Serveur d'exploration sur le lymphœdème

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Anti-Wolbachia drug discovery and development: safe macrofilaricides for onchocerciasis and lymphatic filariasis

Identifieur interne : 002503 ( Pmc/Checkpoint ); précédent : 002502; suivant : 002504

Anti-Wolbachia drug discovery and development: safe macrofilaricides for onchocerciasis and lymphatic filariasis

Auteurs : Mark J. Taylor [Royaume-Uni] ; Achim Hoerauf [Allemagne] ; Simon Townson [Royaume-Uni] ; Barton E. Slatko [États-Unis] ; Stephen A. Ward [Royaume-Uni]

Source :

RBID : PMC:3884836

Abstract

SUMMARY

Anti-Wolbachia therapy delivers safe macrofilaricidal activity with superior therapeutic outcomes compared to all standard anti-filarial treatments, with the added benefit of substantial improvements in clinical pathology. These outcomes can be achieved, in principle, with existing registered drugs, e.g. doxycycline, that are affordable, available to endemic communities and have well known, albeit population-limiting, safety profiles. The key barriers to using doxycycline as an mass drug administration (MDA) strategy for widespread community-based control are the logistics of a relatively lengthy course of treatment (4–6 weeks) and contraindications in children under eight years and pregnancy. Therefore, the primary goal of the anti-Wolbachia (A·WOL) consortium is to find drugs and regimens that reduce the period of treatment from weeks to days (7 days or less), and to find drugs which would be safe in excluded target populations (pregnancy and children). A secondary goal is to refine regimens of existing antibiotics suitable for a more restricted use, prior to the availability of a regimen that is compatible with MDA usage. For example, for use in the event of the emergence of drug-resistance, in individuals with high loiasis co-infection and at risk of severe adverse events (SAE) to ivermectin, or in post-MDA ‘endgame scenarios’, where test and treat strategies become more cost effective and deliverable.


Url:
DOI: 10.1017/S0031182013001108
PubMed: 23866958
PubMed Central: 3884836


Affiliations:


Links toward previous steps (curation, corpus...)


