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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">tiblj</journal-id><journal-title-group><journal-title xml:lang="ru">Туберкулез и болезни легких</journal-title><trans-title-group xml:lang="en"><trans-title>Tuberculosis and Lung Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2075-1230</issn><issn pub-type="epub">2542-1506</issn><publisher><publisher-name>Медицинские знания и технологии</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21292/2075-1230-2021-99-5-64-70</article-id><article-id custom-type="elpub" pub-id-type="custom">tiblj-1541</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Клофазимин: история и перспективы</article-title><trans-title-group xml:lang="en"><trans-title>Clofazimine: History and Perspectives</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Можокина</surname><given-names>Г. Н.,</given-names></name><name name-style="western" xml:lang="en"><surname>Mozhokina</surname><given-names>G. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Можокина Галина Николаевна, доктор медицинских наук, ведущий научный сотрудник лаборатории иммунопатологии и иммунодиагностики туберкулезной инфекции</p><p>127473, Москва, ул. Достоевского, д. 4, к. 2</p></bio><bio xml:lang="en"><p>Galina N. Mozhokina, Doctor of Medical Sciences, Leading Researcher of Laboratory of Immunopathology and Immunodiagnostics of Tuberculosis Infection</p><p>Build. 2, 4, Dostoevskiy St., Moscow, 127473</p></bio><email xlink:type="simple">mojokina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самойлова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Samoylova</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Самойлова Анастасия Геннадьевна, доктор медицинских наук, заместитель директора по научной работе</p><p>127473, Москва, ул. Достоевского, д. 4, к. 2</p></bio><bio xml:lang="en"><p>Anastasiya G. Samoylova, Doctor of Medical Sciences, Deputy Director for Research</p><p>Build. 2, 4, Dostoevskiy St., Moscow, 127473</p></bio><email xlink:type="simple">a.samoilova.nmrc@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр фтизиопульмонологии и инфекционных заболеваний» МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Phthisiopulmonology and Infectious Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>11</day><month>06</month><year>2021</year></pub-date><volume>99</volume><issue>5</issue><fpage>64</fpage><lpage>70</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Можокина Г.Н., Самойлова А.Г., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Можокина Г.Н., Самойлова А.Г.</copyright-holder><copyright-holder xml:lang="en">Mozhokina G.N., Samoylova A.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.tibl-journal.com/jour/article/view/1541">https://www.tibl-journal.com/jour/article/view/1541</self-uri><abstract><p>В обзоре представлен анализ 47 публикаций, прослеживающих путь клофазимина от открытия до признания препаратом группы В для лечения туберкулеза с множественной лекарственной устойчивостью. Приведены сведения о механизмах действия на микобактерии туберкулеза, особенностях фармакокинетики и профиле безопасности.</p></abstract><trans-abstract xml:lang="en"><p>The review analyses 47 publications that follow the pathway of clofazimine from its discovery to recognition as a Group B drug for treatment of multiple drug resistant tuberculosis. It describes its mechanism of action and effects on Mycobacterium tuberculosis, pharmacokinetics, and safety parameters.