hall, New York, pp 51–97
Grosset J, Truffot-Pernot C, Lacroix C, Ji B (1992) Antagonism between isoniazid and the combination pyrazinamide–rifampin against tuberculosis infection in mice. Antimicrob Agents Chemother 36:548–551
Herbert D, Paramasivan CN, Venkatesan P, Kubendiran G, Prabhakar R, Mitchison DA (1996) Bactericidal action of ofloxacin, sulbactam-ampicillin, rifampin, and isoniazid on logarithmic and stationary-phase cultures of Mycobacterium tuberculosis. Antimicrob Agents Chemother 40:2296–2299
ID Weekly Highlights (2000) Moxifloxacin: a new antimicrobial agent. Presented at the 40th CAAC Meeting, Toronto, and September 17–20, 2000. Reported by Pireh D, October, 32–33
Hirata T, Saito H, Tomioka H, Sato K, Jidoi J, Hosoe K, Hidaka T (1995) In vitro and in vivo activities of the benzoxazinorifamycin KRM-1648 against Mycobacterium tuberculosis. Antimicrob Agents Chemother 39:2295–2303
Hong Kong Chest Service/British Medical Research Council (1992) A controlled study of rifabutin and an uncontrolled study of ofloxacin in the retreatment of patients with pulmonary tuberculosis resistant to isoniazid, streptomycin and rifampicin. Tuber Lung Dis 73:59–67
Houston AK, Jones RN (1994) Postantibiotic effect of DU-6859a and levofloxacin as compared with ofloxacin. Diagn Microbiol Infect Dis 18(1):57–59
Hu Y, Coates AR, Mitchison DA (2003) Sterilizing activities of fluoroquinolones against rifampin-tolerant populations of Mycobacterium tuberculosis. Antimicrob Agents Chemother 47:653–657
Islam M, Siddiqui AA, Rajesh R (2008) Synthesis, antitubercular, antifungal and antibacterial activities of 6-substituted phenyl-2-(3í-substituted phenyl pyridazin-6í-yl)-2,3,4,5-tetrahydropyridazin-3-one. Acta Pol Pharm 65(3):353–362
Jones PB, Parrish NM, Houston TA, Stapon A, Bansal NP, Dick JD, Townsend CA (2000) A new class of antituberculosis agents. J Med Chem 43:3304–3314
Kamal A, Azeeza S, Malik MS, Shaik AA, Rao MV (2008) Efforts towards the development of new antitubercular agents: potential for thiolactomycin based compounds. J Pharm Pharmaceut Sci 11(2):56s–80s
Kaufmann SH, Cole ST, Mizrahi V, Rubin E, Nathan C (2005) Mycobacterium tuberculosis and the host response. J Exp Med 201:1693–1697
Khasnobis S, Escuyer VE, Chatterjee D (2002) Emerging therapeutic targets in tuberculosis: post genomic era. Expert Opin Ther Targ 6:21–40
Klemens SP, DeStefano MS, Cynamon MH (1993) Therapy of multidrug-resistant tuberculosis: lessons from studies with mice. Antimicrob Agents Chemother 37:2344–2347
Kocagoz T, Hackbarth CJ, Unsal I, Rosenberg EY, Nikaido H, Chambers HF (1996) Gyrase mutations in laboratory-selected, fluoroquinoloneresistant mutants of Mycobacterium tuberculosis H37Ra. Antimicrob Agents Chemother 40:1768–1774
Koga T, Fukuoka T, Doi N, Harasaki T, Inoue H, Hotoda H, Kakuta M, Muramatsu Y, Yamamura N, Hoshi M, Hirota T (2004) Activity of capuramycin analogues against Mycobacterium tuberculosis Mycobacterium avium and Mycobacterium intracellulare in vitro and in vivo. J Antimicrob Chemother 54:755–760
Kunin CM, Ellis WY (2000) Antimicrobial activities of mefloquine and a series of related compounds. Antimicrob Agents Chemother 44(4):848–852
Lenaerts AJ, Gruppo V, Marietta KS, Johnson CM, Driscoll DK, Tompkins NM, Rose JD, Reynolds RC, Orme IM (2005) Preclinical testing of the nitroimidazopyran PA-824 for activity against Mycobacterium tuberculosis in a series of in vitro and in vivo models. Antimicrob Agents Chemother 49:2294–2301
Lewin CS, Howard BM, Smith JT (1991) 4-Quinolone interactions with gyrase subunit B inhibitors. J Med Microbiol 35:358–362
