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Published on: January 7, 2019
Inhibitors of measles virus
1Institute for Antiviral Research, Dept. ADVS, Utah State University, Logan, UT, USA. honery@cc.usu.edu
Abstract:
Measles virus (MV) infections have been almost eradicated in some industrialized nations. However, MV continues to cause severe disease and mortality in the world and is responsible for clusters of exogenous-borne disease in essentially disease-free countries. Because of the ebb and flow of immunization campaigns, especially in the poverty-stricken and war-torn Third World, and the ominous potential for severe disease and mortality, it is vital that research for discovery of therapeutic countermeasures should continue. To that end, a number of compounds have been evaluated for efficacy in vitro and in animal models, and several therapeutic modalities have been tested in the clinic. The only current therapies used in the clinic include ribavirin administered orally or intravenously, alone or in combination with immune serum globulin; these therapies have demonstrated variable efficacy. Therefore, drug discovery efforts have been launched to supplement the existing treatments for MV infections. Antisense molecules, adenosine and guanosine nucleosides, including ring-expanded 'fat' nucleoside analogues, brassinosteroids, coumarins, peptide inhibitors, modulators of cholesterol synthesis and a variety of natural products have been screened for efficacy and toxicity both in vitro and in animals. However, none of these agents has gone into human clinical trials and most will not merit further development due to toxicity concerns and/or low potency. Thus, further research is needed to develop more potent and less toxic drugs that could be used for treating MV infections to supplement the existing MV vaccine campaigns.
Insights
Measles virus (MV) infections remain a global threat, necessitating new treatments. Current therapies show limited efficacy, driving research for more potent and safer antiviral drugs to complement vaccination efforts.
Area of Science:
- Virology
- Infectious Diseases
- Drug Discovery
Background:
- Measles virus (MV) infections persist globally, causing significant morbidity and mortality, particularly in regions with inconsistent vaccination coverage.
- Outbreaks occur even in industrialized nations due to waning immunity and imported cases, highlighting the need for effective treatments beyond vaccines.
- Existing therapies like ribavirin offer variable efficacy, underscoring the urgent need for novel therapeutic countermeasures against measles.
Purpose of the Study:
- To review the current landscape of measles virus (MV) therapeutic research.
- To identify promising drug candidates and highlight challenges in developing new anti-measles treatments.
- To emphasize the ongoing need for potent and safe drugs to combat MV infections.
Main Methods:
- Evaluation of various compounds, including nucleoside analogues, brassinosteroids, coumarins, and natural products, for anti-MV activity.
- In vitro and animal model studies to assess efficacy and toxicity of potential therapeutic agents.
- Review of clinical trial data for existing measles treatments and investigational drug candidates.
Main Results:
- Several classes of compounds have been screened, showing potential in preclinical studies.
- Current clinical treatments, such as ribavirin, exhibit inconsistent effectiveness.
- Many investigated agents have not progressed to human trials due to toxicity or low potency concerns.
Conclusions:
- Despite advances, effective and safe treatments for measles virus infections are still lacking.
- Further research is crucial to develop novel antiviral drugs with improved potency and safety profiles.
- New therapeutic agents are needed to supplement existing measles vaccination programs and control global outbreaks.
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