Shigeta S
Department of Microbiology, Fukushima Medical College.
Nihon Rinsho. 1997 Oct;55(10):2758-64.
Antiviral research for influenza viruses (FluV) is proceeding actively whereas few compounds are available for clinical use. Amantadine, an inhibitor of M2 ion-channel of FluV-A has been a key compound which disclosed important function of M2 protein, however, its clinical efficacy is restricted only in chemoprophylaxis of infection. Recently several compounds which showed novel antiviral mechanism for FluV replication emerged. They are inhibitors of conformation change of HA, of fusion of envelope and cellular membrane, of endonuclease on mRNA, of viral RNA replication, and of NA activity. Although most of these inhibitors are under investigations some of them are in clinical trial of phase II or phase III. It is obvious that most important problem in clinical use of anti-FluV drugs should be its side effects, bioavailability and stability in human bodies.
针对流感病毒(FluV)的抗病毒研究正在积极进行,然而可供临床使用的化合物却很少。金刚烷胺是甲型流感病毒M2离子通道的抑制剂,它曾是一种关键化合物,揭示了M2蛋白的重要功能,但其临床疗效仅局限于感染的化学预防。最近出现了几种对流感病毒复制具有新型抗病毒机制的化合物。它们是血凝素(HA)构象变化、包膜与细胞膜融合、mRNA上的核酸内切酶、病毒RNA复制以及神经氨酸酶(NA)活性的抑制剂。尽管这些抑制剂大多仍在研究中,但其中一些已进入二期或三期临床试验。显然,抗流感病毒药物临床使用中最重要的问题应该是其副作用、生物利用度和在人体内的稳定性。