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HEX17(Neumifil): An intranasal respiratory biotherapeutic with broad-acting antiviral activity HEX17(Neumifil):一种具有广泛抗病毒活性的鼻内呼吸道生物治疗药物。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-22 DOI: 10.1016/j.antiviral.2024.105945
Jane A. Potter , Angus Aitken , Lei Yang , Jennifer Hill , Antoni Tortajada , Julia L. Hurwitz , Bart G. Jones , Nadiawati Alias , Mingkui Zhou , Helen Connaris

Broad-acting antiviral strategies to prevent respiratory tract infections are urgently required. Emerging or re-emerging viral diseases caused by new or genetic variants of viruses such as influenza viruses (IFVs), respiratory syncytial viruses (RSVs), human rhinoviruses (HRVs), parainfluenza viruses (PIVs) or coronaviruses (CoVs), pose a severe threat to human health, particularly in the very young or old, or in those with pre-existing respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD). Although vaccines remain a key component in controlling and preventing viral infections, they are unable to provide broad-spectrum protection against recurring seasonal infections or newly emerging threats. HEX17 (aka Neumifil), is a first-in-class protein-based antiviral prophylactic for respiratory viral infections. HEX17 consists of a hexavalent carbohydrate-binding module (CBM) with high affinity to sialic acids, which are typically present on terminating branches of glycans on viral cellular receptors. This allows HEX17 to block virus engagement of host receptors and inhibit infection of a wide range of viral pathogens and their variants with reduced risk of antiviral resistance. As described herein, HEX17 has demonstrated broad-spectrum efficacy against respiratory viral pathogens including IFV, RSV, CoV and HRV in multiple in vivo and in vitro studies. In addition, HEX17 can be easily administered via an intranasal spray and is currently undergoing clinical trials.

目前迫切需要预防呼吸道感染的广谱抗病毒策略。由流感病毒 (IFVs)、呼吸道合胞病毒 (RSVs)、人鼻病毒 (HRVs)、副流感病毒 (PIVs) 或冠状病毒 (CoVs) 等病毒的新变种或基因变种引起的新发或再发病毒性疾病对人类健康构成了严重威胁,尤其是对年幼或年老的人,或患有哮喘或慢性阻塞性肺病 (COPD) 等呼吸道疾病的人。尽管疫苗仍是控制和预防病毒感染的关键组成部分,但它们无法提供广谱的保护,以抵御反复出现的季节性感染或新出现的威胁。HEX17(又名 Neumifil)是第一种基于蛋白质的呼吸道病毒感染抗病毒预防剂。HEX17 由一个六价碳水化合物结合模块(CBM)组成,与病毒细胞受体上的糖蛋白末端分支上通常存在的硅酸具有高亲和力。这使得 HEX17 能够阻断病毒与宿主受体的接合,抑制多种病毒病原体及其变种的感染,并降低抗病毒抗药性的风险。如本文所述,在多项体内和体外研究中,HEX17 对呼吸道病毒病原体(包括 IFV、RSV、CoV 和 HRV)具有广谱疗效。此外,HEX17 可通过鼻内喷雾轻松给药,目前正在进行临床试验。
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引用次数: 0
Dengue Virus dependence on glucokinase activity and glycolysis Confers Sensitivity to NAD(H) biosynthesis inhibitors 登革病毒对葡萄糖激酶活性和糖酵解的依赖性决定了它对 NAD(H) 生物合成抑制剂的敏感性。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-22 DOI: 10.1016/j.antiviral.2024.105939
Eva Ogire , Laure Perrin-Cocon , Marianne Figl , Cindy Kundlacz , Clémence Jacquemin , Sophie Hubert , Anne Aublin-Gex , Johan Toesca , Christophe Ramière , Pierre-Olivier Vidalain , Cyrille Mathieu , Vincent Lotteau , Olivier Diaz