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>клофазимин</kwd><kwd>микобактерии туберкулеза</kwd><kwd>механизм действия</kwd><kwd>множественная лекарственная устойчивость</kwd><kwd>химиотерапия</kwd><kwd>нежелательные явления</kwd></kwd-group><kwd-group xml:lang="en"><kwd>clofazimine</kwd><kwd>tuberculosis mycobacteria</kwd><kwd>mechanism of action</kwd><kwd>multiple drug resistance</kwd><kwd>chemotherapy</kwd><kwd>adverse events</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Кубанов А. А., Карамова А. Э., Воронцова А. А., Калинина П. А. Фармакотерапия лепры // Вестник дерматологии и венерологии. ‒ 2016. ‒ № 4. ‒ С. 12-19.</mixed-citation><mixed-citation xml:lang="en">Kubanov А.А., Karamova А.E., Vorontsova А.А., Kalinina P.А. Pharmacotherapy of leprosy. Vestnik Dermatologii i Venerologii, 2016, no. 4, pp. 12-19. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Ahmad N., Ahuja S. D., Akkerman O. W., Alffenaar J. C., Anderson L. F., Baghaei P., Bang D., Barry P. M. еt аl. Treatment correlates of successful outcomes in pulmonary multidrug-resistant tuberculosis: an individual patient data meta-analysis // Lancet. ‒ 2018. ‒ № 392 (10150). ‒ Р. 821-834.</mixed-citation><mixed-citation xml:lang="en">Ahmad N., Ahuja S. D., Akkerman O. W., Alffenaar J. C., Anderson L. F., Baghaei P., Bang D., Barry P. M. еt аl. Treatment correlates of successful outcomes in pulmonary multidrug-resistant tuberculosis: an individual patient data meta-analysis // Lancet. ‒ 2018. ‒ № 392 (10150). ‒ Р. 821-834.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Ammerman N. C., Swanson R. V., Tapley A., Moodley C., Ngcobo B., Adamson J. еt аl. Clofazimine has delayed antimicrobial activity against Mycobacterium tuberculosis both in vitro and in vivo // J. Antimicrob. Chemother. ‒ 2017. ‒ Vol. 72, № 2. ‒ Р. 455-461.</mixed-citation><mixed-citation xml:lang="en">Ammerman N. C., Swanson R. V., Tapley A., Moodley C., Ngcobo B., Adamson J. еt аl. Clofazimine has delayed antimicrobial activity against Mycobacterium tuberculosis both in vitro and in vivo // J. Antimicrob. Chemother. ‒ 2017. ‒ Vol. 72, № 2. ‒ Р. 455-461.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Anderson R., Theron A. J., Nel J. G., Durandt C., Cholo M. C., Feldman C., Tintinger G. R. Clofazimine, but Not Isoniazid or Rifampicin, Augments Platelet Activation in vitro // Front. Pharmacol. ‒ 2018. ‒ Vol. 20, № 9. ‒ Р. 1335.</mixed-citation><mixed-citation xml:lang="en">Anderson R., Theron A. J., Nel J. G., Durandt C., Cholo M. C., Feldman C., Tintinger G. R. Clofazimine, but Not Isoniazid or Rifampicin, Augments Platelet Activation in vitro // Front. Pharmacol. ‒ 2018. ‒ Vol. 20, № 9. ‒ Р. 1335.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Barry V. C., Belton J. G., Conalty M. L., Denneny J. M., Edward D. W., O’Sullivan J. F., Twomey D., Winder F. A new series of phenazines (rimino-compounds) with high antituberculosis activity // Nature. ‒ 1957. ‒ Vol. 179. – Р. 1013-1015.</mixed-citation><mixed-citation xml:lang="en">Barry V. C., Belton J. G., Conalty M. L., Denneny J. M., Edward D. W., O’Sullivan J. F., Twomey D., Winder F. A new series of phenazines (rimino-compounds) with high antituberculosis activity // Nature. ‒ 1957. ‒ Vol. 179. – Р. 1013-1015.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Bezerra E. L., Vilar M. J, da Trindade Neto P. B. et al. Double-blind,randomized, controlled clinical trial of clofazimine compared with chloroquine in patients with systemic lupus erythematosus // Arthritis. Rheum. ‒ 2005. ‒ Vol. 52. ‒ Р. 3073-3078.</mixed-citation><mixed-citation xml:lang="en">Bezerra E. L., Vilar M. J, da Trindade Neto P. B. et al. Double-blind,randomized, controlled clinical trial of clofazimine compared with chloroquine in patients with systemic lupus erythematosus // Arthritis. Rheum. ‒ 2005. ‒ Vol. 52. ‒ Р. 3073-3078.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Bvumbi M. V. Activity of Riminophenazines against Mycobacterium tuberculosis: A Review of Studies that Might be Contenders for Use as Antituberculosis Agents // Chem. Med. Chem. ‒ 2020. ‒ Vol. 15, № 23. ‒ Р. 2207-2219.