Binti Adnan Nur Amelia Azreen, Kalam Nida, Lim Zi Jiunn Gabriel, Komarasamy Thamil Vaani, Balasubramaniam Vinod R M T
Infection and Immunity Research Strength, Jeffrey Cheah School of Medicine & Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia.
Am J Trop Med Hyg. 2024 Dec 17;112(3):481-490. doi: 10.4269/ajtmh.23-0819. Print 2025 Mar 5.
Chikungunya virus (CHIKV), prevalent in tropical regions, is known for causing frequent outbreaks, particularly in Central Africa, South America, and Southeast Asia. It is an arbovirus transmitted by the Aedes (Ae.) aegypti and Ae. albopictus mosquitoes. Infections lead to severe joint and muscle pain, which can linger and significantly impair an individual's health, quality of life, and economic stability. Recent climatic changes and the globalization of travel have facilitated the worldwide spread of these mosquitoes. Currently, no U.S. Food and Drug Administration (FDA) approved drug is available for treating CHIKV infection. Recently, the FDA approved a live, attenuated vaccine called Ixchiq. However, this vaccine has been linked to side effects, leading the FDA to mandate additional post-marketing studies to assess the risk of severe adverse reactions similar to the virus. An emerging strategy in drug development focuses on targeting host factors that the virus exploits rather than the viral proteins themselves. This review explores the interactions between CHIKV and host factors that could be potential therapeutic targets. Despite progress in understanding the life cycle of CHIKV, the immune system's role in combating the virus still needs to be fully understood. Investigating treatments that enhance the host's immune response may offer new paths to combating CHIKV.
基孔肯雅病毒(CHIKV)在热带地区流行,以频繁引发疫情而闻名,尤其是在中非、南美洲和东南亚地区。它是一种虫媒病毒,由埃及伊蚊和白纹伊蚊传播。感染会导致严重的关节和肌肉疼痛,这种疼痛可能会持续存在,并严重损害个人的健康、生活质量和经济稳定性。最近的气候变化和旅行全球化促进了这些蚊子在全球的传播。目前,美国食品药品监督管理局(FDA)尚未批准任何用于治疗基孔肯雅病毒感染的药物。最近,FDA批准了一种名为Ixchiq的减毒活疫苗。然而,这种疫苗与副作用有关,导致FDA要求进行额外的上市后研究,以评估类似病毒严重不良反应的风险。药物开发中的一种新兴策略侧重于靶向病毒利用的宿主因子,而不是病毒蛋白本身。本综述探讨了基孔肯雅病毒与可能成为潜在治疗靶点的宿主因子之间的相互作用。尽管在了解基孔肯雅病毒的生命周期方面取得了进展,但免疫系统在对抗该病毒中的作用仍需充分了解。研究增强宿主免疫反应的治疗方法可能为对抗基孔肯雅病毒提供新途径。