Swallow D L, Kampfner G L
Br Med Bull. 1985 Oct;41(4):322-32. doi: 10.1093/oxfordjournals.bmb.a072071.
The major disease targets for antiviral chemotherapy are influenza, rhinovirus colds and herpetic infections Some success has been achieved against influenza with 1-amino adamantane (amantadine), and several new alicyclic amines are at the development stage. There are many organic compounds, covering a wide range of chemical types, which will inhibit very effectively most or all strains of rhinovirus in vitro, but all have failed to inhibit significantly disease development in infected human volunteers. Most success has been achieved with anti-herpetic drugs, and a variety of nucleoside analogues ar now available for clinical use. Primary testing methods for potential antiviral agents rely on high-through-put methods for detecting inhibition of virus replication in cell cultures. Secondary screening of active compounds is often done in organ culture e.g. tracheal tissue explants. In-vivo evaluation is done in animal models of the human disease, where available. Prolonged safety testing is required before human trials can be started.
抗病毒化疗的主要疾病靶点是流感、鼻病毒感冒和疱疹感染。使用1-氨基金刚烷(金刚烷胺)治疗流感已取得一些成效,几种新的脂环胺正处于研发阶段。有许多有机化合物,涵盖广泛的化学类型,在体外能非常有效地抑制大多数或所有鼻病毒株,但在受感染的人类志愿者中,所有这些化合物都未能显著抑制疾病发展。抗疱疹药物取得的成效最大,现在有多种核苷类似物可供临床使用。潜在抗病毒药物的主要检测方法依赖于高通量方法来检测细胞培养中病毒复制的抑制情况。活性化合物的二次筛选通常在器官培养中进行,例如气管组织外植体。在可行的情况下,在人类疾病的动物模型中进行体内评估。在开始人体试验之前,需要进行长期的安全性测试。