Drug combination therapy for emerging viral diseases.

Drug combination therapy for emerging viral diseases.
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DOI:
10.1016/j.drudis.2021.05.008
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发表时间:
2021-10
影响因子:
7.4
通讯作者:
Zheng W
Zheng W
中科院分区:
医学2区
文献类型:
--
作者:
Shyr ZA;Cheng YS;Lo DC;Zheng W

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对抗新出现的病毒感染的有效疗法是未满足的需求。从历史上看,使用单一药物治疗慢性病毒感染并不成功,人类免疫缺陷病毒(HIV)和丙型肝炎病毒(HCV)感染就是例证。这些疾病的联合治疗已导致临床结果改善,病毒载量、发病率和死亡率显著降低。药物组合可以通过对新出现和重新出现的病毒(如流感、严重急性呼吸道综合征-冠状病毒(SARS-CoV)、中东呼吸道综合征(MERS)-CoV、埃博拉病毒、寨卡病毒和SARS-冠状病毒2(CoV-2))的相加作用和理想的协同作用来增强治疗功效。虽然通过传统渠道开发新药仍然是优先事项,但在此期间,可以通过药物再利用筛选快速确定有效的协同候选药物,从而加快临床试验和潜在紧急使用授权的途径。
Effective therapeutics to combat emerging viral infections are an unmet need. Historically, treatments for chronic viral infections with single drugs have not been successful, as exemplified by human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections. Combination therapy for these diseases has led to improved clinical outcomes with dramatic reductions in viral load, morbidity, and mortality. Drug combinations can enhance therapeutic efficacy through additive, and ideally synergistic, effects for emerging and re-emerging viruses, such as influenza, severe acute respiratory syndrome-coronavirus (SARS-CoV), Middle East respiratory syndrome (MERS)-CoV, Ebola, Zika, and SARS-coronavirus 2 (CoV-2). Although novel drug development through traditional pipelines remains a priority, in the interim, effective synergistic drug candidates could be rapidly identified by drug-repurposing screens, facilitating accelerated paths to clinical testing and potential emergency use authorizations.
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