70年前のパーキンソン病薬が結核治療に有望(Seventy-year-old Parkinson’s drug shows promise against tuberculosis)

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2025-08-12 カナダ・ブリティッシュコロンビア大学 (UBC)

ブリティッシュコロンビア大学の研究で、1950年代にパーキンソン病治療薬として開発された有機化合物ベンツトロピンが結核(TB)治療に有望であることが判明した。抗菌薬ではなく免疫細胞マクロファージのH1ヒスタミン受容体を阻害し、菌排除能力を高める「宿主指向療法」により結核菌の増殖を抑制。マウスでは経口投与で肺内菌数が最大70%減少し、既存薬と同等の効果を示した。サルモネラ感染モデルでも有効性が確認され、薬剤耐性菌リスクが低い利点を持つ。既にヒトでの使用実績があるため、臨床応用への迅速な移行が期待される。

70年前のパーキンソン病薬が結核治療に有望(Seventy-year-old Parkinson’s drug shows promise against tuberculosis)
Mycobacterium tuberculosis (green) inside human immune cells known as macrophages. Credit: Av-Gay Lab.

<関連情報>

パーキンソン病治療薬ベンツトロピンは、マイコバクテリウム・ツベルクローシスに対するヒスタミン受容体1依存性ホスト指向性抗菌活性を有する The Parkinson’s drug benztropine possesses histamine receptor 1-dependent host-directed antimicrobial activity against Mycobacterium tuberculosis

Henok A. Sahile,Matthew Christofferson,Morgan A. Alford,Celine Rens,Hasti Haghdadi,Joseph D. Chao,Georgia Langdon,Robert E. W. Hancock,Jeffrey Chen & Yossef Av-Gay
npj Antimicrobials and Resistance  Published:04 August 2025
DOI:https://doi.org/10.1038/s44259-025-00143-x

Abstract

Intracellular pathogens such as Mycobacterium tuberculosis (Mtb) evade host defence mechanisms to infect and survive within host cells. Host-directed therapy (HDT) offers a promising alternative to antibiotics and may overcome antimicrobial resistance. Using high-content screening, we identified benztropine (BZT), an approved Parkinson’s disease drug, as a potent inhibitor of intracellular Mtb. BZT is active in both human and murine macrophages but is inactive in broth. In an aerosol Mtb mouse infection model, oral administration of BZT reduced the burden of Mtb in the lungs by up to 70%. BZT was also active against Salmonella enterica serovar Typhimurium (STm) in an abscess model of infection, significantly reducing size and bacterial load. Chemical competition assays, CRISPR knockouts, and siRNA silencing assays revealed that BZT’s activity against Mtb is mediated via macrophage histamine receptor 1 (HRH1). Our findings establish BZT as a promising repurposed candidate and a lead compound for developing HRH1-targeting antibacterial HDTs.

有機化学・薬学
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