Viruses have developed sophisticated strategies to control metabolic activity of infected cells in order to supply replication machinery with energy and metabolites. Dengue virus (DENV), a mosquito-borne flavivirus responsible for dengue fever, is no exception. Previous reports have documented DENV interactions with metabolic pathways and shown in particular that glycolysis is increased in DENV-infected cells. However, underlying molecular mechanisms are still poorly characterized and dependence of DENV on this pathway has not been investigated in details yet. Here, we identified an interaction between the non-structural protein 3 (NS3) of DENV and glucokinase regulator protein (GCKR), a host protein that inhibits the liver-specific hexokinase GCK. NS3 expression was found to increase glucose consumption and lactate secretion in hepatic cell line expressing GCK. Interestingly, we observed that GCKR interaction with GCK decreases DENV replication, indicating the dependence of DENV to GCK activity and supporting the role of NS3 as an inhibitor of GCKR function. Accordingly, in the same cells, DENV replication both induces and depends on glycolysis. By targeting NAD(H) biosynthesis with the antimetabolite 6-Amino-Nicotinamide (6-AN), we decreased cellular glycolytic activity and inhibited DENV replication in hepatic cells. Infection of primary organotypic liver cultures (OLiC) from hamsters was also inhibited by 6-AN. Altogether, our results show that DENV has evolved strategies to control glycolysis in the liver, which could account for hepatic dysfunctions associated to infection. Besides, our findings suggest that lowering intracellular availability of NAD(H) could be a valuable therapeutic strategy to control glycolysis and inhibit DENV replication in the liver.

病毒已经开发出复杂的策略来控制受感染细胞的新陈代谢活动,以便为复制机器提供能量和代谢物。登革热病毒(DENV)也不例外,它是一种由蚊子传播的黄病毒,是登革热的罪魁祸首。以前的报告记录了 DENV 与代谢途径的相互作用,特别是显示了受 DENV 感染的细胞中糖酵解的增加。然而,其潜在的分子机制还没有得到很好的描述,而且 DENV 对这一途径的依赖性还没有得到详细的研究。在这里,我们确定了 DENV 的非结构蛋白 3(NS3)与葡萄糖激酶调节蛋白(GCKR)之间的相互作用,后者是一种抑制肝脏特异性己糖激酶 GCK 的宿主蛋白。研究发现,在表达 GCK 的肝细胞系中,NS3 的表达会增加葡萄糖消耗和乳酸分泌。有趣的是,我们观察到GCKR与GCK的相互作用会降低DENV的复制,这表明DENV依赖于GCK的活性,并支持NS3作为GCKR功能抑制剂的作用。因此,在同一细胞中,DENV的复制既诱导又依赖于糖酵解。通过用抗代谢物6-氨基烟酰胺(6-AN)靶向NAD(H)的生物合成,我们降低了细胞的糖酵解活性,抑制了肝细胞中DENV的复制。6-AN还能抑制仓鼠原代器官型肝脏培养物(OLiC)的感染。总之,我们的研究结果表明,DENV 已进化出控制肝脏糖酵解的策略,这可能是与感染相关的肝功能障碍的原因。此外,我们的研究结果表明,降低细胞内NAD(H)的可用性可能是控制糖酵解和抑制DENV在肝脏复制的一种有价值的治疗策略。
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引用次数: 0
Flexible nano-liposomes-encapsulated recombinant UL8-siRNA (r/si-UL8) based on bioengineering strategy inhibits herpes simplex virus-1 infection 基于生物工程策略的柔性纳米脂质体包裹重组 UL8-siRNA (r/si-UL8) 可抑制单纯疱疹病毒-1 感染。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-21 DOI: 10.1016/j.antiviral.2024.105936
Jiawei Pei , Ye Tian , Yamei Dang , Wei Ye , Xiaoqian Liu , Ningbo Zhao , Jiangfan Han , Yongheng Yang , Ziqing Zhou , Xudong Zhu , Hao Zhang , Arshad Ali , Yu Li , Fanglin Zhang , Yingfeng Lei , Airong Qian

