Antivirals and antiviral strategies
Identifieur interne : 000A76 ( Ncbi/Curation ); précédent : 000A75; suivant : 000A77Antivirals and antiviral strategies
Auteurs : Erik De ClercqSource :
- Nature Reviews. Microbiology [ 1740-1526 ] ; 2004.
Descripteurs français
- KwdFr :
- Adenosylhomocysteinase (antagonistes et inhibiteurs), Antiviraux (pharmacologie), Antiviraux (usage thérapeutique), Helicase (antagonistes et inhibiteurs), Humains, IMP dehydrogenase (antagonistes et inhibiteurs), Inhibiteurs de la synthèse d'acide nucléique, Interférons (usage thérapeutique), Maladies virales (), Maladies virales (traitement médicamenteux), Nucleoside-triphosphatase (antagonistes et inhibiteurs), Protéines virales (antagonistes et inhibiteurs), RNA replicase (antagonistes et inhibiteurs), Virus ().
- MESH :
- antagonistes et inhibiteurs : Adenosylhomocysteinase, Helicase, IMP dehydrogenase, Nucleoside-triphosphatase, Protéines virales, RNA replicase.
- pharmacologie : Antiviraux.
- traitement médicamenteux : Maladies virales.
- usage thérapeutique : Antiviraux, Interférons.
- Humains, Inhibiteurs de la synthèse d'acide nucléique, Maladies virales, Virus.
English descriptors
- KwdEn :
- Adenosylhomocysteinase (antagonists & inhibitors), Antiviral Agents (pharmacology), Antiviral Agents (therapeutic use), DNA Helicases (antagonists & inhibitors), Humans, IMP Dehydrogenase (antagonists & inhibitors), Interferons (therapeutic use), Nucleic Acid Synthesis Inhibitors, Nucleoside-Triphosphatase (antagonists & inhibitors), RNA Replicase (antagonists & inhibitors), Viral Proteins (antagonists & inhibitors), Virus Diseases (drug therapy), Virus Diseases (prevention & control), Viruses (drug effects).
- MESH :
- chemical , antagonists & inhibitors : Adenosylhomocysteinase, DNA Helicases, IMP Dehydrogenase, Nucleoside-Triphosphatase, RNA Replicase, Viral Proteins.
- chemical , pharmacology : Antiviral Agents.
- chemical , therapeutic use : Antiviral Agents, Interferons.
- drug effects : Viruses.
- drug therapy : Virus Diseases.
- prevention & control : Virus Diseases.
- Humans, Nucleic Acid Synthesis Inhibitors.
Abstract
In this article, the usefulness, or potential usefulness, of the currently licensed antiviral drugs and those in clinical or preclinical development is evaluated. The main conclusions are: For the treatment of polyomavirus, papillomavirus, adenovirus and poxvirus infections, the acyclic nucleoside phosphonates such as cidofovir have the greatest potential. For the treatment of HSV and VZV infections, (val)acyclovir, famciclovir and brivudin are important. For the treatment of CMV infections, (val)ganciclovir, cidofovir and foscarnet are the most promising. Ribavirin is proposed for the treatment of (−)RNA virus (such as arenavirus and bunyavirus) infections, whereas IFN and IFN inducers are envisaged for the treatment of (+)RNA virus infections, particularly picornavirus (for example, coxsackie B) and togavirus (for example, Western, Eastern and Venezuelan equine encephalitis virus) infections. For the treatment of HCV infections, pegylated IFN, in combination with ribavirin, is currently recommended, although compounds targeted at the HCV protease and RNA-dependent RNA polymerase have also been developed. For the therapy and prophylaxis of influenza virus infections, the neuraminidase inhibitors zanamivir and oseltamivir are the current drugs of choice. Among the paramyxoviruses, human metapneumovirus (hMPV) and respiratory syncytial virus (RSV) are the viruses for which antiviral therapy is most required. Although ribavirin is available for the treatment of RSV infections, it is not ideal, and therefore, new compounds are required for the treatment of hMPV and RSV infections. A plethora of 'old' and 'new' compounds are available or are being developed for the treatment of HIV infections. Multiple drug regimens might be beneficial for HIV treatment. For other virus infections —rotavirus, and Ebola, Marburg and other haemorrhagic virus infections — the choice of potential antiviral agents is rather limited, however, SAH hydrolase inhibitors such as 3-deazaneplanocin A are currently the most promising.
