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. 2021 Jan 14;11:614313. doi: 10.3389/fmicb.2020.614313

TABLE 2.

Summary of repurposed autophagy targeting host-directed therapies against NTMs.

Drug Model Role in Autophagy Reference
Azithromycin M. abscessus infection of primary human macrophages and C57BL/6 mice Blocks lysosomal acidification, impairing autophagosome degradation, directly antimycobacterial on susceptible strains Renna et al., 2011
Carvacrol Directly antimycobacterial against M. abscessus, M. chelonae, M. fortuitum, M. mucogenicum, M. avium sbsp paratuberculosis, and M. smegmatis MEK inhibition of mTOR resulting in increased autophagy. Inhibition of autophagy during adipogenic differentiation. Nowotarska et al., 2017; Potoènjak et al., 2018; Spalletta et al., 2018; Marini et al., 2019
Tetracycline Directly antimycobacterial against M. abscessus, M. chelonae, and M. fortuitum mTOR inhibition Brüning et al., 2014; Kaushik et al., 2019; Shoen et al., 2019
Thioridazine In vitro clearance of M. avium from Thp-1 macrophages, possible efflux pump inhibitor Upregulation of AMPK activity leading to autophagy induction. Rodrigues et al., 2008; Deshpande et al., 2016; Seervi et al., 2018; Chu et al., 2019
Mefloquine Directly antimycobacterial against M. avium complex in culture. In vivo clearance in mice Highly induced formation of autophagosomes in neuroblastoma cells Bermudez et al., 1999, 2012; Shin et al., 2012
Clonidine/Verapamil/Minoxidil Decreased disease progression in in vitro, fly, and zebrafish models of infection Clearance of soluble huntingtin exon 1 during M. leprae infection by autophagy Williams et al., 2008