Herpes simplex virus-1 (HSV-1) infection can cause various diseases and the current therapeutics have limited efficacy. Small interfering RNA (siRNA) therapeutics are a promising approach against infectious diseases by targeting the viral mRNAs directly. Recently, we employed a novel tRNA scaffold to produce recombinant siRNA agents with few natural posttranscriptional modifications. In this study, we aimed to develop a specific prodrug against HSV-1 infection based on siRNA therapeutics by bioengineering technology. We screened and found that UL8 of the HSV-1 genome was an ideal antiviral target based on RNAi. Next, we used a novel bio-engineering approach to manufacture recombinant UL8-siRNA (r/si-UL8) in Escherichia coli with high purity and activity. The r/si-UL8 was selectively processed to mature si-UL8 and significantly reduced the number of infectious virions in human cells. r/si-UL8 delivered by flexible nano-liposomes significantly decreased the viral load in the skin and improved the survival rate in the preventive mouse zosteriform model. Furthermore, r/si-UL8 also effectively inhibited HSV-1 infection in a 3D human epidermal skin model. Taken together, our results highlight that the novel siRNA bioengineering technology is a unique addition to the conventional approach for siRNA therapeutics and r/si-UL8 may be a promising prodrug for curing HSV-1 infection.

单纯疱疹病毒-1(HSV-1)感染可导致多种疾病,而目前的疗法疗效有限。小干扰 RNA(siRNA)疗法可直接靶向病毒 mRNA,是一种治疗传染性疾病的有效方法。最近,我们采用了一种新型 tRNA 支架来生产重组 siRNA 制剂,其转录后修饰很少。本研究旨在通过生物工程技术,开发一种基于 siRNA 疗法的抗 HSV-1 感染的特异性原药。我们筛选发现,HSV-1 基因组的 UL8 是基于 RNAi 的理想抗病毒靶点。接下来,我们采用一种新颖的生物工程方法,在大肠杆菌中制造出了高纯度、高活性的重组 UL8-siRNA(r/si-UL8)。通过柔性纳米脂质体递送的 r/si-UL8 能显著降低皮肤中的病毒载量,提高预防性小鼠带状疱疹模型的存活率。此外,r/si-UL8 还能有效抑制三维人体表皮模型中的 HSV-1 感染。综上所述,我们的研究结果表明,新型 siRNA 生物工程技术是对传统 siRNA 治疗方法的一种独特补充,r/si-UL8 可能是一种治疗 HSV-1 感染的有效药物。
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引用次数: 0
Virus infection and sphingolipid metabolism 病毒感染与鞘脂代谢
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-21 DOI: 10.1016/j.antiviral.2024.105942
Jun Dai , Yiyi Feng , Ying Liao , Lei Tan , Yingjie Sun , Cuiping Song , Xusheng Qiu , Chan Ding

Cellular sphingolipids have vital roles in human virus replication and spread as they are exploited by viruses for cell entry, membrane fusion, genome replication, assembly, budding, and propagation. Intracellular sphingolipid biosynthesis triggers conformational changes in viral receptors and facilitates endosomal escape. However, our current understanding of how sphingolipids precisely regulate viral replication is limited, and further research is required to comprehensively understand the relationships between viral replication and endogenous sphingolipid species. Emerging evidence now suggests that targeting and manipulating sphingolipid metabolism enzymes in host cells is a promising strategy to effectively combat viral infections. Additionally, serum sphingolipid species and concentrations could function as potential serum biomarkers to help monitor viral infection status in different patients. In this work, we comprehensively review the literature to clarify how viruses exploit host sphingolipid metabolism to accommodate viral replication and disrupt host innate immune responses. We also provide valuable insights on the development and use of antiviral drugs in this area.

