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呼吸道合胞病毒疾病预防与治疗的最新进展

Recent advances in the prevention and treatment of respiratory syncytial virus disease.

作者信息

Sanchez-Martinez Alexandra, Moore Tom, Freitas Telma Sancheira, Benzaken Tami R, O'Hagan Shaun, Millar Emma, Groves Helen E, Drysdale Simon B, Broadbent Lindsay

机构信息

School of Biosciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.

Medical Radiation Physics Group, The National Physical Laboratory, Teddington, UK.

出版信息

J Gen Virol. 2025 Apr;106(4). doi: 10.1099/jgv.0.002095.

Abstract

Respiratory syncytial virus (RSV) is associated with considerable healthcare burden; as such, prevention and treatment of RSV have long been considered a priority. Historic failures in RSV vaccine development had slowed the research field. However, the discovery of the conformational change in the RSV fusion protein (F) has led to considerable advancements in the field. The RSV pharmaceutical landscape has drastically changed in recent years with successful trials of both vaccines and second-generation mAbs leading to licensing and roll-out of these agents in several countries. RSV preventative and therapeutic measures will likely have a significant impact on RSV-related morbidity and mortality. However, there are still gaps in the protection that these immunizations offer that should be addressed. Many unanswered questions about RSV infection dynamics and subsequent disease should be a focus of ongoing research. This review discusses the currently licensed RSV pharmaceuticals and others that have recently progressed to clinical trials.

摘要

呼吸道合胞病毒(RSV)与相当大的医疗负担相关;因此,RSV的预防和治疗长期以来一直被视为优先事项。RSV疫苗研发的历史性失败减缓了该研究领域的进展。然而,RSV融合蛋白(F)构象变化的发现推动了该领域的显著进步。近年来,随着疫苗和第二代单克隆抗体的成功试验,RSV药物格局发生了巨大变化,这些药物已在多个国家获批并推出。RSV预防和治疗措施可能会对RSV相关的发病率和死亡率产生重大影响。然而,这些免疫措施提供的保护仍存在差距,需要加以解决。许多关于RSV感染动态及后续疾病的未解答问题应成为正在进行的研究重点。本综述讨论了目前已获许可的RSV药物以及其他最近已进入临床试验阶段的药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cf/12282282/ddbb16030395/jgv-106-02095-g001.jpg

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