Department of Pediatrics, School of Medicine, Fukushima Medical University, Japan.
Jpn J Infect Dis. 2021 Mar 24;74(2):154-156. doi: 10.7883/yoken.JJID.2020.481. Epub 2020 Aug 31.
Subacute sclerosing panencephalitis (SSPE) is a late-onset, intractable, and fatal viral disease caused by persistent infection of the central nervous system with a measles virus mutant (SSPE virus). In Japan, interferon-α and ribavirin are administered intracerebroventricularly to patients with SSPE. However, as the therapeutic effect is insufficient, more effective drugs are needed. Favipiravir, which is clinically used as an anti-influenza drug, demonstrates anti-viral effects against RNA viruses. In this study, the antiviral effect of favipiravir against measles virus (Edmonston strain) and SSPE virus (Yamagata-1 strain) was examined in vitro. The 50% effective concentration (EC) of favipiravir (inhibiting viral plaque formation by 50%) against Edmonston and Yamagata-1 strains were 108.7 ± 2.0 μM (17.1 ± 0.3 μg/mL) and 38.6 ± 6.0 μM (6.1 ± 0.9 μg/mL), respectively, which were similar to those of ribavirin. The antiviral activity of favipiravir against the SSPE virus was demonstrated for the first time in this study.
亚急性硬化性全脑炎(SSPE)是一种迟发性、难治性、致命性的病毒病,由麻疹病毒突变株(SSPE 病毒)持续感染中枢神经系统引起。在日本,干扰素-α和利巴韦林通过脑室内给药用于治疗 SSPE 患者。然而,由于治疗效果不足,需要更有效的药物。法匹拉韦是一种临床上用于抗流感的药物,对 RNA 病毒具有抗病毒作用。在这项研究中,体外研究了法匹拉韦对麻疹病毒(Edmonston 株)和 SSPE 病毒(Yamagata-1 株)的抗病毒作用。法匹拉韦(抑制病毒斑形成 50%)对 Edmonston 和 Yamagata-1 株的 50%有效浓度(EC)分别为 108.7 ± 2.0 μM(17.1 ± 0.3 μg/mL)和 38.6 ± 6.0 μM(6.1 ± 0.9 μg/mL),与利巴韦林相似。本研究首次证明了法匹拉韦对 SSPE 病毒的抗病毒活性。