Wong Jonathan P, Viswanathan Satya, Wang Ming, Sun Lun-Quan, Clark Graeme C, D'Elia Riccardo V
Defence Research & Development Canada, Suffield Research Centre, Ralston, Alberta, Canada.
College of Veterinary Medicine, China Agriculture University, Beijing, China.
Future Med Chem. 2017 Feb;9(2):169-178. doi: 10.4155/fmc-2016-0181. Epub 2017 Jan 27.
Emerging pathogenic viruses such as Ebola and Middle Eastern Respiratory Syndrome coronavirus (MERS-CoV) can cause acute infections through the evasion of the host's antiviral immune responses and by inducing the upregulation of inflammatory cytokines. This immune dysregulation, termed a cytokine storm or hypercytokinemia, is potentially fatal and is a significant underlying factor in increased mortality of infected patients. The prevalence of global outbreaks in recent years has offered opportunities to study the progression of various viral infections and have provided an improved understanding of hypercytokinemia associated with these diseases. However, despite this increased knowledge and the study of the infections caused by a range of emerging viruses, the therapeutic options still remain limited. This review aims to explore alternative experimental strategies for treating hypercytokinemia induced by the Ebola, avian influenza and Dengue viruses; outlining their modes of action, summarizing their preclinical assessments and potential clinical applications.
埃博拉病毒和中东呼吸综合征冠状病毒(MERS-CoV)等新出现的致病病毒可通过逃避宿主的抗病毒免疫反应以及诱导炎性细胞因子上调来引发急性感染。这种免疫失调,即细胞因子风暴或高细胞因子血症,具有潜在致命性,是感染患者死亡率增加的一个重要潜在因素。近年来全球疫情的流行提供了研究各种病毒感染进展的机会,并增进了对与这些疾病相关的高细胞因子血症的理解。然而,尽管有了更多的认识以及对一系列新出现病毒引起的感染进行了研究,但治疗选择仍然有限。本综述旨在探索治疗由埃博拉病毒、禽流感病毒和登革热病毒诱导的高细胞因子血症的替代实验策略;概述其作用方式,总结其临床前评估和潜在的临床应用。