细胞鞘脂在人类病毒复制和传播过程中起着至关重要的作用,因为病毒利用它们进行细胞进入、膜融合、基因组复制、组装、出芽和繁殖。细胞内鞘磷脂的生物合成会引发病毒受体的构象变化,并促进内体逃逸。然而,我们目前对鞘脂如何精确调控病毒复制的了解还很有限,要全面了解病毒复制与内源性鞘脂种类之间的关系还需要进一步的研究。目前新出现的证据表明,以宿主细胞中的鞘脂代谢酶为靶点并对其进行调控,是一种有希望有效对抗病毒感染的策略。此外,血清中的鞘脂种类和浓度可作为潜在的血清生物标志物,帮助监测不同患者的病毒感染状况。在这项研究中,我们全面回顾了相关文献,阐明了病毒如何利用宿主的鞘脂代谢来适应病毒复制并破坏宿主的先天免疫反应。我们还为这一领域抗病毒药物的开发和使用提供了有价值的见解。
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引用次数: 0
Novel strategy for Poxviridae prevention: Thermostable combined subunit vaccine patch with intense immune response 预防痘病毒的新策略:可产生强烈免疫反应的热稳定性联合亚单位疫苗贴片。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-21 DOI: 10.1016/j.antiviral.2024.105943
Yuan Wen , Shuyue Deng , Tianmin Wang , Mengtian Gao , Wenlong Nan , Fang Tang , Qinghong Xue , Yanmin Ju , Jianjun Dai , Yurong Wei , Feng Xue

Poxviruses gained international attention due to the sharp rise in monkeypox cases in recent years, highlighting the urgent need for the development of a secure and reliable vaccine. This study involved the development of an innovative combined subunit vaccine (CSV) targeting poxviruses, with lumpy skin disease virus (LSDV) serving as the model virus. To this end, the potential sites for poxvirus vaccines were fully evaluated to develop and purify four recombinant proteins. These proteins were then successfully delivered to the dermis in a mouse model by utilizing dissolvable microneedle patches (DMPs). This approach simplified the vaccination procedure and significantly mitigated the associated risk. CSV-loaded DMPs contained four recombinant proteins and a novel adjuvant, CpG, which allowed DMPs to elicit the same intensity of humoral and cellular immunity as subcutaneous injection. Following immunization with SC and DMP, the mice exhibited notable levels of neutralizing antibodies, albeit at a low concentration. It is noteworthy that the CSV loaded into DMPs remained stable for at least 4 months at room temperature, effectively addressing the storage and transportation challenges. Based on the study findings, CSV-loaded DMPs are expected to be utilized worldwide as an innovative technique for poxvirus inoculation, especially in underdeveloped regions. This novel strategy is crucial for the development of future poxvirus vaccines.

由于近年来猴痘病例的急剧上升,痘病毒受到了国际社会的关注,这凸显了开发安全可靠疫苗的迫切性。本研究以块状皮肤病病毒(LSDV)为模型病毒,针对痘病毒开发了一种创新的联合亚单位疫苗(CSV)。为此,对痘病毒疫苗的潜在接种位点进行了全面评估,以开发和纯化四种重组蛋白。然后利用可溶解微针贴片(DMPs)成功地将这些蛋白输送到小鼠模型的真皮层。这种方法简化了疫苗接种程序,大大降低了相关风险。装载CSV的DMPs含有四种重组蛋白和一种新型佐剂CpG,这使得DMPs能引起与皮下注射相同强度的体液免疫和细胞免疫。用 SC 和 DMP 进行免疫后,小鼠表现出明显的中和抗体水平,尽管浓度较低。值得注意的是,载入 DMP 的 CSV 在室温下至少能保持稳定 4 个月,有效解决了储存和运输难题。根据研究结果,作为一种创新的痘病毒接种技术,载入 CSV 的 DMPs 预计将在全球范围内得到应用,尤其是在欠发达地区。这种新型策略对未来痘病毒疫苗的开发至关重要。
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引用次数: 0
Influence of adjuvant type and route of administration on the immunogenicity of Leishmania-derived tick-borne encephalitis virus-like particles – A recombinant vaccine candidate 佐剂类型和给药途径对利什曼原虫衍生的蜱传脑炎病毒样颗粒--一种候选重组疫苗--免疫原性的影响。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-19 DOI: 10.1016/j.antiviral.2024.105941
Marta Zimna , Gabriela Brzuska , Jiří Salát , Daniel Růžek , Ewelina Krol

