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 |