Department of Pediatrics, University of Alabama, School of Medicine, Birmingham, AL 35233-1711, USA.
Curr Opin Virol. 2011 Dec;1(6):548-54. doi: 10.1016/j.coviro.2011.10.015.
Resurgent interest in antiviral drugs for the treatment of herpesvirus has led to the development of new compounds that are progressing through clinical trials. This is important because there are few therapeutic options for resistant infections and some viruses such as human cytomegalovirus remain underserved. New compounds include conventional DNA polymerase inhibitors such as valomaciclovir and cyclopropavir, as well as CMX001 that has a broad spectrum of antiviral activity that includes all the herpesviruses. It also includes compounds with new molecular targets such as maribavir (MBV), FV-100, AIC361, and AIC246. Recent advances with each of these compounds will be reviewed including their virus specificity, mechanism of action, and stage of development. The potential of these new compounds to improve clinical outcome will also be discussed.
抗病毒药物治疗疱疹病毒的重新兴起,促使新化合物的研发进入临床试验阶段。这一点非常重要,因为对于耐药感染而言,治疗选择非常有限,而某些病毒(如人类巨细胞病毒)仍未得到充分治疗。新化合物包括传统的 DNA 聚合酶抑制剂,如缬更昔洛韦和环丙氧鸟苷,以及广谱抗病毒活性化合物 CMX001,该化合物包括所有疱疹病毒。此外,还有一些具有新型分子靶点的化合物,如马拉韦罗(MBV)、FV-100、AIC361 和 AIC246。将对这些化合物的最新进展进行综述,包括它们的病毒特异性、作用机制和研发阶段。还将讨论这些新化合物改善临床疗效的潜力。