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Early Viral Entry Assays for the Identification and Evaluation of Antiviral Compounds
Published on: October 29, 2015
Molecular targets for antiviral therapy of cytomegalovirus infections
Manfred Marschall1, Thomas Stamminger
1Institute for Clinical & Molecular Virology, University of Erlangen-Nuremberg, Schlossgarten 4, 91054 Erlangen, Germany. manfred.marschall@viro.med.uni-erlangen.de
Abstract:
Human cytomegalovirus infections are still associated with severe morbidity and mortality in immunocompromised individuals, despite the availability of five drugs that are currently licensed for antiviral therapy. Furthermore, human cytomegalovirus is the most frequent cause of congenital infections for which antiviral treatment options are very limited. Thus, the need for a potent, safe and well-tolerated antiviral drug remains. This review focuses on target molecules that are implicated in the development of innovative anticytomegaloviral approaches, such as viral immediate-early and DNA replication proteins, as well as regulatory protein kinases. Special emphasis is given to promising host factors, in particular the receptor tyrosine kinase PDGF and cyclin-dependent protein kinases, since a combined targeting of viral and cellular factors that are critical for viral replication may alleviate the emergence of drug-resistant virus variants.
Insights
New antiviral strategies are needed for human cytomegalovirus (CMV) infections, which cause severe illness in immunocompromised patients and congenital infections. This review explores novel viral and host targets to develop effective treatments against drug-resistant CMV.
Area of Science:
- Virology
- Immunology
- Drug Discovery
Background:
- Human cytomegalovirus (CMV) infections pose significant health risks, causing severe morbidity and mortality in immunocompromised individuals.
- Current antiviral therapies are insufficient, and treatment options for congenital CMV infections are limited, highlighting an urgent need for new drugs.
Purpose of the Study:
- This review identifies and analyzes key target molecules for developing innovative anti-CMV therapies.
- It focuses on viral proteins and host factors crucial for viral replication to overcome existing treatment limitations.
Main Methods:
- The review synthesizes current research on potential anti-CMV drug targets.
- It examines viral immediate-early proteins, DNA replication proteins, and regulatory protein kinases.
- Special attention is given to host factors like platelet-derived growth factor (PDGF) receptor tyrosine kinase and cyclin-dependent kinases.
Main Results:
- Several viral proteins and host factors have been identified as promising targets for novel anti-CMV drugs.
- Targeting host factors, in addition to viral components, may offer a strategy to combat drug-resistant CMV variants.
Conclusions:
- The development of potent, safe, and well-tolerated antiviral drugs against CMV is critically needed.
- Combined targeting of viral and cellular factors presents a promising approach to overcome CMV resistance and improve treatment outcomes.
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