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人呼吸道合胞病毒感染的药物治疗管理。

Pharmacological management of human respiratory syncytial virus infection.

机构信息

Millennium Institute on Immunology and Immunotherapy, Departamento De Genética Molecular Y Microbiología, Facultad De Ciencias Biológicas, Pontificia Universidad Católica De Chile , Santiago, Chile.

Departamento De Endocrinología, Facultad De Medicina, Pontificia Universidad Católica De Chile , Santiago, Chile.

出版信息

Expert Opin Pharmacother. 2020 Dec;21(18):2293-2303. doi: 10.1080/14656566.2020.1806821. Epub 2020 Aug 18.

Abstract

INTRODUCTION

Human respiratory syncytial virus (hRSV) is the primary viral cause of respiratory diseases, leading to bronchiolitis and pneumonia in vulnerable populations. The only current treatment against this virus is palliative, and no efficient and specific vaccine against this pathogen is available.

AREAS COVERED

The authors describe the disease symptoms caused by hRSV, the economic and social impact of this infection worldwide, and how this infection can be modulated using pharmacological treatments, preventing and limiting its dissemination. The authors discuss the use of antibodies as prophylactic tools -such as palivizumab- and the use of nonspecific drugs to decrease the symptoms associated with the infection -such as bronchodilators, corticoids, and antivirals. They also discuss current vaccine candidates, new prophylactic treatments, and new antivirals options, which are currently being tested.

EXPERT OPINION

Today, many researchers are focused on developing different strategies to modulate the symptoms induced by hRSV. However, to achieve this, understanding how current treatments are working and their shortcomings needs to be further elucidated.

摘要

简介

人类呼吸道合胞病毒(hRSV)是呼吸道疾病的主要病毒病因,可导致脆弱人群发生细支气管炎和肺炎。目前针对该病毒的唯一治疗方法是对症治疗,尚无针对该病原体的有效和特异性疫苗。

涵盖领域

作者描述了 hRSV 引起的疾病症状、该感染在全球范围内的经济和社会影响,以及如何使用药物治疗来调节这种感染,从而预防和限制其传播。作者讨论了抗体作为预防工具(如帕利珠单抗)的应用,以及使用非特异性药物来减轻与感染相关的症状(如支气管扩张剂、皮质类固醇和抗病毒药物)的应用。他们还讨论了目前正在测试的候选疫苗、新的预防治疗方法和新的抗病毒药物选择。

专家意见

目前,许多研究人员专注于开发不同的策略来调节 hRSV 引起的症状。然而,要实现这一目标,需要进一步阐明当前治疗方法的作用及其缺点。

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