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Published on: October 29, 2015
Developing and Using Therapeutics for Emerging Infections
Jeannine S McCune1, Kellie S Reynolds2
1Department of Pharmacy, University of Washington, Seattle, Washington, USA.
Abstract:
This issue of Clinical Pharmacology & Therapeutics focuses on emerging infections. The outbreaks of the vaccine-preventable diseases (e.g., measles) and the emerging pathogens (e.g., Ebola) show us how small the world has become. These outbreaks also show the pressing need for effective public education and development of novel therapies. This issue covers various aspects of relevant therapeutic topics ranging from preclinical models, pharmacokinetics, pharmacodynamics, pharmacogenomics, and clinical trial results, to education efforts in this area. Pharmacokinetic/dynamic modeling had an appreciable role in reducing the morbidity and mortality associated with human immunodeficiency virus and hepatitis C virus, recent emerging infections. However, these gains could be lessened by poor adherence to therapies, which has contributed to the development of multidrug-resistant tuberculosis. We must not forget lessons from previous infections, or they may reemerge.
Insights
Emerging infectious diseases like measles and Ebola highlight the need for new therapies and public education. Pharmacokinetic/dynamic modeling is crucial for combating infections, but adherence challenges and drug resistance remain significant concerns.
Area of Science:
- Infectious Diseases
- Pharmacology
- Public Health
Background:
- Outbreaks of vaccine-preventable diseases (e.g., measles) and emerging pathogens (e.g., Ebola) underscore global interconnectedness.
- The rise of infectious diseases necessitates advancements in therapeutic development and public health strategies.
Discussion:
- Pharmacokinetic/dynamic (PK/PD) modeling has been instrumental in managing infections like HIV and Hepatitis C.
- Therapeutic adherence is critical; poor adherence contributes to the development of multidrug-resistant tuberculosis (MDR-TB).
Key Insights:
- The journal issue covers preclinical models, PK/PD, pharmacogenomics, clinical trials, and educational efforts for emerging infections.
- PK/PD modeling significantly reduces morbidity and mortality in viral infections.
- Multidrug-resistant tuberculosis (MDR-TB) is a growing threat exacerbated by poor treatment adherence.
Outlook:
- Continued research into novel therapies and robust public education are essential for managing future outbreaks.
- Addressing adherence challenges is paramount to preserving the efficacy of antimicrobial therapies.
- Lessons learned from past epidemics must inform strategies against re-emerging infectious threats.
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