Tick-borne encephalitis virus (TBEV) is a tick-borne flavivirus that induces severe central nervous system disorders. It has recently raised concerns due to an expanding geographical range and increasing infection rates. Existing vaccines, though effective, face low coverage rates in numerous TBEV endemic regions. Our previous work demonstrated the immunogenicity and full protection afforded by a TBEV vaccine based on virus-like particles (VLPs) produced in Leishmania tarentolae cells in immunization studies in a mouse model. In the present study, we explored the impact of adjuvants (AddaS03™, Alhydrogel®+MPLA) and administration routes (subcutaneous, intramuscular) on the immune response. Adjuvanted groups exhibited significantly enhanced antibody responses, higher avidity, and more balanced Th1/Th2 response. IFN-γ responses depended on the adjuvant type, while antibody levels were influenced by both adjuvant and administration routes. The combination of Leishmania-derived TBEV VLPs with Alhydrogel® and MPLA via intramuscular administration emerged as a highly promising prophylactic vaccine candidate, eliciting a robust, balanced immune response with substantial neutralization potential.

蜱传脑炎病毒(TBEV)是一种蜱传黄病毒,可诱发严重的中枢神经系统疾病。由于其地理分布范围不断扩大,感染率不断上升,最近引起了人们的关注。现有疫苗虽然有效,但在许多 TBEV 流行地区的覆盖率很低。我们之前的研究表明,在小鼠模型的免疫接种研究中,基于在透明利什曼原虫细胞中产生的病毒样颗粒(VLPs)的 TBEV 疫苗具有免疫原性并能提供全面保护。在本研究中,我们探讨了佐剂(AddaS03™、Alhydrogel®+MPLA)和给药途径(皮下注射、肌肉注射)对免疫反应的影响。佐剂组的抗体反应明显增强,抗体效价更高,Th1/Th2 反应更均衡。IFN-γ反应取决于佐剂类型,而抗体水平则受佐剂和给药途径的影响。通过肌肉注射将利什曼病源TBEV VLPs与Alhydrogel®和MPLA结合在一起是一种非常有前景的候选预防性疫苗,它能引起强大、平衡的免疫反应,并具有很大的中和潜力。
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引用次数: 0
RBD design increases the functional antibody titers elicited by SARS-CoV-2 spike vaccination RBD 设计可提高 SARS-CoV-2 穗状疫苗激发的功能性抗体滴度。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-18 DOI: 10.1016/j.antiviral.2024.105937
Thayne H. Dickey , Nichole D. Salinas , Palak Patel , Sachy Orr-Gonzalez , Tarik Ouahes , Holly McAleese , Brandi L. Richardson , Myesha Singleton , Michael Murphy , Brett Eaton , Jennifer L. Kwan , Michael R. Holbrook , Lynn E. Lambert , Niraj H. Tolia

Most COVID-19 vaccines contain the SARS-CoV-2 spike protein as an antigen, but they lose efficacy as neutralizing antibody titers wane and escape variants emerge. Modifying the spike antigen to increase neutralizing antibody titers would help counteract this decrease in titer. We previously used a structure-based computational design method to identify nine amino acid changes in the receptor-binding domain (RBD) of spike that stabilize the RBD and increase the neutralizing antibody titers elicited by vaccination. Here, we introduce those enhancing amino acid changes into a full-length spike (FL-S-2P) ectodomain representative of most approved vaccine antigens. These amino acid changes can be incorporated into the FL-S-2P protein without negatively effecting expression or stability. Furthermore, the amino acid changes improved functional antibody titers in both mice and monkeys following vaccination. These amino acid changes could increase the duration of protection conferred by most COVID-19 vaccines.

