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Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis

Includes bibliographical references

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Main Author: Kumar, Malkeet
Other Authors: Chibale, Kelly
Format: Thesis
Language:English
Published: Department of Chemistry 2016
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access_status_str Open Access
author Kumar, Malkeet
author2 Chibale, Kelly
author_browse Chibale, Kelly
Kumar, Malkeet
author_facet Chibale, Kelly
Kumar, Malkeet
author_sort Kumar, Malkeet
collection Thesis
description Includes bibliographical references
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:41:09.968Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Department of Chemistry
publisherStr Department of Chemistry
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/16703 Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis Kumar, Malkeet Chibale, Kelly Chemistry Antimycobacterial drugs Mycobacterium tuberculosis Includes bibliographical references Tuberculosis (TB) is one of the major infectious diseases and epidemics in the world. It is responsible for severe morbidity and mortality rates, especially in poor and resource-deficient countries. According to the World Health Organization 2014 report, about one third of the world's population is infected with tuberculosis and about 10-15% is co-infected with HIV, which further complicates the TB epidemic. Tuberculosis claims 2-3 million lives every year and is one of the biggest social and financial burdens on many countries. The disease is treatable but has been hampered by the emergence of drug resistance in the causative bacterium, Mycobacterium tuberculosis (Mtb). Resistant strains of Mtb counter the efficacy of various anti-TB drugs via mechanisms that help it overcome the toxic and inhibitory effects of these drugs. These mechanisms include mutation, enzymatic drug degradation, target modification and drug efflux. Drug efflux by efflux pumps (EPs) is one of the major mechanisms responsible for the development of drug tolerance leading to the emergence of drug resistance. These efflux pumps are regulated by the house keeping proteins present in the cell membrane of Mtb and perform a pre-existing role of rescuing the Mtb from toxic agents. These EPs extrude structurally unrelated compounds from the cell including anti-TB drugs and reduce the drug concentration to sub-inhibitory levels and aid Mtb in developing resistance. Therefore, development of antimycobacterials that target EPs and reduce their activity can be a viable strategy to reduce the global TB burden and counter the emergence of resistance. Many strategies have been used to counter the EP-mediated resistance in Mtb. In this study, two strategies were employed: (i) the development of efflux pump inhibitors (EPIs) via structural modification of a known efflux pump inhibitor, verapamil (VER), and the development of hybrid efflux pump inhibitors (HEPIs) incorporating a VER motif; and (ii) the development of antimycobacterial agents based on covalent linking or attachment of efflux pump inhibitor moieties to an anti-TB drug. These agents are termed reversed anti-TB agents and are based on isoniazid for this study. 2016-02-02T14:43:51Z 2016-02-02T14:43:51Z 2015 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/16703 eng application/pdf Department of Chemistry Faculty of Science University of Cape Town
spellingShingle Chemistry
Antimycobacterial drugs
Mycobacterium tuberculosis
Kumar, Malkeet
Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis
thesis_degree_str Doctoral
title Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis
title_full Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis
title_fullStr Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis
title_full_unstemmed Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis
title_short Design, synthesis and biological evaluation of verapamil analogues, reversed isoniazids and hybrid efflux pump inhibitors against Mycobacterium tuberculosis
title_sort design synthesis and biological evaluation of verapamil analogues reversed isoniazids and hybrid efflux pump inhibitors against mycobacterium tuberculosis
topic Chemistry
Antimycobacterial drugs
Mycobacterium tuberculosis
url http://hdl.handle.net/11427/16703
work_keys_str_mv AT kumarmalkeet designsynthesisandbiologicalevaluationofverapamilanaloguesreversedisoniazidsandhybrideffluxpumpinhibitorsagainstmycobacteriumtuberculosis