The invention belongs to the technical field of biological
medicine, and particularly relates to application of a combined synergistic pharmaceutical composition in resisting mycobacterial infection. The pimozide (PMZ) provided by the invention can be used as an
active component and applied to the medicines for combined anti-
mycobacterium tuberculosis, a new application of the PMZ is developed, the PMZ is combined with the anti-
tuberculosis medicines (
Bedaquiline BDQ, clofazimine CFZ and the like) to improve the anti-
tuberculosis activity, the PMZ can be used as a synergist, the treatment course is expected to be shortened, the
drug resistance is reduced, and a new
treatment strategy is provided. The MIC (
Minimum Inhibitory Concentration) of the
mycobacterium tuberculosis sensitive bacterium H37Rv to the BDQ is reduced from 0.06 g / ml to 0.0038 g / ml (the
synergy is 16 times) by combining the PMZ with the concentration of 0.5 g / ml with the BDQ; 0.5 g / ml of pimozide is combined with BDQ, so that the MIC (minimal inhibitory concentration) of the Rv0678
mutant strain on the BDQ is reduced from 1g / ml to 0.0313 g / ml (synergistic effect is 32 times) and is lower than that of a
wild strain H37Rv MIC (0.06 g / ml), the
drug resistance of the BDQ is reversed, and the activity of resisting
mycobacterium infection is further enhanced. And the
mycobacterium tuberculosis can be completely killed after the combination of 1.5 mu g / ml of PMZ and 0.03 mu g / ml of BDQ for 14 days.