Li XZ, Zhang L, Nikaido H (2004) Efflux pump-mediated intrinsic drug resistance in Mycobacterium smegmatis. Antimicrob Agents Chemother 48:2415–2423
Manabe YC, Bishai WR (2000) Latent Mycobacterium tuberculosis-persistence, patience, and winning by waiting. Nat Med 6:1327–1329
Miyazaki E, Miyazaki M, Chen JM, Chaisson RE, Bishai WR (1999) Moxifloxacin (BAY12-8039), a new 8-methoxyquinolone, is active in a mouse model of tuberculosis. Antimicrob Agents Chemother 43:85–89
Murugasu-Oei B, Dick T (2000) Bactericidal activity of nitrofurans against growing and dormant Mycobacterium bovis BCG. J Antimicrob Chemother 46:917–919
Nikonenko BV, Samala R, Einck L, Nacy CA (2004) Rapid, simple in vivo screen for new drugs active against Mycobacterium tuberculosis. Antimicrob Agents Chemother 48:4550–4555
Nuermberger EL, Yoshimatsu T, Tyagi S, O’Brien RJ, Vernon AN, Chaisson RE, Bishai WR, Grosset JH (2004a) Moxifloxacin-containing regimen greatly reduces time to culture conversion in murine tuberculosis. Am J Respir Crit Care Med 169:421–426
Nuermberger EL, Yoshimatsu T, Tyagi S, Williams K, Rosenthal I, O’Brien RJ, Vernon AA, Chaisson RE, Bishai WR, Grosset JH (2004b) Moxifloxacin-containing regimens of reduced duration produce a stable cure in murine tuberculosis. Am J Respir Crit Care Med 170:1131–1134
O’Brien RJ, Nunn PP (2001) The need for new drugs against tuberculosis. Obstacles, opportunities, and next steps. Am J Respir Crit Care Med 163:1055–1058
Onodera Y, Tanaka M, Sato K (2001) Inhibitory activity of quinolones against DNA gyrase of Mycobacterium tuberculosis. J Antimicrob Chemother 47:447–450
Paramasivan CN, Sulochana S, Kubendiran G, Venkatesan P, Mitchison DA (2005) Bactericidal action of gatifloxacin, rifampin, and isoniazid on logarithmic- and stationary-phase cultures of Mycobacterium tuberculosis. Antimicrob Agents Chemother 49:627–631
Pasqualoto KFM, Ferreira EI (2001) An approach for the rational design of new antituberculosis agents. Curr Drug Targets 2:427–437
Pestova E, Millichap JJ, Noskin GA, Peterson LR (2000) Intracellular targets of moxifloxacin: a comparison with other fluoroquinolones. J Antimicrob Chemother 45:583–590
Petrella S, Cambau E, Chauffour A, Andries K, Jarlier V, Sougakoff W (2006) Genetic basis for natural and acquired resistance to the diarylquinoline R207910 in mycobacteria. Antimicrob Agents Chemother 50:2853–2856
Primm TP, Andersen SJ, Mizrahi V, Avarbock D, Rubin H, Barry CE III (2000) The stringent response of Mycobacterium tuberculosis is required for long-term survival. J Bacteriol 182:4889–4898
Rattan A, Kalia A, Ahmad N (1998) Multidrug-resistant Mycobacterium tuberculosis: molecular perspectives. Emerg Infect Dis 4(2):195–209
Reynolds RC, Bansal N, Rose J, Friedrich J, Suling WJ, Maddry JA (1999) Ethambutol–sugar hybrids as potential inhibitors of mycobacterial cell-wall biosynthesis. Carbohydr Res 317:164–179
Rodriguez JC, Ruiz M, Climent A, Royo G (2001) In vitro activity of four fluoroquinolones against Mycobacterium tuberculosis. Int J Antimicrob Agents 17:229–231
Ruiz-Serrano MJ, Alcala L, Martinez L, Diaz M, Marin M, Gonzalez-Abad MJ, Bouza E (2000) In vitro activities of six fluoroquinolones against 250 clinical isolates of Mycobacterium tuberculosis susceptible or resistant to first-line antituberculosis drugs. Antimicrob Agents Chemother 44:2567–2568
Russell DG (2001) Mycobacterium tuberculosis: here today, and here tomorrow. Nat Rev Mol Cell Biol 2:569–577
