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The clinical-stage drug BTZ-043 accumulates in murine tuberculosis lesions and efficiently acts against Mycobacterium tuberculosis

Title data

Römpp, Andreas ; Treu, Axel ; Kokesch-Himmelreich, Julia ; Marwitz, Franziska ; Dreisbach, Julia ; Aboutara, Nadine ; Hillemann, Doris ; Garrelts, Moritz ; Converse, Paul J. ; Tyagi, Sandeep ; Gerbach, Sina ; Gyr, Luzia ; Lemm, Ann-Kathrin ; Volz, Johanna ; Hölscher, Alexandra ; Gröschel, Leon ; Stemp, Eva-Maria ; Heinrich, Norbert ; Kloss, Florian ; Nuermberger, Eric L. ; Schwudke, Dominik ; Hoelscher, Michael ; Hölscher, Christoph ; Walter, Kerstin:
The clinical-stage drug BTZ-043 accumulates in murine tuberculosis lesions and efficiently acts against Mycobacterium tuberculosis.
In: Nature Communications. Vol. 16 (2025) . - 826.
ISSN 2041-1723
DOI: https://doi.org/10.1038/s41467-025-56146-9

Project information

Project title:
Project's official title
Project's id
Thematic Translational Unit Tuberculosis
No information
SFB 1357: MIKROPLASTIK – Gesetzmäßigkeiten der Bildung, des Transports, des physikalisch-chemischen Verhaltens sowie der biologischen Effekte: Von Modell- zu komplexen Systemen als Grundlage neuer Lösungsansätze
391977956

Project financing: Bundesministerium für Bildung und Forschung
Deutsche Forschungsgemeinschaft
German Center of Infection Research (DZIF)
Technologie Allianz Oberfranken

Abstract in another language

The development of granulomas with central necrosis harboring Mycobacterium tuberculosis (Mtb) is the hallmark of human tuberculosis (TB). New anti-TB therapies need to effectively penetrate the cellular and necrotic compartments of these lesions and reach sufficient concentrations to eliminate Mtb. BTZ-043 is a novel antibiotic showing good bactericidal activity in humans in a phase IIa trial. Here, we report on lesional BTZ-043 concentrations severalfold above the minimal-inhibitory-concentration and the substantial local efficacy of BTZ-043 in interleukin-13-overexpressing mice, which mimic human TB pathology of granuloma necrosis. High-resolution MALDI imaging further reveals that BTZ-043 diffuses and accumulates in the cellular compartment, and fully penetrates the necrotic center. This is the first study that visualizes an efficient penetration and accumulation of a clinical-stage TB drug in human-like centrally necrotizing granulomas and that also determines its lesional activity. Our results most likely predict a substantial bactericidal effect of BTZ-043 at these hard-to-reach sites in TB patients.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: Antimicrobial therapy; Immunopathogenesis; Preclinical Research; Tuberculosis
Institutions of the University: Faculties
Faculties > Faculty of Life Sciences: Food, Nutrition and Health > Chair Bioanalytical Sciences and Food Analytics
Faculties > Faculty of Life Sciences: Food, Nutrition and Health > Chair Bioanalytical Sciences and Food Analytics > Chair Bioanalytical Sciences and Food Analytics - Univ.-Prof. Dr. Andreas Römpp
Faculties > Faculty of Life Sciences: Food, Nutrition and Health
Research Institutions > Collaborative Research Centers, Research Unit > SFB 1357 - MIKROPLASTIK
Research Institutions
Research Institutions > Collaborative Research Centers, Research Unit
Result of work at the UBT: Yes
DDC Subjects: 500 Science > 500 Natural sciences
500 Science > 530 Physics
500 Science > 540 Chemistry
500 Science > 570 Life sciences, biology
Date Deposited: 15 Apr 2025 08:34
Last Modified: 11 Aug 2025 13:30
URI: https://eref.uni-bayreuth.de/id/eprint/92354