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Iminosugars: Promising therapeutics for influenza infection
Beatrice Ellen Tyrrell1, Andrew Cameron Sayce1, Kelly Lyn Warfield2
1a Department of Biochemistry , University of Oxford Medical Sciences Division , Oxford , United Kingdom of Great Britain and Northern Ireland.
Abstract:
Influenza virus causes three to five million severe respiratory infections per year in seasonal epidemics, and sporadic pandemics, three of which occurred in the twentieth century and are a continuing global threat. Currently licensed antivirals exclusively target the viral neuraminidase or M2 ion channel, and emerging drug resistance necessitates the development of novel therapeutics. It is believed that a host-targeted strategy may combat the development of antiviral drug resistance. To this end, a class of molecules known as iminosugars, hydroxylated carbohydrate mimics with the endocyclic oxygen atom replaced by a nitrogen atom, are being investigated for their broad-spectrum antiviral potential. The influenza virus glycoproteins, hemagglutinin and neuraminidase, are susceptible to inhibition of endoplasmic reticulum α-glucosidases by certain iminosugars, leading to reduced virion production or infectivity, demonstrated by in vitro and in vivo studies. In some experiments, viral strain-specific effects are observed. Iminosugars may also inhibit other host and virus targets with antiviral consequences. While investigations of anti-influenza iminosugar activities have been conducted since the 1980s, recent successes of nojirimycin derivatives have re-invigorated investigation of the therapeutic potential of iminosugars as orally available, low cytotoxicity, effective anti-influenza drugs.
Insights
Iminosugars, carbohydrate mimics, show broad-spectrum antiviral potential against influenza by inhibiting viral glycoproteins. These compounds offer a promising host-targeted strategy to combat drug-resistant influenza infections.
Area of Science:
- Virology
- Drug Discovery
- Carbohydrate Chemistry
Background:
- Influenza virus causes millions of severe respiratory infections annually, posing a global health threat.
- Existing antiviral drugs target viral neuraminidase or M2 ion channels, but drug resistance is a growing concern.
- Host-targeted antiviral strategies are being explored to overcome drug resistance.
Purpose of the Study:
- To investigate the potential of iminosugars as broad-spectrum antiviral agents against influenza.
- To explore iminosugars as a host-targeted therapeutic strategy to combat drug resistance.
- To evaluate the efficacy and safety of iminosugars as anti-influenza drugs.
Main Methods:
- Investigated iminosugars, which are hydroxylated carbohydrate mimics, for their antiviral properties.
- Examined the inhibition of influenza virus glycoproteins (hemagglutinin and neuraminidase) by iminosugars.
- Conducted in vitro and in vivo studies to assess the impact of iminosugars on viral production and infectivity.
Main Results:
- Certain iminosugars inhibit endoplasmic reticulum α-glucosidases, leading to reduced influenza virion production and infectivity.
- Demonstrated broad-spectrum antiviral potential of iminosugars against influenza virus in experimental studies.
- Observed strain-specific effects and potential inhibition of other host and viral targets.
Conclusions:
- Iminosugars represent a promising class of compounds for developing novel anti-influenza therapeutics.
- Their potential as orally available, low cytotoxicity drugs warrants further investigation.
- Recent advances with nojirimycin derivatives highlight the renewed therapeutic potential of iminosugars.
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