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猴痘抗病毒药物的临床考虑:概述。

Clinical considerations on monkeypox antiviral medications: An overview.

机构信息

Student Research Committee, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Pharmacol Res Perspect. 2024 Feb;12(1):e01164. doi: 10.1002/prp2.1164.

DOI:10.1002/prp2.1164
PMID:38149674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10751857/
Abstract

Monkeypox (mpox), a virus belonging to the orthopoxvirus family, can cause a zoonotic infectious disease with morbidity and cosmetic complications. Therefore, effective antiviral drugs with appropriate safety profiles are important for the treatment of patients with mpox. To date, there is no FDA-approved drug for the treatment of mpox. However, tecovirimat, brincidofovir, and cidofovir are the candidate therapies for the management of mpox. Given the safety concerns following the use of these medications, we aimed to review evidence on the clinical considerations of mpox antiviral medications that will be useful to guide clinicians in the treatment approach. Based on the current evidence, tecovirimat has favorable clinical efficacy, safety, and side effect profile and it can be considered as first-line treatment for mpox.

摘要

猴痘(mpox),一种属于正痘病毒科的病毒,可引起具有发病率和美容并发症的人畜共患传染病。因此,对于 mpox 患者的治疗,具有适当安全性特征的有效抗病毒药物非常重要。迄今为止,尚无 FDA 批准的用于治疗 mpox 的药物。然而,tecovirimat、brincidofovir 和cidofovir 是管理 mpox 的候选疗法。鉴于这些药物使用后的安全性问题,我们旨在综述 mpox 抗病毒药物的临床注意事项的证据,这将有助于指导临床医生的治疗方法。基于目前的证据,tecovirimat具有良好的临床疗效、安全性和副作用特征,可考虑作为 mpox 的一线治疗药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bd/10751857/0a845cb3758d/PRP2-12-e01164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bd/10751857/0a845cb3758d/PRP2-12-e01164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bd/10751857/0a845cb3758d/PRP2-12-e01164-g001.jpg

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本文引用的文献

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Treatment of Mpox with Suspected Tecovirimat Resistance in Immunocompromised Patient, United States, 2022.2022 年美国免疫功能低下患者疑似特考韦瑞玛耐药性猴痘的治疗。
Emerg Infect Dis. 2023 Dec;29(12):2520-2523. doi: 10.3201/eid2912.230849. Epub 2023 Oct 19.
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An Updated Review on Monkeypox Viral Disease: Emphasis on Genomic Diversity.猴痘病毒病最新综述:聚焦基因组多样性
Biomedicines. 2023 Jun 26;11(7):1832. doi: 10.3390/biomedicines11071832.
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Identification of Tecovirimat Resistance-Associated Mutations in Human Monkeypox Virus - Los Angeles County.
重新利用强力霉素抑制猴痘病毒DNA聚合酶:一项全面的计算研究
In Silico Pharmacol. 2025 Feb 13;13(1):27. doi: 10.1007/s40203-025-00307-7. eCollection 2025.
在洛杉矶县人类猴痘病毒中鉴定替考韦瑞玛耐药相关突变
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An Overview of Antivirals against Monkeypox Virus and Other Orthopoxviruses.抗猴痘病毒及其他正痘病毒的抗病毒药物概述
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Monkeypox (mpox) virus: Classification, origin, transmission, genome organization, antiviral drugs, and molecular diagnosis.猴痘(mpox)病毒:分类、起源、传播、基因组组织、抗病毒药物和分子诊断。
J Infect Public Health. 2023 Apr;16(4):531-541. doi: 10.1016/j.jiph.2023.02.003. Epub 2023 Feb 9.
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N Engl J Med. 2022 Nov 10;387(19):1783-1793. doi: 10.1056/NEJMra2208860. Epub 2022 Oct 26.
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