PMID- 26409283 OWN - NLM STAT- MEDLINE DCOM- 20160711 LR - 20211203 IS - 1537-6591 (Electronic) IS - 1058-4838 (Print) IS - 1058-4838 (Linking) VI - 61Suppl 3 IP - Suppl 3 DP - 2015 Oct 15 TI - Immune Cell Regulatory Pathways Unexplored as Host-Directed Therapeutic Targets for Mycobacterium tuberculosis: An Opportunity to Apply Precision Medicine Innovations to Infectious Diseases. PG - S200-16 LID - 10.1093/cid/civ621 [doi] AB - The lack of novel antimicrobial drugs in development for tuberculosis treatment has provided an impetus for the discovery of adjunctive host-directed therapies (HDTs). Several promising HDT candidates are being evaluated, but major advancement of tuberculosis HDTs will require understanding of the master or "core" cell signaling pathways that control intersecting immunologic and metabolic regulatory mechanisms, collectively described as "immunometabolism." Core regulatory pathways conserved in all eukaryotic cells include poly (ADP-ribose) polymerases (PARPs), sirtuins, AMP-activated protein kinase (AMPK), and mechanistic target of rapamycin (mTOR) signaling. Critical interactions of these signaling pathways with each other and their roles as master regulators of immunometabolic functions will be addressed, as well as how Mycobacterium tuberculosis is already known to influence various other cell signaling pathways interacting with them. Knowledge of these essential mechanisms of cell function regulation has led to breakthrough targeted treatment advances for many diseases, most prominently in oncology. Leveraging these exciting advances in precision medicine for the development of innovative next-generation HDTs may lead to entirely new paradigms for treatment and prevention of tuberculosis and other infectious diseases. CI - Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US. FAU - Mahon, Robert N AU - Mahon RN AD - Division of AIDS-Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Contractor to the National Institute of Allergy and Infectious Diseases, National Institutes of Health. FAU - Hafner, Richard AU - Hafner R AD - Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland. LA - eng GR - HHSN272200800014C/AI/NIAID NIH HHS/United States GR - HHSN272200800014C/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Clin Infect Dis JT - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JID - 9203213 RN - 0 (Antitubercular Agents) RN - EC 2.4.2.30 (PARP1 protein, human) RN - EC 2.4.2.30 (Poly (ADP-Ribose) Polymerase-1) RN - EC 2.4.2.30 (Poly(ADP-ribose) Polymerases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.5.1.- (Sirtuins) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Antitubercular Agents/*therapeutic use MH - Humans MH - Mycobacterium tuberculosis/drug effects MH - Poly (ADP-Ribose) Polymerase-1 MH - Poly(ADP-ribose) Polymerases/metabolism MH - *Precision Medicine/methods MH - Signal Transduction/drug effects/genetics MH - Sirtuins/metabolism MH - TOR Serine-Threonine Kinases/immunology/metabolism MH - Tuberculosis/*drug therapy/immunology/*metabolism/prevention & control PMC - PMC4583576 OTO - NOTNLM OT - host-directed therapy OT - immunometabolism OT - precision medicine OT - signaling pathways OT - tuberculosis EDAT- 2015/09/27 06:00 MHDA- 2016/07/12 06:00 PMCR- 2016/10/15 CRDT- 2015/09/27 06:00 PHST- 2015/09/27 06:00 [entrez] PHST- 2015/09/27 06:00 [pubmed] PHST- 2016/07/12 06:00 [medline] PHST- 2016/10/15 00:00 [pmc-release] AID - civ621 [pii] AID - 10.1093/cid/civ621 [doi] PST - ppublish SO - Clin Infect Dis. 2015 Oct 15;61Suppl 3(Suppl 3):S200-16. doi: 10.1093/cid/civ621.