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PMC:3884836

Le document en format XML

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drug discovery and development: safe macrofilaricides for onchocerciasis and lymphatic filariasis</title>
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,
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therapy delivers safe macrofilaricidal activity with superior therapeutic outcomes compared to all standard anti-filarial treatments, with the added benefit of substantial improvements in clinical pathology. These outcomes can be achieved, in principle, with existing registered drugs, e.g. doxycycline, that are affordable, available to endemic communities and have well known, albeit population-limiting, safety profiles. The key barriers to using doxycycline as an mass drug administration (MDA) strategy for widespread community-based control are the logistics of a relatively lengthy course of treatment (4–6 weeks) and contraindications in children under eight years and pregnancy. Therefore, the primary goal of the anti-
<italic>Wolbachia</italic>
(A·WOL) consortium is to find drugs and regimens that reduce the period of treatment from weeks to days (7 days or less), and to find drugs which would be safe in excluded target populations (pregnancy and children). A secondary goal is to refine regimens of existing antibiotics suitable for a more restricted use, prior to the availability of a regimen that is compatible with MDA usage. For example, for use in the event of the emergence of drug-resistance, in individuals with high loiasis co-infection and at risk of severe adverse events (SAE) to ivermectin, or in post-MDA ‘endgame scenarios’, where test and treat strategies become more cost effective and deliverable.</p>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Parasitology</journal-id>
<journal-id journal-id-type="iso-abbrev">Parasitology</journal-id>
<journal-id journal-id-type="publisher-id">PAR</journal-id>
<journal-title-group>
<journal-title>Parasitology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0031-1820</issn>
<issn pub-type="epub">1469-8161</issn>
<publisher>
<publisher-name>Cambridge University Press</publisher-name>
<publisher-loc>Cambridge, UK</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23866958</article-id>
<article-id pub-id-type="pmc">3884836</article-id>
<article-id pub-id-type="doi">10.1017/S0031182013001108</article-id>
<article-id pub-id-type="pii">S0031182013001108</article-id>
<article-id pub-id-type="publisher-id">00110</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Anti-
<italic>Wolbachia</italic>
drug discovery and development: safe macrofilaricides for onchocerciasis and lymphatic filariasis</article-title>
<alt-title alt-title-type="left-running">Mark J. Taylor and others</alt-title>
<alt-title alt-title-type="right-running">A·WOL drug discovery and development</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>TAYLOR</surname>
<given-names>MARK J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>HOERAUF</surname>
<given-names>ACHIM</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>TOWNSON</surname>
<given-names>SIMON</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>SLATKO</surname>
<given-names>BARTON E.</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>WARD</surname>
<given-names>STEPHEN A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
</contrib-group>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Barrett</surname>
<given-names>Michael P.</given-names>
</name>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Croft</surname>
<given-names>Simon L.</given-names>
</name>
</contrib>
<role>Guest Editors</role>
</contrib-group>
<aff id="aff1">
<label>1</label>
<institution>Liverpool School of Tropical Medicine</institution>
,
<addr-line>Pembroke Place, Liverpool, L3 5QA</addr-line>
,
<country>UK</country>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>Institute for Medical Microbiology, Immunology and Parasitology</addr-line>
,
<institution>University Hospital Bonn</institution>
,
<addr-line>Sigmund-Freud-Strasse 25, 53105 Bonn</addr-line>
,
<country>Germany</country>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Tropical Parasitic Diseases Unit</addr-line>
,
<institution>Northwick Park Institute for Medical Research</institution>
,
<addr-line>Watford Road, Harrow, Middlesex HA1 3UJ</addr-line>
,
<country>UK</country>
</aff>
<aff id="aff4">
<label>4</label>
<addr-line>New England Biolabs, Inc., 240 County Road, Ipswich, MA 01938</addr-line>
,
<country>USA</country>
</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
<addr-line>Corresponding author: Head of Parasitology Department</addr-line>
,
<institution>Liverpool School of Tropical Medicine</institution>
,
<addr-line>Liverpool, L3 5QA</addr-line>
,
<country>UK</country>
. Tel:
<phone>0044 (0)151 705 3112</phone>
. Fax:
<fax>0044 (0)151 705 3371</fax>
. E-mail:
<email>mark.taylor@liv.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>7</month>
<year>2013</year>
</pub-date>
<volume>141</volume>
<issue>1</issue>
<issue-title content-type="special_issue">Symposia of the British Society for Parasitology volume 49 Emerging paradigms in anti-infective drug design</issue-title>
<fpage>119</fpage>
<lpage>127</lpage>
<history>
<date date-type="received">
<day>08</day>
<month>4</month>
<year>2013</year>
</date>
<date date-type="rev-recd">
<day>05</day>
<month>6</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>6</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>© Cambridge University Press 2013</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder>Cambridge University Press</copyright-holder>
<license license-type="open-access">
<license-p>
<pmc-comment>CREATIVE COMMONS</pmc-comment>
The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution licence <
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
</license-p>
</license>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="S0031182013001108a.pdf"></self-uri>
<abstract abstract-type="normal">
<title>SUMMARY</title>
<p>Anti-
<italic>Wolbachia</italic>
therapy delivers safe macrofilaricidal activity with superior therapeutic outcomes compared to all standard anti-filarial treatments, with the added benefit of substantial improvements in clinical pathology. These outcomes can be achieved, in principle, with existing registered drugs, e.g. doxycycline, that are affordable, available to endemic communities and have well known, albeit population-limiting, safety profiles. The key barriers to using doxycycline as an mass drug administration (MDA) strategy for widespread community-based control are the logistics of a relatively lengthy course of treatment (4–6 weeks) and contraindications in children under eight years and pregnancy. Therefore, the primary goal of the anti-
<italic>Wolbachia</italic>
(A·WOL) consortium is to find drugs and regimens that reduce the period of treatment from weeks to days (7 days or less), and to find drugs which would be safe in excluded target populations (pregnancy and children). A secondary goal is to refine regimens of existing antibiotics suitable for a more restricted use, prior to the availability of a regimen that is compatible with MDA usage. For example, for use in the event of the emergence of drug-resistance, in individuals with high loiasis co-infection and at risk of severe adverse events (SAE) to ivermectin, or in post-MDA ‘endgame scenarios’, where test and treat strategies become more cost effective and deliverable.</p>
</abstract>
<kwd-group>
<title>Key words</title>
<kwd>
<italic>Wolbachia</italic>
</kwd>
<kwd>onchocerciasis</kwd>
<kwd>lymphatic filariasis</kwd>
<kwd>drug discovery</kwd>
<kwd>macrofilaricide</kwd>
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