The online version of this article (doi:10.1038/nrmicro975) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1038/nrmicro975
PubMed: 15372081
PubMed Central: 7097272
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PMC:7097272Le document en format XML
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<series><title level="j">Nature Reviews. Microbiology</title>
<idno type="ISSN">1740-1526</idno>
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<term>Antiviral Agents (therapeutic use)</term>
<term>DNA Helicases (antagonists & inhibitors)</term>
<term>Humans</term>
<term>IMP Dehydrogenase (antagonists & inhibitors)</term>
<term>Interferons (therapeutic use)</term>
<term>Nucleic Acid Synthesis Inhibitors</term>
<term>Nucleoside-Triphosphatase (antagonists & inhibitors)</term>
<term>RNA Replicase (antagonists & inhibitors)</term>
<term>Viral Proteins (antagonists & inhibitors)</term>
<term>Virus Diseases (drug therapy)</term>
<term>Virus Diseases (prevention & control)</term>
<term>Viruses (drug effects)</term>
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<term>Antiviraux (pharmacologie)</term>
<term>Antiviraux (usage thérapeutique)</term>
<term>Helicase (antagonistes et inhibiteurs)</term>
<term>Humains</term>
<term>IMP dehydrogenase (antagonistes et inhibiteurs)</term>
<term>Inhibiteurs de la synthèse d'acide nucléique</term>
<term>Interférons (usage thérapeutique)</term>
<term>Maladies virales ()</term>
<term>Maladies virales (traitement médicamenteux)</term>
<term>Nucleoside-triphosphatase (antagonistes et inhibiteurs)</term>
<term>Protéines virales (antagonistes et inhibiteurs)</term>
<term>RNA replicase (antagonistes et inhibiteurs)</term>
<term>Virus ()</term>
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<keywords scheme="MESH" type="chemical" qualifier="antagonists & inhibitors" xml:lang="en"><term>Adenosylhomocysteinase</term>
<term>DNA Helicases</term>
<term>IMP Dehydrogenase</term>
<term>Nucleoside-Triphosphatase</term>
<term>RNA Replicase</term>
<term>Viral Proteins</term>
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<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Antiviral Agents</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiviral Agents</term>
<term>Interferons</term>
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<keywords scheme="MESH" qualifier="antagonistes et inhibiteurs" xml:lang="fr"><term>Adenosylhomocysteinase</term>
<term>Helicase</term>
<term>IMP dehydrogenase</term>
<term>Nucleoside-triphosphatase</term>
<term>Protéines virales</term>
<term>RNA replicase</term>
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<term>Nucleic Acid Synthesis Inhibitors</term>
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<front><div type="abstract" xml:lang="en"><title>Key Points</title>
<p id="Par2"><list list-type="bullet"><list-item><p id="Par3">In this article, the usefulness, or potential usefulness, of the currently licensed antiviral drugs and those in clinical or preclinical development is evaluated. The main conclusions are:</p>
</list-item>
<list-item><p id="Par4">For the treatment of polyomavirus, papillomavirus, adenovirus and poxvirus infections, the acyclic nucleoside phosphonates such as cidofovir have the greatest potential.</p>
</list-item>
<list-item><p id="Par5">For the treatment of HSV and VZV infections, (val)acyclovir, famciclovir and brivudin are important.</p>
</list-item>
<list-item><p id="Par6">For the treatment of CMV infections, (val)ganciclovir, cidofovir and foscarnet are the most promising.</p>
</list-item>
<list-item><p id="Par7">Ribavirin is proposed for the treatment of (−)RNA virus (such as arenavirus and bunyavirus) infections, whereas IFN and IFN inducers are envisaged for the treatment of (+)RNA virus infections, particularly picornavirus (for example, coxsackie B) and togavirus (for example, Western, Eastern and Venezuelan equine encephalitis virus) infections.</p>
</list-item>
<list-item><p id="Par8">For the treatment of HCV infections, pegylated IFN, in combination with ribavirin, is currently recommended, although compounds targeted at the HCV protease and RNA-dependent RNA polymerase have also been developed.</p>
</list-item>
<list-item><p id="Par9">For the therapy and prophylaxis of influenza virus infections, the neuraminidase inhibitors zanamivir and oseltamivir are the current drugs of choice.</p>
</list-item>
<list-item><p id="Par10">Among the paramyxoviruses, human metapneumovirus (hMPV) and respiratory syncytial virus (RSV) are the viruses for which antiviral therapy is most required. Although ribavirin is available for the treatment of RSV infections, it is not ideal, and therefore, new compounds are required for the treatment of hMPV and RSV infections.</p>
</list-item>
<list-item><p id="Par11">A plethora of 'old' and 'new' compounds are available or are being developed for the treatment of HIV infections. Multiple drug regimens might be beneficial for HIV treatment.</p>
</list-item>
<list-item><p id="Par12">For other virus infections —rotavirus, and Ebola, Marburg and other haemorrhagic virus infections — the choice of potential antiviral agents is rather limited, however, SAH hydrolase inhibitors such as 3-deazaneplanocin A are currently the most promising.</p>
</list-item>
</list>
</p>
<sec><title>Supplementary information</title>
<p>The online version of this article (doi:10.1038/nrmicro975) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
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