@article{fdi:010072862, title = {{B}edaquiline resistance : its emergence, mechanism, and prevention}, author = {{N}guyen, {T}. {V}. {A}. and {A}nthony, {R}. {M}. and {B}anuls, {A}nne-{L}aure and {N}guyen, {T}. {V}. {A}. and {V}u, {D}. {H}. and {A}lffenaar, {J}. {W}. {C}.}, editor = {}, language = {{ENG}}, abstract = {{B}edaquiline, a new antituberculosis drug, has already been used in >50 countries. {T}he emergence of bedaquiline resistance is alarming, as it may result in the rapid loss of this new drug. {T}his article aims to review currently identified mechanisms of resistance and the emergence of bedaquiline resistance, and discuss strategies to delay the resistance acquisition. {I}n vitro and clinical studies as well as reports from compassionate use have identified the threat of bedaquiline resistance and cross-resistance with clofazimine, emphasizing the crucial need for the systematic surveillance of resistance. {C}urrently known mechanisms of resistance include mutations within the atp{E}, {R}v0678, and pep{Q} genes. {T}he development of standardized drug susceptibility testing ({DST}) for bedaquiline is urgently needed. {U}nderstanding any target and non-target-based mechanisms is essential to minimize resistance development and treatment failure and help to develop appropriate {DST} for bedaquiline and genetic-based resistance screening.}, keywords = {bedaquiline ; resistance ; cross-resistance ; mechanisms ; drug ; susceptibility testing}, booktitle = {}, journal = {{C}linical {I}nfectious {D}iseases}, volume = {66}, numero = {10}, pages = {1625--1630}, ISSN = {1058-4838}, year = {2018}, DOI = {10.1093/cid/cix992}, URL = {https://www.documentation.ird.fr/hor/fdi:010072862}, }