</mixed-citation><mixed-citation xml:lang="en">Bvumbi M. V. Activity of Riminophenazines against Mycobacterium tuberculosis: A Review of Studies that Might be Contenders for Use as Antituberculosis Agents // Chem. Med. Chem. ‒ 2020. ‒ Vol. 15, № 23. ‒ Р. 2207-2219.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Cahill C., Phelan J. J., Keane J. Understanding and exploiting the effect of tuberculosis antimicrobials on host mitochondrial function and bioenergetics // Front. Cell. Infect. Microbiol. ‒ 2020. ‒ Vol. 10. ‒ Р. 493</mixed-citation><mixed-citation xml:lang="en">Cahill C., Phelan J. J., Keane J. Understanding and exploiting the effect of tuberculosis antimicrobials on host mitochondrial function and bioenergetics // Front. Cell. Infect. Microbiol. ‒ 2020. ‒ Vol. 10. ‒ Р. 493</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Cholo M. C., Steel H. C., Fourie P. B., Germishuizen W. A., Anderson R. Clofazimine: current status and future prospects // J. Antimicrob. Chemother. ‒ 2012. ‒ Vol. 67. ‒ Р. 290-298.</mixed-citation><mixed-citation xml:lang="en">Cholo M. C., Steel H. C., Fourie P. B., Germishuizen W. A., Anderson R. Clofazimine: current status and future prospects // J. Antimicrob. Chemother. ‒ 2012. ‒ Vol. 67. ‒ Р. 290-298.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Choudhri S. H., Harris L, Butany J. W., Keystone J. S. Clofazimine induced cardiotoxicity ‒ a case report // Lepr. Rev. ‒ 1995. ‒ Vol. 66, № 1. ‒ Р. 63-68.</mixed-citation><mixed-citation xml:lang="en">Choudhri S. H., Harris L, Butany J. W., Keystone J. S. Clofazimine induced cardiotoxicity ‒ a case report // Lepr. Rev. ‒ 1995. ‒ Vol. 66, № 1. ‒ Р. 63-68.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Dey T., Brigden G., Cox H., Shubber Z., Cooke G., Ford N. Outcomes of clofazimine for the treatment of drug-resistant tuberculosis: a systematic review and meta-analysis // J. Antimicrob. Chemother. ‒ 2013. ‒ Vol. 68, № 2. ‒ Р. 284-293.</mixed-citation><mixed-citation xml:lang="en">Dey T., Brigden G., Cox H., Shubber Z., Cooke G., Ford N. Outcomes of clofazimine for the treatment of drug-resistant tuberculosis: a systematic review and meta-analysis // J. Antimicrob. Chemother. ‒ 2013. ‒ Vol. 68, № 2. ‒ Р. 284-293.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Diacon A. H., Dawson R., von Groote-Bidlingmaier F., Symons G., Venter A., Donald P. R. et al. Bactericidal activity of pyrazinamide and clofazimine alone and in combinations with pretomanid and bedaquiline // Am. J. Respir. Crit. Care Med. ‒ 2015. ‒ Vol. 191, № 8. ‒ Р. 943-953.</mixed-citation><mixed-citation xml:lang="en">Diacon A. H., Dawson R., von Groote-Bidlingmaier F., Symons G., Venter A., Donald P. R. et al. Bactericidal activity of pyrazinamide and clofazimine alone and in combinations with pretomanid and bedaquiline // Am. J. Respir. Crit. Care Med. ‒ 2015. ‒ Vol. 191, № 8. ‒ Р. 943-953.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Dooley K. E., Obuku E. A., Durakovic N., Belitsky V., Mitnick C., Nuermberger E. L. Efficacy Subgroup, RESIST-TB. World Health Organization group 5 drugs for the treatment of drug-resistant tuberculosis: unclear efficacy or untapped potential? // J. Infect. Dis. ‒ 2012. ‒ Vol. 207. ‒ Р. 1352-1358.</mixed-citation><mixed-citation xml:lang="en">Dooley K. E., Obuku E. A., Durakovic N., Belitsky V., Mitnick C., Nuermberger E. L. Efficacy Subgroup, RESIST-TB. World Health Organization group 5 drugs for the treatment of drug-resistant tuberculosis: unclear efficacy or untapped potential? // J. Infect. Dis. ‒ 2012. ‒ Vol. 207. ‒ Р. 1352-1358.