Combating antimicrobial resistance in malaria, HIV and tuberculosis.
Maëlle DuffeyRobert W ShaferJuliano TimmJeremy N BurrowsNader FotouhiMark CockettDidier LeroyPublished in: Nature reviews. Drug discovery (2024)
Antimicrobial resistance poses a significant threat to the sustainability of effective treatments against the three most prevalent infectious diseases: malaria, human immunodeficiency virus (HIV) infection and tuberculosis. Therefore, there is an urgent need to develop novel drugs and treatment protocols capable of reducing the emergence of resistance and combating it when it does occur. In this Review, we present an overview of the status and underlying molecular mechanisms of drug resistance in these three diseases. We also discuss current strategies to address resistance during the research and development of next-generation therapies. These strategies vary depending on the infectious agent and the array of resistance mechanisms involved. Furthermore, we explore the potential for cross-fertilization of knowledge and technology among these diseases to create innovative approaches for minimizing drug resistance and advancing the discovery and development of new anti-infective treatments. In conclusion, we advocate for the implementation of well-defined strategies to effectively mitigate and manage resistance in all interventions against infectious diseases.
Keyphrases
- antimicrobial resistance
- infectious diseases
- human immunodeficiency virus
- antiretroviral therapy
- hiv aids
- hepatitis c virus
- hiv infected
- mycobacterium tuberculosis
- healthcare
- hiv positive
- primary care
- high throughput
- small molecule
- physical activity
- hiv testing
- high resolution
- emergency department
- risk assessment
- quality improvement
- men who have sex with men
- climate change
- human health
- electronic health record