大多数 COVID-19 疫苗都含有作为抗原的 SARS-CoV-2 穗状病毒蛋白,但随着中和抗体滴度的降低和逃逸变种的出现,这些疫苗的效力也随之降低。改造尖峰抗原以提高中和抗体滴度将有助于抵消滴度的下降。我们之前使用了一种基于结构的计算设计方法,确定了尖峰抗原受体结合域(RBD)中的九个氨基酸变化,这些变化可以稳定 RBD 并提高疫苗接种所激发的中和抗体滴度。在此,我们将这些增强性氨基酸变化引入到代表大多数获批疫苗抗原的全长斯派克(FL-S-2P)外结构域中。这些氨基酸变化可以整合到 FL-S-2P 蛋白中,而不会对其表达或稳定性产生负面影响。此外,氨基酸变化还能提高小鼠和猴子接种疫苗后的功能性抗体滴度。这些氨基酸变化可以延长大多数 COVID-19 疫苗的保护期。
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引用次数: 0
Zika virus replication is impaired by a selective agonist of the TRPML2 ion channel TRPML2离子通道的选择性激动剂会阻碍寨卡病毒的复制。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-18 DOI: 10.1016/j.antiviral.2024.105940
Kerstin K. Schwickert , Mirco Glitscher , Daniela Bender , Nuka Ivalu Benz , Robin Murra , Kevin Schwickert , Steffen Pfalzgraf , Tanja Schirmeister , Ute A. Hellmich , Eberhard Hildt

The flavivirus genus includes human pathogenic viruses such as Dengue (DENV), West Nile (WNV) and Zika virus (ZIKV) posing a global health threat due to limited treatment options. Host ion channels are crucial for various viral life cycle stages, but their potential as targets for antivirals is often not fully realized due to the lack of selective modulators. Here, we observe that treatment with ML2-SA1, an agonist for the human endolysosomal cation channel TRPML2, impairs ZIKV replication. Upon ML2-SA1 treatment, levels of intracellular genomes and number of released virus particles of two different ZIKV isolates were significantly reduced and cells displayed enlarged vesicular structures and multivesicular bodies with ZIKV envelope protein accumulation. However, no increased ZIKV degradation in lysosomal compartments was observed. Rather, the antiviral effect of ML2-SA1 seemed to manifest by the compound’s negative impact on genome replication. Moreover, ML2-SA1 treatment also led to intracellular cholesterol accumulation. ZIKV and many other viruses including the Orthohepevirus Hepatitis E virus (HEV) rely on the endolysosomal system and are affected by intracellular cholesterol levels to complete their life cycle. Since we observed that ML2-SA1 also negatively impacted HEV infections in vitro, this compound may harbor a broader antiviral potential through perturbing the intracellular cholesterol distribution. Besides indicating that TRPML2 may be a promising target for combatting viral infections, we uncover a tentative connection between this protein and cholesterol distribution within the context of infectious diseases.