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Driver E. R., Ryan G. J., Hoff D. R, Irwin S. M, Basaraba R. J., Kramnik I., Lenaerts A. J. Evaluation of a mouse model of necrotic granuloma formation using C3HeB/FeJ mice for testing of drugs against Mycobacterium tuberculosis // Antimicrob. Agents Chemother. ‒ 2012. ‒ Vol. 56, № 6. ‒ Р. 3181-3195.</mixed-citation><mixed-citation xml:lang="en">Driver E. R., Ryan G. J., Hoff D. R, Irwin S. M, Basaraba R. J., Kramnik I., Lenaerts A. J. Evaluation of a mouse model of necrotic granuloma formation using C3HeB/FeJ mice for testing of drugs against Mycobacterium tuberculosis // Antimicrob. Agents Chemother. ‒ 2012. ‒ Vol. 56, № 6. ‒ Р. 3181-3195.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Faouzi M., Starkus J., Penner R. State-dependent blocking mechanism of Kv1. 3 channels by the antimycobacterial drug clofazimine // Brit. J. Pharmac. 2015. ‒ Vol. 172. ‒ Р. 5161-5173.</mixed-citation><mixed-citation xml:lang="en">Faouzi M., Starkus J., Penner R. State-dependent blocking mechanism of Kv1. 3 channels by the antimycobacterial drug clofazimine // Brit. J. Pharmac. 2015. ‒ Vol. 172. ‒ Р. 5161-5173.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Global Alliance for TB Drug Development. Evaluation of early bactericidal activity in pulmonary tuberculosis with clofazimine, TMC207, PA-824, pyrazinamide (NC-003); NCT01691534. 2013. http://clinicaltrials.gov/ct2/show/NCT01691534.</mixed-citation><mixed-citation xml:lang="en">Global Alliance for TB Drug Development. Evaluation of early bactericidal activity in pulmonary tuberculosis with clofazimine, TMC207, PA-824, pyrazinamide (NC-003); NCT01691534. 2013. http://clinicaltrials.gov/ct2/show/NCT01691534.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Gopal M., Padayatchi N., Metcalfe J. Z., O'Donnell M R. Systematic review of clofazimine for the treatment of drug-resistant tuberculosis // Int. J. Tuberc. Lung Dis. ‒ 2013. ‒ Vol. 17, № 8. ‒ Р. 1001-1007.</mixed-citation><mixed-citation xml:lang="en">Gopal M., Padayatchi N., Metcalfe J. Z., O'Donnell M R. Systematic review of clofazimine for the treatment of drug-resistant tuberculosis // Int. J. Tuberc. Lung Dis. ‒ 2013. ‒ Vol. 17, № 8. ‒ Р. 1001-1007.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Grosset J. H., Tyagi S., Almeida D. V., Converse P. J., Li S.-Y., Ammerman N. C., Bishai W. R., Enarson D., Trébucq A. Assessment of clofazimine activity in a second-line regimen for tuberculosis in mice // Am. J. Respir. Crit. Care Med. ‒ 2013. ‒ Vol. 188. ‒ Р. 608-612.</mixed-citation><mixed-citation xml:lang="en">Grosset J. H., Tyagi S., Almeida D. V., Converse P. J., Li S.-Y., Ammerman N. C., Bishai W. R., Enarson D., Trébucq A. Assessment of clofazimine activity in a second-line regimen for tuberculosis in mice // Am. J. Respir. Crit. Care Med. ‒ 2013. ‒ Vol. 188. ‒ Р. 608-612.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Hasenoehrl E. J., Wiggins T. J., Berney M. Bioenergetic inhibitors: antibiotic efficacy and mechanisms of action in Mycobacterium tuberculosis // Front. Cell. Infect. Microbiol. ‒ 2021. ‒ Vol. 10. ‒ Р. 611-683.</mixed-citation><mixed-citation xml:lang="en">Hasenoehrl E. J., Wiggins T. J., Berney M. Bioenergetic inhibitors: antibiotic efficacy and mechanisms of action in Mycobacterium tuberculosis // Front. Cell. Infect. Microbiol. ‒ 2021. ‒ Vol. 10. ‒ Р. 611-683.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Holdiness M. R. Clinical pharmacokinetics of clofazimine: a review // Clin. Pharmacokinet. ‒ 1989. ‒ Vol. 16. ‒ Р. 74-85.</mixed-citation><mixed-citation xml:lang="en">Holdiness M. R. Clinical pharmacokinetics of clofazimine: a review // Clin. Pharmacokinet. ‒ 1989. ‒ Vol. 16. ‒ Р. 74-85.