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Using Zebrafish Models of Human Influenza A Virus Infections to Screen Antiviral Drugs and Characterize Host Immune Cell Responses
Published on: January 20, 2017
Current and novel antiviral strategies for influenza infection
1School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region.
Abstract:
Influenza A and B viruses are major causes for respiratory infections in children and adults. Viral and host factors determine clinical manifestations which range from self-resolving uncomplicated infections, severe viral or bacterial secondary pneumonia, to death. Emergence of transmissible resistant variants and time-dependent effectiveness are the major challenges for the currently approved antivirals, M2 ion channel blockers and neuraminidase (NA) inhibitors. Favipiravir that inhibits the RNA-dependent RNA polymerase of multiple RNA viruses is approved in Japan against influenza strains resistant to available antivirals. With expanded knowledge on viral nucleoprotein (NP) and polymerase structures, novel small molecule inhibitors targeting NP oligomer formation, PA endonuclease domain, and the PB2 cap-binding domain are being developed. Combination therapy with different antiviral compounds or with host immune response modulators may further benefit clinical outcomes.
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.
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