黄病毒属包括登革热病毒(DENV)、西尼罗河病毒(WNV)和寨卡病毒(ZIKV)等人类致病病毒,由于治疗方案有限,这些病毒对全球健康构成威胁。离子通道对病毒生命周期的各个阶段都至关重要,但由于缺乏选择性调节剂,它们作为抗病毒药物靶点的潜力往往没有得到充分发挥。在这里,我们观察到人类溶酶体内阳离子通道 TRPML2 的激动剂 ML2-SA1 会影响 ZIKV 的复制。经 ML2-SA1 处理后,两种不同 ZIKV 分离物的细胞内基因组水平和释放的病毒颗粒数量明显降低,细胞显示出增大的囊泡结构和多囊泡体,ZIKV 包膜蛋白聚集。然而,在溶酶体中并没有观察到 ZIKV 降解的增加。相反,ML2-SA1 的抗病毒作用似乎体现在该化合物对基因组复制的负面影响上。此外,ML2-SA1 处理还会导致细胞内胆固醇积累。ZIKV 和许多其他病毒,包括正始疱疹病毒戊型肝炎病毒(HEV),都依赖于内溶酶体系统,并受细胞内胆固醇水平的影响来完成其生命周期。由于我们观察到 ML2-SA1 也会对体外的 HEV 感染产生负面影响,因此该化合物可能通过扰乱细胞内胆固醇的分布而具有更广泛的抗病毒潜力。除了表明 TRPML2 可能是抗病毒感染的一个有前途的靶点之外,我们还发现了该蛋白与胆固醇分布在传染病中的初步联系。
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引用次数: 0
Duration of fever in children infected with influenza A(H1N1)pdm09, A(H3N2) or B virus and treated with baloxavir marboxil, oseltamivir, laninamivir, or zanamivir in Japan during the 2012–2013 and 2019–2020 influenza seasons 2012-2013年和2019-2020年流感季节日本儿童感染甲型(H1N1)pdm09、甲型(H3N2)或乙型流感病毒并接受巴洛沙韦、奥司他韦、拉尼他韦或扎那米韦治疗后的发烧持续时间。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-17 DOI: 10.1016/j.antiviral.2024.105938
Yuyang Sun , Keita Wagatsuma , Reiko Saito , Isamu Sato , Takashi Kawashima , Tadashi Saito , Yashushi Shimada , Yasuhiko Ono , Fujio Kakuya , Michiyoshi Minato , Naoki Kodo , Eitaro Suzuki , Akito Kitano , Irina Chon , Wint Wint Phyu , Jiaming Li , Hisami Watanabe

We compared the duration of fever in children infected with A(H1N1)pdm09, A(H3N2), or influenza B viruses following treatment with baloxavir marboxil (baloxavir) or neuraminidase inhibitors (NAIs) (oseltamivir, zanamivir, or laninamivir). This observational study was conducted at 10 outpatient clinics across 9 prefectures in Japan during the 20122013 and 20192020 influenza seasons. Patients with influenza rapid antigen test positive were treated with one of four anti-influenza drugs. The type/subtype of influenza viruses were identified from MDCK or MDCK SIAT1 cell-grown samples using two-step real-time PCR. Daily self-reported body temperature after treatment were used to evaluate the duration of fever by treatment group and various underlying factors. Among 1742 patients <19 years old analyzed, 452 (26.0%) were A(H1N1)pdm09, 827 (48.0%) A(H3N2), and 463 (26.0%) influenza B virus infections. Among fours treatment groups, baloxavir showed a shorter median duration of fever compared to oseltamivir in univariate analysis for A(H1N1)pdm09 virus infections (baloxavir, 22.0 h versus oseltamivir, 26.7 h, P < 0.05; laninamivir, 25.5 h, and zanamivir, 25.0 h). However, this difference was not significant in multivariable analyses. For A(H3N2) virus infections, there were no statistically significant differences observed (20.3, 21.0, 22.0, and 19.0 h) uni- and multivariable analyses. For influenza B, baloxavir shortened the fever duration by approximately 15 h than NAIs (20.3, 35.0, 34.3, and 34.1 h), as supported by uni- and multivariable analyses. Baloxavir seems to have comparable clinical effectiveness with NAIs on influenza A but can be more effective for treating pediatric influenza B virus infections than NAIs.