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Hwang T. J., Dotsenko S., Jafarov A., Weyer K., Falzon D., Lunte K. et al. Safety and availability of clofazimine in the treatment of multidrug and extensively drug-resistant tuberculosis: analysis of published guidance and meta-analysis of cohort studies // BMJ. Open. ‒ 2014. ‒ Vol. 4, № 1. ‒ Р. e004143.</mixed-citation><mixed-citation xml:lang="en">Hwang T. J., Dotsenko S., Jafarov A., Weyer K., Falzon D., Lunte K. et al. Safety and availability of clofazimine in the treatment of multidrug and extensively drug-resistant tuberculosis: analysis of published guidance and meta-analysis of cohort studies // BMJ. Open. ‒ 2014. ‒ Vol. 4, № 1. ‒ Р. e004143.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Irwin S. M., Gruppo V., Brooks E., Gilliland J., Scherman M., Reichlen M. J. et al. Limited activity of clofazimine as a single drug in a mouse model of tuberculosis exhibiting caseous necrotic granulomas // Antimicrob. Agents Chemother. ‒ 2014. ‒ Vol. 58, № 7. ‒ Р. 4026-4034.</mixed-citation><mixed-citation xml:lang="en">Irwin S. M., Gruppo V., Brooks E., Gilliland J., Scherman M., Reichlen M. J. et al. Limited activity of clofazimine as a single drug in a mouse model of tuberculosis exhibiting caseous necrotic granulomas // Antimicrob. Agents Chemother. ‒ 2014. ‒ Vol. 58, № 7. ‒ Р. 4026-4034.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Jagannath C., Reddy M. V., Kailasam S., O’Sullivan J. F., Gangadharam P. R. Chemotherapeutic activity of clofazimine and its analogues against Mycobacterium tuberculosis: in vitro, intracellular, and in vivo studies // Am. J. Respir. Crit. Care Med. ‒ 1995. ‒ Vol. 151. ‒ Р. 1083-1086.</mixed-citation><mixed-citation xml:lang="en">Jagannath C., Reddy M. V., Kailasam S., O’Sullivan J. F., Gangadharam P. R. Chemotherapeutic activity of clofazimine and its analogues against Mycobacterium tuberculosis: in vitro, intracellular, and in vivo studies // Am. J. Respir. Crit. Care Med. ‒ 1995. ‒ Vol. 151. ‒ Р. 1083-1086.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Kaufmann S. H. E., Dorhoi A., Hotchkiss R. S., Bartenschlager R. Host-directed therapies for bacterial and viral infections // Nat. Rev. Drug Discov. ‒ 2018. ‒ Vol. 17. ‒ Р. 35-56.</mixed-citation><mixed-citation xml:lang="en">Kaufmann S. H. E., Dorhoi A., Hotchkiss R. S., Bartenschlager R. Host-directed therapies for bacterial and viral infections // Nat. Rev. Drug Discov. ‒ 2018. ‒ Vol. 17. ‒ Р. 35-56.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Lan Z., Ahmad N., Baghaei P., Barkane L., Benedetti A., Brode S. K. et al. Drug-associated adverse events in the treatment of multidrug-resistant tuberculosis: an individual patient data meta-analysis // Lancet Respir. Med. ‒ 2020. ‒ Vol. 8, № 4. ‒ Р. 383-394.</mixed-citation><mixed-citation xml:lang="en">Lan Z., Ahmad N., Baghaei P., Barkane L., Benedetti A., Brode S. K. et al. Drug-associated adverse events in the treatment of multidrug-resistant tuberculosis: an individual patient data meta-analysis // Lancet Respir. Med. ‒ 2020. ‒ Vol. 8, № 4. ‒ Р. 383-394.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Leistikow R. L., Morton R. A., Bartek I. L., Frimpong I., Wagner K., Voskuil M. I. The Mycobacterium tuberculosis DosR regulon assists in metabolic homeostasis and enables rapid recovery from nonrespiring dormancy // J. Bacteriol. ‒ 2010. ‒ Vol. 192. ‒ Р. 1662-1670.</mixed-citation><mixed-citation xml:lang="en">Leistikow R. L., Morton R. A., Bartek I. L., Frimpong I., Wagner K., Voskuil M. I. The Mycobacterium tuberculosis DosR regulon assists in metabolic homeostasis and enables rapid recovery from nonrespiring dormancy // J. Bacteriol. ‒ 2010. ‒ Vol. 192. ‒ Р. 1662-1670.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Li G., Xu Z., Jiang Y., Liu H., Zhao Li-Li , Li M. et al. Synergistic activities of clofazimine with moxifloxacin or capreomycin against Mycobacterium tuberculosis in China // Int. J. Antimicrob. Agents. ‒ 2019. ‒ Vol. 54, № 5. ‒ Р. 642-646.