Tan Ming, Jiang Xi
Cincinnati Children's Hospital Medical Center, Division of Infectious Diseases, University of Cincinnati, Cincinnati, OH 45229-3039, USA.
Curr Opin Investig Drugs. 2008 Feb;9(2):146-51.
Increasing epidemiological data indicate that norovirus is an important cause of acute gastroenteritis. Norovirus gastroenteritis is difficult to control owing to its widespread nature and the lack of a suitable antiviral agent or a vaccine to prevent infection. Despite the difficulty in cultivating noroviruses, significant advances in understanding the genomic structure, individual viral proteins, RNA replication strategy, and virus-host interaction of the virus have been made. These advancements provide new strategies in the development of antiviral agents against norovirus, including the inhibition of viral attachment to host cells through carbohydrate receptors, inhibition of viral protease and polymerase functions, and interference in viral replication. This review summarizes new developments in the treatment of norovirus gastroenteritis and discusses future research directions.
越来越多的流行病学数据表明,诺如病毒是急性胃肠炎的重要病因。由于诺如病毒胃肠炎具有广泛传播的特性,且缺乏合适的抗病毒药物或预防感染的疫苗,因此难以控制。尽管培养诺如病毒存在困难,但在了解该病毒的基因组结构、单个病毒蛋白、RNA复制策略以及病毒与宿主的相互作用方面已取得了重大进展。这些进展为开发抗诺如病毒的抗病毒药物提供了新策略,包括通过碳水化合物受体抑制病毒与宿主细胞的附着、抑制病毒蛋白酶和聚合酶的功能以及干扰病毒复制。本综述总结了诺如病毒胃肠炎治疗方面的新进展,并讨论了未来的研究方向。