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迈向治疗登革病毒感染的抗病毒疗法。

Towards antiviral therapies for treating dengue virus infections.

作者信息

Kaptein Suzanne Jf, Neyts Johan

机构信息

KU Leuven - University of Leuven, Department of Immunology and Microbiology, Virology and Chemotherapy, Rega Institute for Medical Research, Minderbroedersstraat 10, B-3000 Leuven, Belgium.

KU Leuven - University of Leuven, Department of Immunology and Microbiology, Virology and Chemotherapy, Rega Institute for Medical Research, Minderbroedersstraat 10, B-3000 Leuven, Belgium.

出版信息

Curr Opin Pharmacol. 2016 Oct;30:1-7. doi: 10.1016/j.coph.2016.06.002. Epub 2016 Jun 28.

Abstract

Dengue virus is an emerging human pathogen that poses a huge public health burden by infecting annually about 390 million individuals of which a quarter report with clinical manifestations. Although progress has been made in understanding dengue pathogenesis, a licensed vaccine or antiviral therapy against this virus is still lacking. Treatment of patients is confined to symptomatic alleviation and supportive care. The development of dengue therapeutics thus remains of utmost importance. This review focuses on the few molecules that were evaluated in dengue virus-infected patients: balapiravir, chloroquine, lovastatin, prednisolone and celgosivir. The lessons learned from these clinical trials can be very helpful for the design of future trials for the next generation of dengue virus inhibitors.

摘要

登革病毒是一种新出现的人类病原体,每年感染约3.9亿人,其中四分之一出现临床表现,给公共卫生带来巨大负担。尽管在理解登革热发病机制方面取得了进展,但针对这种病毒的许可疫苗或抗病毒疗法仍然缺乏。患者的治疗仅限于症状缓解和支持性护理。因此,登革热治疗方法的开发仍然至关重要。本综述重点关注在登革病毒感染患者中评估的少数几种分子:巴洛匹韦、氯喹、洛伐他汀、泼尼松龙和西戈斯韦。从这些临床试验中吸取的经验教训对下一代登革病毒抑制剂未来试验的设计可能非常有帮助。

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