</mixed-citation><mixed-citation xml:lang="en">Li G., Xu Z., Jiang Y., Liu H., Zhao Li-Li , Li M. et al. Synergistic activities of clofazimine with moxifloxacin or capreomycin against Mycobacterium tuberculosis in China // Int. J. Antimicrob. Agents. ‒ 2019. ‒ Vol. 54, № 5. ‒ Р. 642-646.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Li S., Chan J. Y-W., Li Y., Bardelang D., Zheng J., Yew W. W. et al. Complexation of clofazimine by macrocyclic cucurbit[7]uril reduced its cardiotoxicity without affecting the antimycobacterial efficacy // Org. Biomol. Chem. ‒ 2016. ‒ Vol. 14, № 31. ‒ Р. 7563-7569.</mixed-citation><mixed-citation xml:lang="en">Li S., Chan J. Y-W., Li Y., Bardelang D., Zheng J., Yew W. W. et al. Complexation of clofazimine by macrocyclic cucurbit[7]uril reduced its cardiotoxicity without affecting the antimycobacterial efficacy // Org. Biomol. Chem. ‒ 2016. ‒ Vol. 14, № 31. ‒ Р. 7563-7569.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Lu Y., Wang B., Zhao W., Zheng M., Li P., Fu L., Liang B. A study on the activity of clofazimine with antituberculous drugs against Mycobacterium tuberculosis // Zhonghua Jie He He Hu Xi Za Zhi. ‒ 2010. ‒ Vol. 33, № 9. ‒ Р. 675-678.</mixed-citation><mixed-citation xml:lang="en">Lu Y., Wang B., Zhao W., Zheng M., Li P., Fu L., Liang B. A study on the activity of clofazimine with antituberculous drugs against Mycobacterium tuberculosis // Zhonghua Jie He He Hu Xi Za Zhi. ‒ 2010. ‒ Vol. 33, № 9. ‒ Р. 675-678.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Maartens G., Brill M. J. E., Pandie M., Svensson E. M..Pharmacokinetic interaction between bedaquiline and clofazimine in patients with drug-resistant tuberculosis // Int. J. Tuberc. Lung Dis. ‒ 2018. ‒ Vol. 22, № 1. ‒ Р. 26-29.</mixed-citation><mixed-citation xml:lang="en">Maartens G., Brill M. J. E., Pandie M., Svensson E. M..Pharmacokinetic interaction between bedaquiline and clofazimine in patients with drug-resistant tuberculosis // Int. J. Tuberc. Lung Dis. ‒ 2018. ‒ Vol. 22, № 1. ‒ Р. 26-29.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Mirnejad R., Asadi A., Khoshnood S., Mirzaei H., Heidary M., Fattorini L., Ghodousi A., Darban-Sarokhalil D. Clofazimine: A useful antibiotic for drug-resistant tuberculosis // Biomed Pharmacother. ‒ 2018. ‒ Vol. 105. ‒ Р. 1353-1359.</mixed-citation><mixed-citation xml:lang="en">Mirnejad R., Asadi A., Khoshnood S., Mirzaei H., Heidary M., Fattorini L., Ghodousi A., Darban-Sarokhalil D. Clofazimine: A useful antibiotic for drug-resistant tuberculosis // Biomed Pharmacother. ‒ 2018. ‒ Vol. 105. ‒ Р. 1353-1359.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Misra N., Padayatchi N., Naidoo P. Dose-related adverse events in South African patients prescribed clofazimine for drug-resistant tuberculosis // S. Afr. Med. J. 2019. ‒ Vol. 110, № 1. ‒ Р. 32-37.</mixed-citation><mixed-citation xml:lang="en">Misra N., Padayatchi N., Naidoo P. Dose-related adverse events in South African patients prescribed clofazimine for drug-resistant tuberculosis // S. Afr. Med. J. 2019. ‒ Vol. 110, № 1. ‒ Р. 32-37.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Padayatchi N., Gopal M., Naidoo R., Werner L., Naidoo K., Master I., O'Donnell M. R. Clofazimine in the treatment of extensively drug-resistant tuberculosis with HIV coinfection in South Africa: a retrospective cohort study // J. Antimicrob. Chemother. ‒ 2014. ‒ Vol. 69, № 11. ‒ Р. 3103-3107.</mixed-citation><mixed-citation xml:lang="en">Padayatchi N., Gopal M., Naidoo R., Werner L., Naidoo K., Master I., O'Donnell M. R. Clofazimine in the treatment of extensively drug-resistant tuberculosis with HIV coinfection in South Africa: a retrospective cohort study // J. Antimicrob. Chemother. ‒ 2014. ‒ Vol. 69, № 11. ‒ Р. 3103-3107.