Evaluation of the efficacy of valproic acid and suberoylanilide hydroxamic acid (vorinostat) in enhancing the effects of first-line tuberculosis drugs against intracellular Mycobacterium tuberculosis

Copyright © 2018. Published by Elsevier Ltd..

BACKGROUND: New tuberculosis (TB) drug treatment regimens are urgently needed. This study evaluated the potential of the histone deacetylase inhibitors (HDIs) valproic acid (VPA) and suberoylanilide hydroxamic acid (SAHA) to enhance the effects of first-line anti-TB drugs against intracellular Mycobacterium tuberculosis.

METHODS: M. tuberculosis H37Rv cultures were exposed to VPA or SAHA over 6 days, in the presence or absence of isoniazid (INH) and rifampicin (RIF). The efficacy of VPA and SAHA against intracellular M. tuberculosis with and without INH or RIF was tested by treating infected macrophages. Bactericidal activity was assessed by counting mycobacterial colony-forming units (CFU).

RESULTS: VPA treatment exhibited superior bactericidal activity to SAHA (2-log CFU reduction), while both HDIs moderately improved the activity of RIF against extracellular M. tuberculosis. The bactericidal effect of VPA against intracellular M. tuberculosis was greater than that of SAHA (1-log CFU reduction) and equalled that of INH (1.5-log CFU reduction). INH/RIF and VPA/SAHA combination treatment inhibited intracellular M. tuberculosis survival in a shorter time span than monotherapy (3days vs. 6 days).

CONCLUSIONS: VPA and SAHA have adjunctive potential to World Health Organization-recommended TB treatment regimens. Clinical evaluation of the two drugs with regard to reducing the treatment duration and improving treatment outcomes in TB is warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:69

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 69(2018) vom: 15. Apr., Seite 78-84

Sprache:

Englisch

Beteiligte Personen:

Rao, Martin [VerfasserIn]
Valentini, Davide [VerfasserIn]
Zumla, Alimuddin [VerfasserIn]
Maeurer, Markus [VerfasserIn]

Links:

Volltext

Themen:

58IFB293JI
614OI1Z5WI
Adjunct host-directed therapy
Antitubercular Agents
Histone Deacetylase Inhibitors
Histone deacetylase inhibitors
Hydroxamic Acids
Isoniazid
Journal Article
Mycobacterium tuberculosis
Repurposed drugs
Rifampin
Tuberculosis
V83O1VOZ8L
VJT6J7R4TR
Valproic Acid
Vorinostat

Anmerkungen:

Date Completed 19.07.2018

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2018.02.021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM281589763