Tuberculosis Elimination Strategy

Mycobacterium Tuberculosis Bacteria

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Mycobacterium Tuberculosis Bacteria

Why in the News?

  • Due to increasing antimicrobial resistance in Mycobacterium tuberculosis (Mtb), many existing antibiotics are becoming less effective.
    • As a result, researchers are studying Mtb to identify key proteins and design new drugs to target them.

What is Mycobacterium tuberculosis (Mtb)?

  • Mtb is the bacterium that causes tuberculosis (TB), affecting the lungs and sometimes spreading to other organs.
  • It spreads through airborne droplets from coughing or sneezing by an infected person.
  • Mtb can remain dormant in the body for years without causing active disease.
  • It infects macrophages, immune cells designed to destroy invaders, but instead, Mtb survives and multiplies inside them.

What do various studies say?

  • A 2024 CSIR-CCMB study showed that Mtb uses cysteine synthase enzymes to survive oxidative stress.
  • A 2017 Karolinska Institute study identified 71 compounds that inhibit these enzymes, improving the effectiveness of antibiotics like isoniazid.
  • Researchers found that Mtb’s ability to evade the immune system is due to its long evolution with humans.
  • Other studies focus on Mtb’s phosphate and carbon metabolism, critical for its survival in hostile environments.
  • Ways for effective medicine development:
    • Target enzymes like CysK2 and CysM to weaken Mtb’s defence mechanisms.
    • Study Mtb’s metabolic pathways to identify vulnerabilities for new drug development.
    • Explore how Mtb develops antibiotic resistance and find ways to overcome it.
    • Investigate how Mtb evades immune responses by manipulating immune cells.
    • Combine new inhibitors with existing antibiotics to enhance treatment efficacy.

PYQ:

[2014] Can overuse and free availability of antibiotics without Doctor’s prescription, be contributors to the emergence of drug-resistant diseases in India? What are the available mechanisms for monitoring and control? Critically discuss the various issues involved.

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