我们比较了感染甲型(H1N1)pdm09、甲型(H3N2)或乙型流感病毒的儿童在接受巴洛沙韦(baloxavir marboxil,巴洛沙韦)或神经氨酸酶抑制剂(neuraminidase inhibitors,NAIs)(奥司他韦、扎那米韦或拉尼那韦)治疗后的发烧持续时间。这项观察性研究于2012-2013年和2019-2020年流感季节在日本9个都道府县的10家门诊诊所进行。流感快速抗原检测呈阳性的患者接受了四种抗流感药物中的一种治疗。使用两步实时 PCR 技术从 MDCK 或 MDCK SIAT1 细胞培养样本中鉴定流感病毒的类型/亚型。采用治疗后每日自我体温报告来评估不同治疗组的发热持续时间和各种潜在因素。在分析的 1742 名年龄小于 19 岁的患者中,452 人(26.0%)感染了甲型 H1N1 pdm09,827 人(48.0%)感染了甲型 H3N2,463 人(26.0%)感染了乙型流感病毒。在四个治疗组中,与奥司他韦相比,巴洛沙韦在甲型 H1N1 pdm09 病毒感染的单变量分析中显示出更短的发热中位持续时间(巴洛沙韦为 22.0 小时,奥司他韦为 26.7 小时,P < 0.05;拉尼那韦为 25.5 小时,扎那米韦为 25.0 小时)。然而,这一差异在多变量分析中并不显著。对于甲型 H3N2 病毒感染,在单变量和多变量分析中观察到的差异(20.3、21.0、22.0 和 19.0 小时)并无统计学意义。就乙型流感而言,巴洛沙韦比非那西丁类药物(20.3、35.0、34.3 和 34.1 小时)缩短了约 15 小时的发热持续时间,单变量和多变量分析也证实了这一点。巴洛沙韦对甲型流感的临床疗效似乎与非那西丁类药物相当,但在治疗小儿乙型流感病毒感染方面比非那西丁类药物更有效。
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引用次数: 0
α7 nicotinic receptor activation mitigates herpes simplex virus type 1 infection in microglia cells 激活α7烟碱受体可减轻小胶质细胞对 1 型单纯疱疹病毒的感染
IF 7.6 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-06-15 DOI: 10.1016/j.antiviral.2024.105934
Shih-Heng Chen , Joanne C. Damborsky , Belinda C. Wilson , Rick D. Fannin , James M. Ward , Kevin E. Gerrish , Bo He , Negin P. Martin , Jerrel L. Yakel

Herpes simplex virus type 1 (HSV-1), a neurotropic DNA virus, establishes latency in neural tissues, with reactivation causing severe consequences like encephalitis. Emerging evidence links HSV-1 infection to chronic neuroinflammation and neurodegenerative diseases. Microglia, the central nervous system's (CNS) immune sentinels, express diverse receptors, including α7 nicotinic acetylcholine receptors (α7 nAChRs), critical for immune regulation. Recent studies suggest α7 nAChR activation protects against viral infections. Here, we show that α7 nAChR agonists, choline and PNU-282987, significantly inhibit HSV-1 replication in microglial BV2 cells. Notably, this inhibition is independent of the traditional ionotropic nAChR signaling pathway. mRNA profiling revealed that choline stimulates the expression of antiviral factors, IL-1β and Nos2, and down-regulates the apoptosis genes and type A Lamins in BV2 cells. These findings suggest a novel mechanism by which microglial α7 nAChRs restrict viral infections by regulating innate immune responses.

单纯疱疹病毒 1 型(HSV-1)是一种神经毒性 DNA 病毒,可在神经组织中潜伏,重新激活后会导致脑炎等严重后果。新的证据表明,HSV-1 感染与慢性神经炎症和神经退行性疾病有关。小胶质细胞是中枢神经系统(CNS)的免疫哨兵,它们表达多种受体,包括对免疫调节至关重要的α7烟碱乙酰胆碱受体(α7 nAChRs)。最近的研究表明,α7 nAChR 的激活可防止病毒感染。在这里,我们发现α7 nAChR 激动剂胆碱和 PNU-282987 能显著抑制 HSV-1 在小胶质细胞 BV2 细胞中的复制。mRNA 分析表明,胆碱能刺激 BV2 细胞中抗病毒因子 IL-1β 和 Nos2 的表达,并下调细胞凋亡基因和 A 型拉明斯。这些发现提示了一种新的机制,即小胶质细胞α7 nAChRs通过调节先天性免疫反应来限制病毒感染。
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Antiviral research
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