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Pérez-Verdaguer M., Capera J., Serrano-Novillo C., Estadella I., Sastre D., Felipe A. The voltage-gated potassium channel Kv1.3 is a promising multitherapeutic target against human pathologies // Expert. Opin. Ther. Targets. ‒ 2016. ‒ Vol. 20, № 5. ‒ Р. 577-591.</mixed-citation><mixed-citation xml:lang="en">Pérez-Verdaguer M., Capera J., Serrano-Novillo C., Estadella I., Sastre D., Felipe A. The voltage-gated potassium channel Kv1.3 is a promising multitherapeutic target against human pathologies // Expert. Opin. Ther. Targets. ‒ 2016. ‒ Vol. 20, № 5. ‒ Р. 577-591.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Ren Y. R., Pan F., Parvez S., Fleig A., Chong C. R., Xu J. et al. Clofazimine inhibits human Kv1.3 potassium channel by perturbing calcium oscillation in T lymphocytes // PLoS One. ‒ 2008. ‒ Vol. 3. ‒ Р. e4009.</mixed-citation><mixed-citation xml:lang="en">Ren Y. R., Pan F., Parvez S., Fleig A., Chong C. R., Xu J. et al. Clofazimine inhibits human Kv1.3 potassium channel by perturbing calcium oscillation in T lymphocytes // PLoS One. ‒ 2008. ‒ Vol. 3. ‒ Р. e4009.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Rodríguez G., Pinto R., López F., Gómez Y. Persistent type 2 lepra reaction (erythema nodosum) and clofazimine-induced lethal enteropathy // Biomedica. ‒ 2009. ‒ Vol. 29, № 1. ‒ Р. 18-24.</mixed-citation><mixed-citation xml:lang="en">Rodríguez G., Pinto R., López F., Gómez Y. Persistent type 2 lepra reaction (erythema nodosum) and clofazimine-induced lethal enteropathy // Biomedica. ‒ 2009. ‒ Vol. 29, № 1. ‒ Р. 18-24.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Schaad-Lanyi Z., Dieterle W., Dubois J. P., Theobald W., Vischer W. Pharmacokinetics of clofazimine in healthy volunteers // Int. J. Lepr. Other Mycobact. Dis. ‒ 1987. ‒ Vol. 55. ‒ Р. 9-15.</mixed-citation><mixed-citation xml:lang="en">Schaad-Lanyi Z., Dieterle W., Dubois J. P., Theobald W., Vischer W. Pharmacokinetics of clofazimine in healthy volunteers // Int. J. Lepr. Other Mycobact. Dis. ‒ 1987. ‒ Vol. 55. ‒ Р. 9-15.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Swanson R. V., Ammerman N. C., Ngcobo B., Adamson J., Moodley C., Dorasamy A. et al. Clofazimine contributes sustained antimicrobial activity after treatment cessation in a mouse model of tuberculosis chemotherapy // Antimicrob. Agents Chemother. ‒ 2016. ‒ Vol. 60, № 5. ‒ Р. 2864-2869.</mixed-citation><mixed-citation xml:lang="en">Swanson R. V., Ammerman N. C., Ngcobo B., Adamson J., Moodley C., Dorasamy A. et al. Clofazimine contributes sustained antimicrobial activity after treatment cessation in a mouse model of tuberculosis chemotherapy // Antimicrob. Agents Chemother. ‒ 2016. ‒ Vol. 60, № 5. ‒ Р. 2864-2869.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Tang S., Yao L., Hao X, Liu Y., Zeng L., Liu G. et al. Clofazimine for the treatment of multidrug resistant tuberculosis: prospective, multicenter, randomized controlled study in China // Clin. Infect. Dis. ‒ 2015. ‒ Vol. 60, № 9. ‒ Р. 1361-1367.</mixed-citation><mixed-citation xml:lang="en">Tang S., Yao L., Hao X, Liu Y., Zeng L., Liu G. et al. Clofazimine for the treatment of multidrug resistant tuberculosis: prospective, multicenter, randomized controlled study in China // Clin. Infect. Dis. ‒ 2015. ‒ Vol. 60, № 9. ‒ Р. 1361-1367.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Trexjnergy metabolism // J. Pharm. Sci. ‒ 2017. ‒ Vol. 106. ‒ Р. 1162-1174.</mixed-citation><mixed-citation xml:lang="en">Trexjnergy metabolism // J. Pharm. Sci. ‒ 2017. ‒ Vol. 106. ‒ Р. 1162-1174.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Tyagi S., Ammerman N. C., Li S.