Shafii B, Amini M, Akbarzadeh T, Shafiee A (2008) Synthesis and antitubercular activity of N3,N5-diaryl-4-(5-arylisoxazol-3-yl)-1,4-dihydropyridine-3,5-dicarboxamide. J Sci 19(4):323–328
Sirgel FA, Donald PR, Odhiambo J, Githui W, Umapathy KC, Paramasivan CN, Tam CM, Kam KM, Lam CW, Sole KM, Mitchison DA (2000) A multicentre study of the early bactericidal activity of anti-tuberculosis drugs. J Antimicrob Chemother 45:859–870
Smith CV, Huang CC, Miczak A, Russell DG, Sacchettini JC, Honer zu Bentrup K (2003) Biochemical and structural studies of malate synthase from Mycobacterium tuberculosis. J Biol Chem 278:1735–1743
Smith CV, Sharma V, Sacchettini JC (2004) TB drug discovery: addressing issues of persistence and resistance. Tuberculosis 84:45–55
Snider DE (1994) Tuberculosis: the world situation. History of the disease and efforts to combat it. In: Porter JDH, McAdam KPWJ (eds) Tuberculosis: back to the future. Wiley, New York, pp 14–31
Somoskovi A, Parsons LM, Salfinger M (2001) The molecular basis of resistance to isoniazid, rifampin, and pyrazinamide in Mycobacterium tuberculosis. Respir Res 2:164–168
Stahlmann R, Lode H (1999) Toxicity of quinolones. Drugs 58(Suppl 2):37–42
Sullivan EA, Kreiswirth BN, Palumbo L, Kapur V, Musser JM, Ebrahimzadeh A, Frieden TR (1995) Emergence of fluoroquinolone-resistant tuberculosis in New York City. Lancet 345:1148–1150
Sulochana S, Rahman F, Paramasivan CN (2005) In vitro activity of fluoroquinolones against Mycobacterium tuberculosis. J Chemother 17:169–173
Sun Z, Zhang Y (1999) Antituberculosis activity of certain antifungal and antihelmintic drugs. Tuber Lung Dis 79:319–320
Temple ME, Nahata MC (1999) Rifapentine: its role in the treatment of tuberculosis. Ann Pharmacother 33(11):1202–1210
Teodori E, Dei S, Scapecchi S, Gualtieri F (2002) The medicinal chemistry of multidrug resistance (MDR) reversing drugs. Il Farmaco\ 57:385–415
Trivedi AR, Siddiqui AB, Shah VH (2008) Design, synthesis, characterization and antitubercular activity of some 2-heterocycle-substituted phenothiazines. ARKIVOC ii:210–217
Wayne LG, Sohaskey CD (2001) Non replicating persistence of Mycobacterium tuberculosis. Annu Rev Microbiol 55:139–163
Weil DEC (1994) Drug supply: meeting a global need. In: McAdam KPWJ, Porter JDH (eds) Tuberculosis: back to the future. Wiley, New York, pp 123–143
WHO (2004) Tuberculosis Fact Sheet. http://www.who.int/mediacentre/factsheets/fs104/en/
Willmott CJ, Critchlow SE, Eperon IC, Maxwell A (1994) The complex of DNA gyrase and quinolone drugs with DNA forms a barrier to transcription by RNA polymerase. J Mol Biol 242:351–363
Yew WW, Kwan SY, Ma WK, Lui KS, Suen HC (1990) Ofloxacin therapy of Mycobacterium fortuitum infection: further experience. J Antimicrob Chemother 25:880–881
Zhanel GG, Hoban DJ, Schurek K, Karlowsky JA (2004) Role of efflux mechanisms on fluoroquinolone resistance in Streptococcus pneumoniae and Pseudomonas aeruginosa. Int J Antimicrob Agents 24:529–535
Zhang Y (2005) The magic bullets and tuberculosis drug targets. Annu Rev Pharmacol Toxicol 45:529–564
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The authors are thankful to Guru Ram Das (Post Graduate) Institute of Management & Technology, Dehradun, India for the technical support.
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Asif, M., Siddiqui, A.A. & Husain, A. Quinolone derivatives as antitubercular drugs. Med Chem Res 22, 1029–1042 (2013). https://doi.org/10.1007/s00044-012-0101-3
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DOI: https://doi.org/10.1007/s00044-012-0101-3