Tuberculosis remains a leading cause of human mortality. The emergence of strains of Mycobacterium tuberculosis, the causative agent, that are resistant to the major frontline antitubercular drugs increases the urgency for the development of new therapeutic agents. Sequencing of the M. tuberculosis genome revealed the existence of twenty cytochrome P450 enzymes, some of which are potential candidates for drug targeting. The recent burst of studies reporting microarray-based gene essentiality and transcriptome analyses under in vitro, ex vivo and in vivo conditions highlight the importance of selected P450 isoforms for M. tuberculosis viability and pathogenicity. Current knowledge of the structural and biochemical properties of the M. tuberculosis P450 enzymes and their putative redox partners is reviewed, with an emphasis on findings related to their physiological function(s) as well as their potential as drug targets.
KeywordsMycobacterium tuberculosis; cytochrome P450; azole drugs; CYP51; CYP121; CYP130; CYP128; FprA; cyclodipeptide; sulfolipid
Tuberculosis prevalence and importanceTuberculosis (TB) 1 has been a scourge of mankind for nearly as long as recorded history exists. Egyptian mummies show evidence of skeletal decay caused by TB and have been shown to harbor Mycobacterium tuberculosis (Mtb) DNA [1]. Hippocrates, in "Of the epidemics" written in 400 BC, describes phthisis, a disease that is consistent with TB. Phthisis is the Greek work for consumption, the term by which tuberculosis was known for many centuries. In the Seventeenth Century, Paul Bunyan labeled tuberculosis the "Captain of all these Men of Death", reflecting its preeminence as a cause of infectious death [2]. TB is still with us today as a major worldwide threat.The discovery of Mtb, the causative agent of TB, was announced by Robert Koch in a famous lecture on March 24, 1882 [3]. In his lecture Koch, who received the Nobel Prize in 1905 for his discoveries, reminded his audience that one in seven human beings died of tuberculosis. The fifty years following Koch's groundbreaking work led to the development of the antituberculosis drugs that we still use to treat this disease, starting with isoniazid. The availability of effective drugs, together with improvements in economics, medicine and public health, have led to a gradual decrease in the incidence of TB in industrialized nations. However,
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Author ManuscriptArch Biochem Biophys. Author manuscript; available in PMC 2011 January 1.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript worldwide, TB continues to be a leading cause of death, as the World Health Organization fact sheet for 2008 estimates that there were 9.2 million new TB cases in 2006, 1.7 million people died of the disease in that year, one-third of the world's population carries the latent (dormant) form of the disease, and one in ten people infected with latent Mtb bacilli will become sick with active TB in their lifetime [4]. Furthermore, TB has again become a concern in...