AAP-SO2 is a Bactericide and Mycobacterium tuberculosis RNA polymerase ( Mtb RNAP ) inhibitor, with an IC 50 of 0.025 μM against Mtb RNAP. AAP-SO2 allosterically slows the nucleotide addition rate during transcriptional elongation and enhances transcription termination efficiency. AAP-SO2 exhibits increased activity against β S450L -type Mtb, possesses activity against non-replicating Mtb, and shows whole-cell activity against Mtb and related mycobacterial species. AAP-SO2 reduces the overall emergence rate of Rifampicin ( HY-B0272 ) tolerance in Mtb, alters the mutation spectrum, and decreases the proportion of β S450L -type Rifampicin -resistant mutants. AAP-SO2 acts synergistically with Rifampicin to kill non-replicating Mtb in a rabbit caseous necrosis model. AAP-SO2 can be used for the research of tuberculosis.
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