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Journal ArticleDOI

The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis

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TLDR
Several lines of evidence suggest that alternative mechanisms-including pharmacokinetic variability, induction of efflux pumps that transport the drug out of cells, and suboptimal drug penetration into tuberculosis lesions-are likely crucial to the pathogenesis of drug-resistant tuberculosis.
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This article is published in The Lancet Respiratory Medicine.The article was published on 2017-04-01. It has received 461 citations till now. The article focuses on the topics: Bedaquiline & Delamanid.

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DissertationDOI

Accelerating Development of Therapeutic Tuberculosis Vaccines Using an Ex Vivo Immune Assay Platform

TL;DR: It is hypothesised that an ex-vivo mycobacterial growth inhibition assay (MGIA) can be implemented to investigate and accelerate development of therapeutic vaccination strategies for TB, in the context of both human clinical and animal murine studies.
Journal ArticleDOI

Rarity of rpoB Mutations Outside the Rifampicin Resistance-Determining Region of Mycobacterium tuberculosis Isolates from Patients Responding Poorly to First-Line Tuberculosis Regimens in Beijing, China: A Retrospective Study.

TL;DR: Wang et al. as discussed by the authors conducted a retrospective study to discover mutations residing outside the rifampicin resistance-determining region (RRDR) of the MTB rpoB gene.
Journal ArticleDOI

Polyfluorinated salicylic acid analogs do not interfere with siderophore biosynthesis.

TL;DR: In this paper , the mechanism of action of polyfluorinated salicylic acid derivates, which were previously reported to possess potent antimycobacterial activity, was explored.
Journal ArticleDOI

Characteristics of Drug-sensitive and Drug-resistant Tuberculosis Cases among Adults at Tuberculosis Referral Hospitals in Indonesia.

TL;DR: As Indonesia's rifampin resistance testing rates are lower than global testing rates per the 2020 WHO global tuberculosis (TB) report, prevalence of multidrug-resistant TB may be underestimated, further characterization of Indonesia's TB epidemiology in the general population is needed.
Journal ArticleDOI

Minocycline intra-bacterial pharmacokinetic hysteresis as a basis for pharmacologic memory and a backbone for once-a-week pan-tuberculosis therapy

TL;DR: System hysteresis is proposed as the basis for the novel concept of pharmacologic memory, which allows intermittent dosing of once-a-week pan-tuberculosis regimen and explains the persistent microbial killing after hollow fiber system model of tuberculosis concentrations dropped below the minimum inhibitory concentration.
References
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Journal ArticleDOI

Simultaneous detection and strain differentiation of Mycobacterium tuberculosis for diagnosis and epidemiology.

TL;DR: A novel method based on strain-dependent hybridization patterns of in vitro-amplified DNA with multiple spacer oligonucleotides was found to differentiate M. bovis from M. tuberculosis, a distinction which is often difficult to make by traditional methods.
Journal ArticleDOI

Strain identification of Mycobacterium tuberculosis by DNA fingerprinting: recommendations for a standardized methodology.

TL;DR: In this article, the authors proposed a standardized technique which exploits variability in both the number and genomic position of IS6110 to generate strain-specific patterns for DNA fingerprinting of Mycobacterium tuberculosis.
Journal ArticleDOI

Developmental Pharmacology — Drug Disposition, Action, and Therapy in Infants and Children

TL;DR: This review examines the developmental changes that profoundly affect the responses of children to medications and related therapies in the very young.
Journal ArticleDOI

Extensively drug-resistant tuberculosis as a cause of death in patients co-infected with tuberculosis and HIV in a rural area of South Africa

TL;DR: MDR tuberculosis is more prevalent than previously realised in a rural area in KwaZulu Natal, South Africa and has been transmitted to HIV co-infected patients and is associated with high mortality.
Journal ArticleDOI

Detection of rifampicin-resistance mutations in Mycobacterium tuberculosis

TL;DR: Substitution of a limited number of highly conserved aminoacids encoded by the rpoB gene appears to be the molecular mechanism responsible for "single step" high-level resistance to rifampicin in M tuberculosis, a marker of multidrug-resistant tuberculosis.
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How to cure tuberculosis without medicine?

This poses several challenges similar to those encountered in the pre-chemotherapy era, including the inability to cure tuberculosis, high mortality, and the need for alternative methods to prevent disease transmission.