Current and novel antiviral strategies for influenza infection

Hui-Ling Yen1

  • 1School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region.

Insights

Influenza antivirals face challenges from resistant strains. New drugs targeting viral polymerase and nucleoprotein, alongside combination therapies, offer promising future treatments for influenza infections.

Area of Science:

  • Virology
  • Infectious Diseases
  • Pharmacology

Background:

  • Influenza A and B viruses cause significant respiratory illness in all age groups.
  • Current antivirals (M2 blockers, NA inhibitors) face challenges due to emergent resistant strains and variable effectiveness.
  • Clinical outcomes range from mild illness to severe pneumonia and death.

Purpose of the Study:

  • To review current challenges in influenza antiviral therapy.
  • To highlight emerging antiviral strategies targeting novel viral components.
  • To discuss the potential of combination therapies for improved outcomes.

Main Methods:

  • Literature review of existing and developing influenza antiviral agents.
  • Analysis of viral and host factors influencing disease severity.
  • Exploration of novel drug targets including viral polymerase, nucleoprotein, and endonuclease domains.

Main Results:

  • Favipiravir, an RNA-dependent RNA polymerase inhibitor, is approved in Japan for resistant influenza strains.
  • Development of novel small molecule inhibitors targeting nucleoprotein (NP) oligomerization, PA endonuclease, and PB2 cap-binding domains is ongoing.
  • Combination therapy with antivirals or immune modulators shows potential clinical benefit.

Conclusions:

  • Emergence of antiviral resistance necessitates the development of new influenza therapeutics.
  • Targeting novel viral components like NP and polymerase offers promising avenues for drug development.
  • Combination strategies may enhance treatment efficacy and overcome resistance.

Related Concept Videos

Inhibitors of Viral Protein Synthesis01:30

Inhibitors of Viral Protein Synthesis

Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
1
Influenza01:27

Influenza

Influenza is an acute, highly communicable viral disease that affects the respiratory tract and is responsible for seasonal epidemics worldwide. Influenza A is the most prevalent type associated with widespread outbreaks and is subtyped based on two surface glycoproteins: hemagglutinin (H) and neuraminidase (N), as in H1N1. These glycoproteins are essential for viral infectivity, transmission, and immune recognition. Transmission occurs primarily through respiratory droplets and contaminated...
5
Retrovirus Life Cycles01:10

Retrovirus Life Cycles

Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
50.3K
Immune Response Against Viral Pathogens01:29

Immune Response Against Viral Pathogens

The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
2.4K
Leaky Scanning02:28

Leaky Scanning

During most eukaryotic translation processes, the small 40S ribosome subunit scans an mRNA from its 5' end until it encounters the first start AUG codon. The large 60S ribosomal subunit then joins the smaller one to initiate protein synthesis. The location of the translation initiation is largely determined by the nucleotides near the start codon as there may be multiple translation initiation sites present on the mRNA.  Marilyn Kozak discovered that the sequence RCCAUGG (where R...
5.8K
Viruses with RNA Genomes01:29

Viruses with RNA Genomes

RNA viruses are categorized into positive-strand, negative-strand, or double-stranded groups based on their genomic structure and replication mechanisms. This classification dictates how they exploit host cellular machinery for protein synthesis and replication. Some RNA viruses also utilize reverse transcription as part of their life cycle, further diversifying their replication strategies.Positive-Strand RNA VirusesPositive-strand RNA viruses have genomes that function directly as messenger...
1.2K