Direct-acting antivirals and host-targeting strategies to combat enterovirus infections.
Direct-acting antivirals and host-targeting strategies to combat enterovirus infections.
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DOI:
10.1016/j.coviro.2017.03.009
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发表时间:
2017-06
影响因子:
5.9
通讯作者:
van Kuppeveld FJ
中科院分区:
文献类型:
--
作者:
Bauer L;Lyoo H;van der Schaar HM;Strating JR;van Kuppeveld FJ
Enteroviruses cause many human diseases, yet no antiviral drugs are available. Capsids and viral enzymes are promising targets for direct-acting antiviral therapy. Fundamental research has unveiled host factors for broad-spectrum drug development. Drug repurposing screens have yielded new promising enterovirus inhibitors. Enteroviruses (e.g., poliovirus, enterovirus-A71, coxsackievirus, enterovirus-D68, rhinovirus) include many human pathogens causative of various mild and more severe diseases, especially in young children. Unfortunately, antiviral drugs to treat enterovirus infections have not been approved yet. Over the past decades, several direct-acting inhibitors have been developed, including capsid binders, which block virus entry, and inhibitors of viral enzymes required for genome replication. Capsid binders and protease inhibitors have been clinically evaluated, but failed due to limited efficacy or toxicity issues. As an alternative approach, host-targeting inhibitors with potential broad-spectrum activity have been identified. Furthermore, drug repurposing screens have recently uncovered promising new inhibitors with disparate viral and host targets. Together, these findings raise hope for the development of (broad-range) anti-enteroviral drugs.
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