2020
DOI: 10.1002/med.21664
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Medicinal chemistry strategies toward host targeting antiviral agents

Abstract: Direct-acting antiviral agents (DAAs) represent a class of drugs targeting viral proteins and have been demonstrated to be very successful in combating viral infections in clinic. However, DAAs suffer from several inherent limitations, including narrow-spectrum antiviral profiles and liability to drug resistance, and hence there are still unmet needs in the treatment of viral infections. In comparison, host targeting antivirals (HTAs) target host factors for antiviral treatment. Since host proteins are probabl… Show more

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Cited by 84 publications
(84 citation statements)
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References 247 publications
(259 reference statements)
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“…Importantly, the exact target and mechanism of action of this compound remain to be determined; however, the data from virologic, resistance, and imaging studies presented here raise the intriguing possibility that this compound does not specifically target a viral protein, but instead may target a host component of a multi-protein complex that plays an important role in assembly of the immature HIV-1 capsid. While further studies will be needed to test this hypothesis, PAV206 and its analogs should be of great interest even at this early stage given that all existing antiretroviral drugs except one (CCR5 antagonists) target viral proteins (direct-acting antivirals) and that host-targeting antivirals are highly desirable because they offer a high genetic barrier to resistance that could allow us to win the drug resistance race (46, 47).…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, the exact target and mechanism of action of this compound remain to be determined; however, the data from virologic, resistance, and imaging studies presented here raise the intriguing possibility that this compound does not specifically target a viral protein, but instead may target a host component of a multi-protein complex that plays an important role in assembly of the immature HIV-1 capsid. While further studies will be needed to test this hypothesis, PAV206 and its analogs should be of great interest even at this early stage given that all existing antiretroviral drugs except one (CCR5 antagonists) target viral proteins (direct-acting antivirals) and that host-targeting antivirals are highly desirable because they offer a high genetic barrier to resistance that could allow us to win the drug resistance race (46, 47).…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, proteins of different species or even genotypes of virus not often share structural similarity, as well as the ability of viruses to mutate during replication cause that the antiviral drug which targets a specific viral protein is not always effective against another virus. Noteworthy, there is a lack of effective antiviral drugs on the market ( Ji and Li, 2020 ). The extremely high mutation rates of RNA viruses may lead to drug resistance induction and circumvent vaccine-induced immunity ( Dinesh et al, 2020 ).…”
Section: Introductionmentioning
confidence: 99%
“…According to the WHO, due to its safety and medicinal capacity, most countries rely on herbal products 32 Therefore, viral replication can be blocked using the host protein inhibitor. The host protein inhibitor will be antiviral drug 35 . Several drugs are predicted to be used in the treatment of COVID-19 but still debated 36 .…”
Section: Discussionmentioning
confidence: 99%