Neuraminidase inhibitors and their role in avian and pandemic influenza.
Identifieur interne : 001A67 ( PubMed/Curation ); précédent : 001A66; suivant : 001A68Neuraminidase inhibitors and their role in avian and pandemic influenza.
Auteurs : Martin Crusat [Viêt Nam] ; Menno D. De JongSource :
- Antiviral therapy [ 1359-6535 ] ; 2007.
Descripteurs français
- KwdFr :
- Animaux, Antienzymes (usage thérapeutique), Antiviraux (usage thérapeutique), Flambées de maladies (), Grippe chez les oiseaux (), Grippe chez les oiseaux (traitement médicamenteux), Grippe chez les oiseaux (virologie), Grippe humaine (), Grippe humaine (traitement médicamenteux), Grippe humaine (épidémiologie), Humains, Oiseaux, Oséltamivir (usage thérapeutique), Résistance virale aux médicaments, Sialidase (antagonistes et inhibiteurs), Souris, Sous-type H5N1 du virus de la grippe A (), Sous-type H5N1 du virus de la grippe A (enzymologie), Sous-type H9N2 du virus de la grippe A (), Zanamivir (usage thérapeutique).
- MESH :
- antagonistes et inhibiteurs : Sialidase.
- enzymologie : Sous-type H5N1 du virus de la grippe A.
- traitement médicamenteux : Grippe chez les oiseaux, Grippe humaine.
- usage thérapeutique : Antienzymes, Antiviraux, Oséltamivir, Zanamivir.
- virologie : Grippe chez les oiseaux.
- épidémiologie : Grippe humaine.
- Animaux, Flambées de maladies, Grippe chez les oiseaux, Grippe humaine, Humains, Oiseaux, Résistance virale aux médicaments, Souris, Sous-type H5N1 du virus de la grippe A, Sous-type H9N2 du virus de la grippe A.
English descriptors
- KwdEn :
- Animals, Antiviral Agents (therapeutic use), Birds, Disease Outbreaks (prevention & control), Drug Resistance, Viral, Enzyme Inhibitors (therapeutic use), Humans, Influenza A Virus, H5N1 Subtype (drug effects), Influenza A Virus, H5N1 Subtype (enzymology), Influenza A Virus, H9N2 Subtype (drug effects), Influenza in Birds (drug therapy), Influenza in Birds (prevention & control), Influenza in Birds (virology), Influenza, Human (drug therapy), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Mice, Neuraminidase (antagonists & inhibitors), Oseltamivir (therapeutic use), Zanamivir (therapeutic use).
- MESH :
- chemical , antagonists & inhibitors : Neuraminidase.
- chemical , therapeutic use : Antiviral Agents, Enzyme Inhibitors, Oseltamivir, Zanamivir.
- drug effects : Influenza A Virus, H5N1 Subtype, Influenza A Virus, H9N2 Subtype.
- drug therapy : Influenza in Birds, Influenza, Human.
- enzymology : Influenza A Virus, H5N1 Subtype.
- epidemiology : Influenza, Human.
- prevention & control : Disease Outbreaks, Influenza in Birds, Influenza, Human.
- virology : Influenza in Birds.
- Animals, Birds, Drug Resistance, Viral, Humans, Mice.
Abstract
Continuing occurrences of human infections with avian influenza A (H5N1) viruses have ignited increasing fears that the next influenza pandemic is imminent. Fortunately, options for antiviral prophylaxis and treatment have been improved dramatically since the previous pandemics by the availability of neuraminidase inhibitors such as zanamivir and oseltamivir. However, although the prophylactic and therapeutic efficacy of these drugs is well established for uncomplicated seasonal human influenza, clinical effectiveness seems limited for human H5N1 infections despite in vitro susceptibility and efficacy in animal studies. Factors which might contribute to this apparently limited efficacy include suboptimal dosing or routes of administration, suboptimal timing of treatment and the inability of antiviral drugs to interfere with immunopathology, and the development of drug resistance. Efforts to optimize the use of neuraminidase inhibitor treatment in H5N1 disease are urgently needed and might eventually aid in the judicious use of stockpiled neuraminidase inhibitors in the event of a pandemic.
