Overview of Current Therapeutics and Novel Candidates Against Influenza, Respiratory Syncytial Virus, and Middle East Respiratory Syndrome Coronavirus Infections
Identifieur interne : 000219 ( Pmc/Checkpoint ); précédent : 000218; suivant : 000220Overview of Current Therapeutics and Novel Candidates Against Influenza, Respiratory Syncytial Virus, and Middle East Respiratory Syndrome Coronavirus Infections
Auteurs : Mohammad Amin Behzadi ; Victor H. Leyva-GradoSource :
- Frontiers in Microbiology [ 1664-302X ] ; 2019.
Abstract
Emergence and re-emergence of respiratory virus infections represent a significant threat to global public health, as they occur seasonally and less frequently (such as in the case of influenza virus) as pandemic infections. Some of these viruses have been in the human population for centuries and others had recently emerged as a public health problem. Influenza viruses have been affecting the human population for a long time now; however, their ability to rapidly evolve through antigenic drift and antigenic shift causes the emergence of new strains. A recent example of these events is the avian-origin H7N9 influenza virus outbreak currently undergoing in China. Human H7N9 influenza viruses are resistant to amantadines and some strains are also resistant to neuraminidase inhibitors greatly limiting the options for treatment. Respiratory syncytial virus (RSV) may cause a lower respiratory tract infection characterized by bronchiolitis and pneumonia mainly in children and the elderly. Infection with RSV can cause severe disease and even death, imposing a severe burden for pediatric and geriatric health systems worldwide. Treatment for RSV is mainly supportive since the only approved therapy, a monoclonal antibody, is recommended for prophylactic use in high-risk patients. The Middle East respiratory syndrome coronavirus (MERS-CoV) is a newly emerging respiratory virus. The virus was first recognized in 2012 and it is associated with a lower respiratory tract disease that is more severe in patients with comorbidities. No licensed vaccines or antivirals have been yet approved for the treatment of MERS-CoV in humans. It is clear that the discovery and development of novel antivirals that can be used alone or in combination with existing therapies to treat these important respiratory viral infections are critical. In this review, we will describe some of the novel therapeutics currently under development for the treatment of these infections.
Url:
DOI: 10.3389/fmicb.2019.01327
PubMed: 31275265
PubMed Central: 6594388
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Emergence and re-emergence of respiratory virus infections represent a significant threat to global public health, as they occur seasonally and less frequently (such as in the case of influenza virus) as pandemic infections. Some of these viruses have been in the human population for centuries and others had recently emerged as a public health problem. Influenza viruses have been affecting the human population for a long time now; however, their ability to rapidly evolve through antigenic drift and antigenic shift causes the emergence of new strains. A recent example of these events is the avian-origin H7N9 influenza virus outbreak currently undergoing in China. Human H7N9 influenza viruses are resistant to amantadines and some strains are also resistant to neuraminidase inhibitors greatly limiting the options for treatment. Respiratory syncytial virus (RSV) may cause a lower respiratory tract infection characterized by bronchiolitis and pneumonia mainly in children and the elderly. Infection with RSV can cause severe disease and even death, imposing a severe burden for pediatric and geriatric health systems worldwide. Treatment for RSV is mainly supportive since the only approved therapy, a monoclonal antibody, is recommended for prophylactic use in high-risk patients. The Middle East respiratory syndrome coronavirus (MERS-CoV) is a newly emerging respiratory virus. The virus was first recognized in 2012 and it is associated with a lower respiratory tract disease that is more severe in patients with comorbidities. No licensed vaccines or antivirals have been yet approved for the treatment of MERS-CoV in humans. It is clear that the discovery and development of novel antivirals that can be used alone or in combination with existing therapies to treat these important respiratory viral infections are critical. In this review, we will describe some of the novel therapeutics currently under development for the treatment of these infections.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Microbiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Microbiol</journal-id>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title-group><journal-title>Frontiers in Microbiology</journal-title>
</journal-title-group>
<issn pub-type="epub">1664-302X</issn>
<publisher><publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">31275265</article-id>
<article-id pub-id-type="pmc">6594388</article-id>
<article-id pub-id-type="doi">10.3389/fmicb.2019.01327</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Microbiology</subject>
