Department of Microbiology, Faculty of Naval Medicine, Naval Medical University, Shanghai 200433, China.
Department of Clinic Laboratory Diagnostics, General Hospital of Tibet Military Area Command of PLA, Lhasa 850007, China.
Viruses. 2023 Apr 23;15(5):1033. doi: 10.3390/v15051033.
Culex mosquitoes are the primary vectors of the Japanese encephalitis virus (JEV). Since its discovery in 1935, Japanese encephalitis (JE), caused by JEV, has posed a significant threat to human health. Despite the widespread implementation of several JEV vaccines, the transmission chain of JEV in the natural ecosystem has not changed, and the vector of transmission cannot be eradicated. Therefore, JEV is still the focus of attention for flaviviruses. At present, there is no clinically specific drug for JE treatment. JEV infection is a complex interaction between the virus and the host cell, which is the focus of drug design and development. An overview of antivirals that target JEV elements and host factors is presented in this review. In addition, drugs that balance antiviral effects and host protection by regulating innate immunity, inflammation, apoptosis, or necrosis are reviewed to treat JE effectively.
库蚊是日本脑炎病毒 (JEV) 的主要传播媒介。自 1935 年发现以来,由 JEV 引起的日本脑炎 (JE) 一直对人类健康构成重大威胁。尽管已经广泛应用了几种 JEV 疫苗,但 JEV 在自然生态系统中的传播链并未改变,且传播媒介也无法被根除。因此,JEV 仍然是黄病毒关注的焦点。目前,针对 JE 的治疗尚无临床特效药物。JEV 感染是病毒与宿主细胞之间复杂的相互作用,这是药物设计和开发的重点。本文综述了针对 JEV 病毒元件和宿主因子的抗病毒药物。此外,还综述了通过调节先天免疫、炎症、细胞凋亡或坏死来平衡抗病毒作用和宿主保护的药物,以期有效治疗 JE。