Target intelligence / Profile preview

Mycobacterial membrane energetics and pH homeostasis system (Mtb Bioenergetics)

Target
Mtb Bioenergetics
Molecular classification
Enzyme, Transporter, Ion channel, Oxidoreductase, ATP synthase
01

Overview

Other names
Mycobacterial energy metabolismOxidative phosphorylation pathwayProton motive force (PMF) machineryElectron transport chain (ETC) targetsAcidic-environment survival factors
02

Mechanism of action

Inhibition of ATP synthase (Bedaquiline); Inhibition of the Cytochrome bc1:aa3 supercomplex (Telacebec); Disruption of membrane potential and pH gradient (Pyrazinamide/Pyrazinoic acid); Competition for electrons in the respiratory chain (Clofazimine); Dissipation of the proton motive force (Verapamil).

03

Biological functions

ATP synthesisMaintenance of proton motive forcepH homeostasisElectron transportMembrane potential generationNutrient transport
04

Disease associations

Infection
05

Safety considerations

Hepatotoxicity (associated with Pyrazinamide)QT interval prolongation (associated with Bedaquiline and Clofazimine)Hyperuricemia (associated with Pyrazinamide)Drug-drug interactions via CYP3A4 (Bedaquiline)Skin discoloration (Clofazimine)
06

Interacting drugs

Pyrazinamide

6 more in the full profile.

07

Biomarkers

Intrabacterial pHATP levelsMembrane potential (Δψ)Sputum culture conversionpncA mutation status (for Pyrazinamide resistance)

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