Pharmacologic Advances in the Treatment and Prevention of Respiratory Syncytial Virus

被引:111
作者
Empey, Kerry M. [1 ]
Peebles, R. Stokes, Jr. [3 ]
Kolls, Jay K. [2 ,4 ]
机构
[1] Univ Pittsburgh, Sch Pharm, Dept Pharm & Therapeut, Pittsburgh, PA 15261 USA
[2] Univ Pittsburgh, Dept Pediat, Div Pediat Pulmonol Allergy & Immunol, Pittsburgh, PA 15261 USA
[3] Vanderbilt Univ, Sch Med, Dept Med, Div Pulm Allergy & Crit Care Med, Nashville, TN 37212 USA
[4] LSU, Hlth Sci Ctr, Sch Med, Dept Genet, New Orleans, LA USA
基金
美国国家卫生研究院;
关键词
AFRICAN-GREEN MONKEYS; TRANSCRIPTION ELONGATION-FACTOR; G-GLYCOPROTEIN; MONOCLONAL-ANTIBODY; ANTIVIRAL ACTIVITY; VACCINE CANDIDATE; RNA INTERFERENCE; ENHANCED DISEASE; RSV INFECTION; BALB/C MICE;
D O I
10.1086/651603
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Currently, only 2 drugs have been approved for the treatment of respiratory syncytial virus (RSV). Palivizumab is a monoclonal antibody for the prevention of RSV in high-risk children. Ribavirin is approved for treatment of severe RSV disease; however, its effectiveness in improving outcomes is questionable. During the past 40 years, many obstacles have delayed the development of safe and effective vaccines and treatment regimens. This article reviews these obstacles and presents the novel development strategies used to overcome many of them. Also discussed are promising new antiviral treatment candidates and their associated mechanism of action, the significant advances made in vaccine development, and exciting, new studies directed at improving outcomes through pharmacologic manipulation of the host response to RSV disease.
引用
收藏
页码:1258 / 1267
页数:10
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