a Department of Microbiology, Institute of Biomedical Sciences , University of São Paulo , São Paulo , Brazil.
b Department of Surgery, School of Veterinary Medicine , University of São Paulo , São Paulo , Brazil.
Expert Opin Drug Discov. 2019 Jun;14(6):577-589. doi: 10.1080/17460441.2019.1597050. Epub 2019 Apr 16.
Just before the Brazilian outbreak, Zika virus was related to a mild infection, causing fever and skin rash. Congenital Zika Syndrome was first described in Brazil, causing microcephaly and malformations in newborns. Three years after the outbreak, the mechanisms of Zika pathogenesis are still not completely elucidated. Moreover, as of today, there is still no approved vaccine that can be administered to the susceptible population. Considering the unmet clinical need, animal models represent an unprecedented opportunity to study Zika pathophysiology and test drugs for the treatment and prevention of vertical transmission. Areas covered: The authors explore the current knowledge about Zika through animal models and advancements in drug discovery by highlighting drugs with the greatest potential to treat ZIKV infection and block vertical transmission. Expert opinion: Some drugs used to treat other infections have been repurposed to treat Zika infection, reducing the cost and time for clinical application. One promising example is Sofosbuvir, which protected mice models against Zika pathogenesis by preventing vertical transmission. Importantly, there is a lack on exploration on the long-term effects of Zika Congenital Syndrome, as well as the possible ways to treat its sequelae.
就在巴西疫情爆发之前,寨卡病毒曾引发轻度感染,导致发热和皮疹。先天性寨卡综合征于巴西首次被描述,可导致新生儿小头畸形和畸形。疫情爆发三年后,寨卡病毒发病机制的机制仍未完全阐明。此外,截至今天,仍没有经过批准的疫苗可以给易感人群接种。鉴于未满足的临床需求,动物模型为研究寨卡病毒的病理生理学和测试治疗和预防垂直传播的药物提供了前所未有的机会。
作者通过动物模型探讨了寨卡病毒的现有知识,并通过突出具有最大潜力治疗 ZIKV 感染和阻断垂直传播的药物,探讨了药物发现方面的进展。
一些用于治疗其他感染的药物已被重新用于治疗寨卡病毒感染,从而降低了临床应用的成本和时间。一个有前途的例子是索非布韦,它通过预防垂直传播来保护寨卡病毒感染的小鼠模型。重要的是,对于寨卡先天性综合征的长期影响以及治疗其后遗症的可能方法,人们的探索还很缺乏。