<subj-group><subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Overview of Current Therapeutics and Novel Candidates Against Influenza, Respiratory Syncytial Virus, and Middle East Respiratory Syndrome Coronavirus Infections</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Behzadi</surname>
<given-names>Mohammad Amin</given-names>
</name>
<uri xlink:type="simple" xlink:href="https://loop.frontiersin.org/people/698067/overview"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Leyva-Grado</surname>
<given-names>Victor H.</given-names>
</name>
<xref rid="c001" ref-type="corresp"><sup>*</sup>
</xref>
<uri xlink:type="simple" xlink:href="https://loop.frontiersin.org/people/665743/overview"></uri>
</contrib>
</contrib-group>
<aff><institution>Department of Microbiology, Icahn School of Medicine at Mount Sinai</institution>
,<addr-line>New York, NY</addr-line>
,<country>United States</country>
</aff>
<author-notes><fn id="fn1" fn-type="edited-by"><p>Edited by: Daniel Roberto Perez, University of Georgia, United States</p>
</fn>
<fn id="fn2" fn-type="edited-by"><p>Reviewed by: Luis Martinez-Sobrido, University of Rochester, United States; Hana Maria Dobrovolny, Texas Christian University, United States</p>
</fn>
<corresp id="c001">*Correspondence: Victor H. Leyva-Grado, <email>victor.leyva-grado@mssm.edu</email>
</corresp>
<fn id="fn3" fn-type="other"><p>This article was submitted to Virology, a section of the journal Frontiers in Microbiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>19</day>
<month>6</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="collection"><year>2019</year>
</pub-date>
<volume>10</volume>
<elocation-id>1327</elocation-id>
<history><date date-type="received"><day>04</day>
<month>3</month>
<year>2019</year>
</date>
<date date-type="accepted"><day>28</day>
<month>5</month>
<year>2019</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2019 Behzadi and Leyva-Grado.</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Behzadi and Leyva-Grado</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract><p>Emergence and re-emergence of respiratory virus infections represent a significant threat to global public health, as they occur seasonally and less frequently (such as in the case of influenza virus) as pandemic infections. Some of these viruses have been in the human population for centuries and others had recently emerged as a public health problem. Influenza viruses have been affecting the human population for a long time now; however, their ability to rapidly evolve through antigenic drift and antigenic shift causes the emergence of new strains. A recent example of these events is the avian-origin H7N9 influenza virus outbreak currently undergoing in China. Human H7N9 influenza viruses are resistant to amantadines and some strains are also resistant to neuraminidase inhibitors greatly limiting the options for treatment. Respiratory syncytial virus (RSV) may cause a lower respiratory tract infection characterized by bronchiolitis and pneumonia mainly in children and the elderly. Infection with RSV can cause severe disease and even death, imposing a severe burden for pediatric and geriatric health systems worldwide. Treatment for RSV is mainly supportive since the only approved therapy, a monoclonal antibody, is recommended for prophylactic use in high-risk patients. The Middle East respiratory syndrome coronavirus (MERS-CoV) is a newly emerging respiratory virus. The virus was first recognized in 2012 and it is associated with a lower respiratory tract disease that is more severe in patients with comorbidities. No licensed vaccines or antivirals have been yet approved for the treatment of MERS-CoV in humans. It is clear that the discovery and development of novel antivirals that can be used alone or in combination with existing therapies to treat these important respiratory viral infections are critical. In this review, we will describe some of the novel therapeutics currently under development for the treatment of these infections.</p>
</abstract>
<kwd-group><kwd>antiviral</kwd>
<kwd>influenza</kwd>
<kwd>respiratory syncytial virus</kwd>
<kwd>MERS-coronavirus</kwd>
<kwd>novel therapeutic agents</kwd>
</kwd-group>
<funding-group><award-group><funding-source id="cn1">NIAID-funded Center of Excellence for Influenza Research and Surveillance-CEIRS</funding-source>
<award-id rid="cn1">HHSN272201400008C</award-id>
</award-group>
</funding-group>
<counts><fig-count count="1"></fig-count>
<table-count count="1"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="173"></ref-count>
<page-count count="16"></page-count>
<word-count count="14507"></word-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Behzadi, Mohammad Amin" sort="Behzadi, Mohammad Amin" uniqKey="Behzadi M" first="Mohammad Amin" last="Behzadi">Mohammad Amin Behzadi</name>
<name sortKey="Leyva Grado, Victor H" sort="Leyva Grado, Victor H" uniqKey="Leyva Grado V" first="Victor H." last="Leyva-Grado">Victor H. Leyva-Grado</name>
</noCountry>
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</affiliations>
</record>
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