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The need for treatment against human parechoviruses: how, why and when?
Joanne G Wildenbeest1, Heli Harvala, Dasja Pajkrt
1Department of Medical Microbiology, Laboratory of Clinical Virology, K1-121, Academic Medical Center, Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands.
Insights
Human parechoviruses (HPeVs), once overlooked, are now recognized causes of severe illness in neonates. Urgent development of antiviral therapies is crucial for treating these picornavirus infections.
Area of Science:
- Virology
- Infectious Diseases
- Pediatrics
Background:
- Human parechoviruses (HPeVs) are a distinct group within the Picornaviridae family, previously underestimated and linked to mild childhood illnesses.
- The discovery of HPeV-3 in 2004 and its association with neonatal sepsis highlighted the significant clinical relevance of HPeVs.
- HPeV infections can present similarly to human enterovirus (HEV) infections, causing sepsis-like illness and central nervous system (CNS) infections in young children.
Purpose of the Study:
- To underscore the urgent need for therapeutic interventions against human parechoviruses (HPeVs).
- To review existing knowledge on treatment strategies for HPeV and related picornaviruses.
- To examine current advancements in antiviral therapies applicable to HPeVs.
Main Methods:
- Literature review of HPeV and HEV infections.
- Analysis of clinical presentations and disease associations of HPeVs.
- Survey of current and emerging antiviral treatment options for picornaviruses.
Main Results:
- HPeVs are increasingly recognized as significant pathogens, particularly in neonates and young children.
- Clinical manifestations of HPeV infections can be severe, mimicking other serious conditions like HEV infections.
- No specific antiviral therapies are currently available for HPeVs or HEVs.
Conclusions:
- There is a critical need for the development of effective antiviral therapies against HPeVs.
- Understanding HPeV pathogenesis and treatment is essential for improving outcomes in affected children.
- Advancements in picornavirus antiviral research offer potential avenues for HPeV treatment development.
Abstract:
Since 1999, human parechoviruses (HPeVs) have been classified as a separate group in the large and expanding family of Picornaviridae. In contrast to the well-established group of the human enteroviruses (HEVs), HPeVs have long been considered as irrelevant and have only been associated with mild disease manifestations in children. The identification of HPeV-3 in 2004 and its association with neonatal sepsis, refocused attention on this neglected group of viruses. Clinically HPeV infections may mimic HEV infections and are increasingly recognized as viral causes of sepsis-like illness and CNS infections in young children. Therapy is not available against HPeVs or HEVs. In this article, we will demonstrate that therapy against this group of picornaviruses is urgently needed and we will review the current knowledge of treatment options as well as the current developments in antiviral therapy against picornaviruses in the scope of treatment possibilities against HPeVs.
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