PMID- 30754665 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 8 IP - 2 DP - 2019 Feb 11 TI - Investigating the Role of Everolimus in mTOR Inhibition and Autophagy Promotion as a Potential Host-Directed Therapeutic Target in Mycobacterium tuberculosis Infection. LID - 10.3390/jcm8020232 [doi] LID - 232 AB - Tuberculosis (TB) is a serious infectious disease caused by the pathogen Mycobacterium tuberculosis (Mtb). The current therapy consists of a combination of antibiotics over the course of four months. Current treatment protocols run into problems due to the growing antibiotic resistance of Mtb and poor compliance to the multi-drug-resistant TB treatment protocol. New treatments are being investigated that target host intracellular processes that could be effective in fighting Mtb infections. Autophagy is an intracellular process that is involved in eliminating cellular debris, as well as intracellular pathogens. Mammalian target of rapamycin (mTOR) is an enzyme involved in inhibiting this pathway. Modulation of mTOR and the autophagy cellular machinery are being investigated as potential therapeutic targets for novel Mtb treatments. In this review, we discuss the background of Mtb pathogenesis, including its interaction with the innate and adaptive immune systems, the mTOR and autophagy pathways, the interaction of Mtb with these pathways, and finally, the drug everolimus, which targets these pathways and is a potential novel therapy for TB treatment. FAU - Cerni, Stephen AU - Cerni S AD - Department of Basic Medical Sciences, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766-1854, USA. stephen.cerni@westernu.edu. FAU - Shafer, Dylan AU - Shafer D AD - Department of Basic Medical Sciences, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766-1854, USA. dylan.shafer@westernu.edu. FAU - To, Kimberly AU - To K AD - Graduate College of Biomedical Sciences, Western University of Health Sciences, Pomona, CA 91766-1854, USA. kimberly.to@westernu.edu. FAU - Venketaraman, Vishwanath AU - Venketaraman V AUID- ORCID: 0000-0002-2586-1160 AD - Department of Basic Medical Sciences, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766-1854, USA. vvenketaraman@westernu.edu. AD - Graduate College of Biomedical Sciences, Western University of Health Sciences, Pomona, CA 91766-1854, USA. vvenketaraman@westernu.edu. LA - eng PT - Journal Article PT - Review DEP - 20190211 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC6406581 OTO - NOTNLM OT - Mycobacterium tuberculosis OT - host-directed therapies OT - immune responses COIS- The authors have no conflicts of interest to disclose. EDAT- 2019/02/14 06:00 MHDA- 2019/02/14 06:01 PMCR- 2019/02/11 CRDT- 2019/02/14 06:00 PHST- 2019/01/13 00:00 [received] PHST- 2019/02/03 00:00 [revised] PHST- 2019/02/08 00:00 [accepted] PHST- 2019/02/14 06:00 [entrez] PHST- 2019/02/14 06:00 [pubmed] PHST- 2019/02/14 06:01 [medline] PHST- 2019/02/11 00:00 [pmc-release] AID - jcm8020232 [pii] AID - jcm-08-00232 [pii] AID - 10.3390/jcm8020232 [doi] PST - epublish SO - J Clin Med. 2019 Feb 11;8(2):232. doi: 10.3390/jcm8020232.