Delamanid and pretomanid have comparable bactericidal activity but pretomanid potently inhibits <i>Mycobacterium tuberculosis</i> ribosomal rRNA synthesis

We found that delamanid and pretomanid have similar bactericidal activity but pretomanid has superior RS ratio activity. Meaningful differences between drugs within the same class were not captured by conventional CFU-based pharmacodynamics, supporting the value of measuring orthogonal drug effects such as the RS ratio.

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Publication Details

Journal
bioRxiv (Cold Spring Harbor Laboratory)
Published
2025-12-30
DOI
https://doi.org/10.64898/2025.12.30.697025
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
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article

Delamanid and pretomanid have comparable bactericidal activity but pretomanid potently inhibits Mycobacterium tuberculosis ribosomal rRNA synthesis

Gregory T. Robertson, Nicholas D. Walter, Samuel T. Tabor, Emmanuel Musisi et al.
bioRxiv (Cold Spring Harbor Laboratory)
Tuberculosis Research and Epidemiology
article

Delamanid and pretomanid have comparable bactericidal activity but pretomanid potently inhibits Mycobacterium tuberculosis ribosomal rRNA synthesis

Gregory T. Robertson, Nicholas D. Walter, Samuel T. Tabor, Emmanuel Musisi, Martin I. Voskuil, Matthew J. Reichlen, Holly Nielson, Ashley M Gerwing, Matthew Zimmerman, Firat Kaya
article en

Abstract

We found that delamanid and pretomanid have similar bactericidal activity but pretomanid has superior RS ratio activity. Meaningful differences between drugs within the same class were not captured by conventional CFU-based pharmacodynamics, supporting the value of measuring orthogonal drug effects such as the RS ratio.

bioRxiv (Cold Spring Harbor Laboratory)
Protein Metrics (United States) (US), Rocky Mountain MS Center (US), Center for Discovery (US), University of Colorado Anschutz Medical Campus (US), Colorado State University (US)
Good health and well-being
Openalex Percentile: Top 30%
Tuberculosis Research and Epidemiology
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Delamanid and pretomanid have comparable bactericidal activity but pretomanid potently inhibits <i>Mycobacterium tuberculosis</i> ribosomal rRNA synthesis — Gregory T. Robertson, Nicholas D. Walter, et al. · bioRxiv (Cold Spring Harbor Laboratory) (2025) | TGRS Research Map | TGRS