Hebei Key Laboratory of Analysis and Control of Zoonotic Pathogenic Microorganism, Hebei Wild Animal Health Center, College of Life Sciences, Hebei Agricultural University, Baoding, China.
Department of High-Tech Development, Baoding City Science and Technology Bureau, Baoding, China.
mBio. 2024 May 8;15(5):e0017524. doi: 10.1128/mbio.00175-24. Epub 2024 Mar 29.
Influenza viruses (IVs) threaten global human health due to the high morbidity, infection, and mortality rates. Currently, the influenza drugs recommended by the Food and Drug Administration are oseltamivir, zanamivir, peramivir, and baloxavir marboxil. These recommended antivirals are currently effective for major subtypes of IVs as the compounds target conserved domains in neuraminidase or polymerase acidic (PA) protein. However, this trend may gradually change due to the selection of antiviral drugs and the natural evolution of IVs. Therefore, there is an urgent need to develop drugs related to the treatment of influenza to deal with the next pandemic. Here, we summarized the cutting-edge research in mechanism of action, inhibitory activity, and clinical efficacy of drugs that have been approved and drugs that are still in clinical trials for influenza treatment. We hope this review will provide up-to-date and comprehensive information on influenza antivirals and generate hypotheses for screens and development of new broad-spectrum influenza drugs in the near future.
流感病毒(IVs)由于高发病率、感染率和死亡率而威胁着全球人类健康。目前,食品和药物管理局推荐的流感药物有奥司他韦、扎那米韦、帕拉米韦和巴洛沙韦马博瑞尔。这些推荐的抗病毒药物目前对 IVs 的主要亚型有效,因为这些化合物针对神经氨酸酶或聚合酶酸性(PA)蛋白中的保守结构域。然而,由于抗病毒药物的选择和 IVs 的自然进化,这种趋势可能会逐渐改变。因此,迫切需要开发与流感治疗相关的药物,以应对下一次大流行。在这里,我们总结了已批准用于流感治疗的药物和仍处于临床试验阶段的药物的作用机制、抑制活性和临床疗效的最新研究。我们希望本综述将为流感抗病毒药物提供最新和全面的信息,并为未来不久的广谱抗流感新药的筛选和开发提供假说。