PubMed: 17944267
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pubmed:17944267Le document en format XML
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<author><name sortKey="De Jong, Menno D" sort="De Jong, Menno D" uniqKey="De Jong M" first="Menno D" last="De Jong">Menno D. De Jong</name>
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<term>Drug Resistance, Viral</term>
<term>Enzyme Inhibitors (therapeutic use)</term>
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<term>Influenza A Virus, H5N1 Subtype (drug effects)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Animaux</term>
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<term>Sous-type H5N1 du virus de la grippe A ()</term>
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<term>Sous-type H9N2 du virus de la grippe A ()</term>
<term>Zanamivir (usage thérapeutique)</term>
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<keywords scheme="MESH" type="chemical" qualifier="antagonists & inhibitors" xml:lang="en"><term>Neuraminidase</term>
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<term>Enzyme Inhibitors</term>
<term>Oseltamivir</term>
<term>Zanamivir</term>
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<keywords scheme="MESH" qualifier="antagonistes et inhibiteurs" xml:lang="fr"><term>Sialidase</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Influenza A Virus, H5N1 Subtype</term>
<term>Influenza A Virus, H9N2 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Influenza in Birds</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="enzymologie" xml:lang="fr"><term>Sous-type H5N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="enzymology" xml:lang="en"><term>Influenza A Virus, H5N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Outbreaks</term>
<term>Influenza in Birds</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Grippe chez les oiseaux</term>
<term>Grippe humaine</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antienzymes</term>
<term>Antiviraux</term>
<term>Oséltamivir</term>
<term>Zanamivir</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe chez les oiseaux</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza in Birds</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
<term>Birds</term>
<term>Drug Resistance, Viral</term>
<term>Humans</term>
<term>Mice</term>
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<term>Flambées de maladies</term>
<term>Grippe chez les oiseaux</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Oiseaux</term>
<term>Résistance virale aux médicaments</term>
<term>Souris</term>
<term>Sous-type H5N1 du virus de la grippe A</term>
<term>Sous-type H9N2 du virus de la grippe A</term>
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<front><div type="abstract" xml:lang="en">Continuing occurrences of human infections with avian influenza A (H5N1) viruses have ignited increasing fears that the next influenza pandemic is imminent. Fortunately, options for antiviral prophylaxis and treatment have been improved dramatically since the previous pandemics by the availability of neuraminidase inhibitors such as zanamivir and oseltamivir. However, although the prophylactic and therapeutic efficacy of these drugs is well established for uncomplicated seasonal human influenza, clinical effectiveness seems limited for human H5N1 infections despite in vitro susceptibility and efficacy in animal studies. Factors which might contribute to this apparently limited efficacy include suboptimal dosing or routes of administration, suboptimal timing of treatment and the inability of antiviral drugs to interfere with immunopathology, and the development of drug resistance. Efforts to optimize the use of neuraminidase inhibitor treatment in H5N1 disease are urgently needed and might eventually aid in the judicious use of stockpiled neuraminidase inhibitors in the event of a pandemic.</div>
</front>
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<Abstract><AbstractText>Continuing occurrences of human infections with avian influenza A (H5N1) viruses have ignited increasing fears that the next influenza pandemic is imminent. Fortunately, options for antiviral prophylaxis and treatment have been improved dramatically since the previous pandemics by the availability of neuraminidase inhibitors such as zanamivir and oseltamivir. However, although the prophylactic and therapeutic efficacy of these drugs is well established for uncomplicated seasonal human influenza, clinical effectiveness seems limited for human H5N1 infections despite in vitro susceptibility and efficacy in animal studies. Factors which might contribute to this apparently limited efficacy include suboptimal dosing or routes of administration, suboptimal timing of treatment and the inability of antiviral drugs to interfere with immunopathology, and the development of drug resistance. Efforts to optimize the use of neuraminidase inhibitor treatment in H5N1 disease are urgently needed and might eventually aid in the judicious use of stockpiled neuraminidase inhibitors in the event of a pandemic.</AbstractText>
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