-Y., Adamson J., Converse P. J., Swanson R. V., Almeida D. V., Grosset J. H. Clofazimine shortens the duration of the first-line treatment regimen for experimental chemotherapy of tuberculosis // Proc. Natl. Acad. Sci. U S A. ‒ 2015. ‒ Vol. 112. ‒ Р. 869-874.</mixed-citation><mixed-citation xml:lang="en">Tyagi S., Ammerman N. C., Li S.-Y., Adamson J., Converse P. J., Swanson R. V., Almeida D. V., Grosset J. H. Clofazimine shortens the duration of the first-line treatment regimen for experimental chemotherapy of tuberculosis // Proc. Natl. Acad. Sci. U S A. ‒ 2015. ‒ Vol. 112. ‒ Р. 869-874.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Van Deun, Maug A. K., Salim M. A., Das P. K., Sarker M. R., Daru P., Rieder H. L. Short, highly effective and inexpensive standardized treatment of multidrug-resistant tuberculosis // Am. J. Respir. Crit. Care Med. ‒ 2010. ‒ Vol. 182. ‒ Р. 684-692.</mixed-citation><mixed-citation xml:lang="en">Van Deun, Maug A. K., Salim M. A., Das P. K., Sarker M. R., Daru P., Rieder H. L. Short, highly effective and inexpensive standardized treatment of multidrug-resistant tuberculosis // Am. J. Respir. Crit. Care Med. ‒ 2010. ‒ Vol. 182. ‒ Р. 684-692.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">WHO consolidated guidelines on drug-resistant tuberculosis treatment ISBN 978-92-4-155052-9 © World Health Organization 2019.</mixed-citation><mixed-citation xml:lang="en">WHO consolidated guidelines on drug-resistant tuberculosis treatment ISBN 978-92-4-155052-9 © World Health Organization 2019.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Williams K., Minkowski A., Amoabeng O., Peloquin C. A., Taylor D., Andries K., Wallis R. S., Mdluli K. E., Nuermberger E. L. Sterilizing activities of novel combinations lacking first-and second-line drugs in a murine model of tuberculosis // Antimicrob. Agents Chemother. ‒ 2012. ‒ Vol. 56, № 6. – Р. 311-420.</mixed-citation><mixed-citation xml:lang="en">Williams K., Minkowski A., Amoabeng O., Peloquin C. A., Taylor D., Andries K., Wallis R. S., Mdluli K. E., Nuermberger E. L. Sterilizing activities of novel combinations lacking first-and second-line drugs in a murine model of tuberculosis // Antimicrob. Agents Chemother. ‒ 2012. ‒ Vol. 56, № 6. – Р. 311-420.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Working Group on New TB Drugs. Riminophenazines. http://www.newtbdrugs.org/project.php.</mixed-citation><mixed-citation xml:lang="en">Working Group on New TB Drugs. Riminophenazines. http://www.newtbdrugs.org/project.php.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Xu J., Wang B., Fu L., Zhu H., Guo S., Huang H. et al. In vitro and in vivo activities of the riminophenazine TBI-166 against Mycobacterium tuberculosis // Antimicrob. Agents Chemother. ‒ 2019. ‒ Vol. 63. ‒ Р. e02155-18.50.</mixed-citation><mixed-citation xml:lang="en">Xu J., Wang B., Fu L., Zhu H., Guo S., Huang H. et al. In vitro and in vivo activities of the riminophenazine TBI-166 against Mycobacterium tuberculosis // Antimicrob. Agents Chemother. ‒ 2019. ‒ Vol. 63. ‒ Р. e02155-18.50.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Yano T., Kassovska-Bratinova S., Teh J. S., Winkler J., Sullivan K., Isaacs A. et al. Reduction of clofazimine by mycobacterial type 2 NADH:quinone oxidoreductase: a pathway for the generation of bactericidal levels of reactive oxygen species // J. Biol..Chem. ‒ 2011. ‒ Vol. 286. – Р. 10276-10287.</mixed-citation><mixed-citation xml:lang="en">Yano T., Kassovska-Bratinova S., Teh J. S., Winkler J., Sullivan K., Isaacs A. et al. Reduction of clofazimine by mycobacterial type 2 NADH:quinone oxidoreductase: a pathway for the generation of bactericidal levels of reactive oxygen species // J. Biol..Chem. ‒ 2011. ‒ Vol. 286. – Р. 10276-10287.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
