Evidence map›Paper›PMID 41549858›Full record

ReviewAdvanced healthcare materials2026

Redefining Therapies for Drug-Resistant Tuberculosis: Synergistic Effects of Antimicrobial Peptides, Nanotechnology, and Computational Design.

Christian S Carnero Canales, Jessica Ingrid Marquez Cazorla, Renzo Marianito Marquez Cazorla, Aline Martins Dos Santos, Jonatas Lobato Duarte, Letícia Oliveira Catarin Nunes, Túlio Custódio Reis, Lara Cerazi Salvador, Norival Alves Santos-Filho, Rafael Miguel Sábio and 2 more

Abstract readReview
In one paragraph

Review in Advanced healthcare materials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Christian S Carnero CanalesVicerrectorado de Investigación, Universidad Autónoma del Perú (UA), Lima, Perú.ORCID https://orcid.org/0000-0001-6694-7991
Jessica Ingrid Marquez CazorlaSchool of Pharmacy, Biochemistry and Biotechnology, Universidad Católica Santa María (UCSM), Arequipa, Perú.ORCID https://orcid.org/0000-0003-3736-1654
Renzo Marianito Marquez CazorlaSchool of Pharmacy, Biochemistry and Biotechnology, Universidad Católica Santa María (UCSM), Arequipa, Perú.
Aline Martins Dos SantosSchool of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0000-0003-0221-2288
Jonatas Lobato DuarteSchool of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0000-0002-7276-3686
Letícia Oliveira Catarin NunesSchool of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0000-0002-5554-3702
Túlio Custódio ReisSchool of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0000-0003-1827-9102
Lara Cerazi SalvadorInstitute of Chemistry, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0009-0000-3065-7538
Norival Alves Santos-FilhoSchool of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0000-0002-0344-6900
Rafael Miguel SábioTuberculosis Research Laboratory, School of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.ORCID https://orcid.org/0000-0002-3852-2184
Hélder A SantosDepartment of Biomaterials and Biomedical Technology, The Personalized Medicine Research Institute (PRECISION), University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-7850-6309
Fernando Rogério PavanTuberculosis Research Laboratory, School of Pharmaceutical Sciences, São Paulo State University, Araraquara, Brazil.

Funding

financial support from the São Paulo Research Foundation (FAPESP, Brazil) 2023/01664-1Productivity Research Fellows 303603/2018-6Scientific Research Fellows 446479/2024-1
6 · The paper itself

Abstract

Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), remains a major global health concern, particularly due to the emergence of multidrug-resistant and extensively drug-resistant strains. The persistence and propagation of TB are favored by the pathogen's sophisticated virulence mechanisms, its ability to evade immune responses, and the formation of latent infections within granulomas. Current therapeutic regimens are limited by long treatment durations, drug resistance, and significant socioeconomic burdens. Antimicrobial peptides (AMPs) have emerged as promising alternatives because of their broad-spectrum activity and reduced likelihood of resistance development. Nevertheless, their clinical application is hindered by rapid proteolytic degradation, low specificity and limited bioavailability. Recent advances in nanotechnology have facilitated the encapsulation and targeted delivery of AMPs, improving their therapeutic potential against TB. Furthermore, the integration of computational approaches-such as molecular docking and molecular dynamics (MD) simulations-has enabled the rational design and optimization of AMPs, expediting the discovery of novel anti-TB agents. This review summarizes the pathogenesis and resistance mechanisms of Mtb, highlights the current landscape and limitations of AMP-based therapies, and discusses the role of nanotechnology and in silico tools in the development of new treatment strategies for TB.

Indexed as

Antimicrobial Cationic PeptidesAntimicrobial PeptidesAntitubercular AgentsNanotechnologyTuberculosis, Multidrug-ResistantHumansMycobacterium tuberculosisAntimicrobial Cationic PeptidesAntimicrobial PeptidesAntitubercular Agentsantimicrobial peptidesdrug delivery systemsdrug discoverymycobacterium speciestuberculosis

Identifiers

PMID41549858
PMCPMC13068362

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.