Abstract
Phosphodiesterase inhibitors as adjunctive therapies for tuberculosis
Highlights
Mycobacterium tuberculosis (Mtb) interferes with immune signaling by secreting another bacterial-derived second messenger, cyclic-di-adenosine monophosphate (c-di-AMP) (Dey et al, 2015)
Success in modulating immunity may lead to treatment shortening by reducing granulomatous pathology and the bacterial persister-state associated with granulomas
PDE4 inhibitors have been of particular interest for lung infections since they reduce pulmonary inflammation
Summary
Mtb interferes with immune signaling by secreting another bacterial-derived second messenger, cyclic-di-adenosine monophosphate (c-di-AMP) (Dey et al, 2015). Adjunctive hostdirected therapies (HDTs) for TB are currently being explored to improve treatment outcomes by restoring effective host immunity, achieving an appropriate degree of inflammation, and preventing disease-associated lung pathology (Wallis and Hafner, 2015). Success in modulating immunity may lead to treatment shortening by reducing granulomatous pathology and the bacterial persister-state associated with granulomas.
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