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1.
J Gen Virol ; 105(1)2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-38175184

RESUMO

Feline calicivirus (FCV) is considered one of the major pathogens of cats worldwide and causes upper respiratory tract disease in all cats. In some cats, infection is by a highly virulent strain of FCV (vs.-FCV), which can cause severe and fatal systemic disease symptoms. At present, few antiviral drugs are approved for clinical treatment against FCV. Therefore, there is an imminent need for effective FCV antiviral agents. Here, we used observed a cytopathic effect (CPE) assay to screen 1746 traditional Chinese medicine monomer compounds and found one that can effectively inhibit FCV replication, namely, handelin, with an effective concentration (EC50) value of approximately 2.5 µM. Further study showed that handelin inhibits FCV replication via interference with heat shock protein 70 (HSP70), which is a crucial host factor and plays a positive role in regulating viral replication. Moreover, handelin and HSP70 inhibitors have broad-spectrum antiviral activity. These findings indicate that handelin is a potential candidate for the treatment of FCV infection and that HSP70 may be an important drug target.


Assuntos
Infecções por Caliciviridae , Terpenos , Gatos , Animais , Avaliação Pré-Clínica de Medicamentos , Proteínas de Choque Térmico HSP70 , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/veterinária
2.
Biochem Biophys Res Commun ; 671: 200-204, 2023 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-37302295

RESUMO

Human norovirus (HuNoV) is a major cause of acute gastroenteritis and foodborne diseases worldwide with public health concern, yet no antiviral therapies have been developed. In this study, we aimed to screen crude drugs, which are components of Japanese traditional medicine, ''Kampo'' to see their effects on HuNoV infection using a reproducible HuNoV cultivation system, stem-cell derived human intestinal organoids/enteroids (HIOs). Among the 22 crude drugs tested, Ephedra herba significantly inhibited HuNoV infection in HIOs. A time-of-drug addition experiment suggested that this crude drug more preferentially targets post-entry step than entry step for the inhibition. To our knowledge, this is the first anti-HuNoV inhibitor screen targeting crude drugs, and Ephedra herba was identified as a novel inhibitor candidate that merits further study.


Assuntos
Infecções por Caliciviridae , Ephedra , Gastroenterite , Humanos , Intestinos , Gastroenterite/tratamento farmacológico , Infecções por Caliciviridae/tratamento farmacológico , Organoides
3.
Molecules ; 27(22)2022 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-36431850

RESUMO

Human noroviruses are the most common pathogens known to cause acute gastroenteritis, a condition that can lead to severe illness among immunocompromised individuals such as organ transplant recipients and the elderly. To date, no safe and effective vaccines or therapeutic agents have been approved for treating norovirus infections. Therefore, we aimed to demonstrate the virucidal activity of grape seed extract (GSE), which contains >83% proanthocyanidins, against murine norovirus (MNV), a surrogate for human norovirus. GSE showed virucidal activity against MNV in a dose- and time-dependent manner. Atomic force microscopic analysis showed viral particle aggregates after treatment of MNV with GSE. MNV treated with 50 µg/mL of GSE for 10 min resulted in the absence of pathogenicity in an animal model of infection, indicating that GSE has irreversible virucidal activity against MNV particles. Thus, GSE may aid in the development of treatments for norovirus infections.


Assuntos
Infecções por Caliciviridae , Extrato de Sementes de Uva , Norovirus , Humanos , Camundongos , Animais , Idoso , Extrato de Sementes de Uva/farmacologia , Fenol , Infecções por Caliciviridae/tratamento farmacológico , Fenóis
4.
Molecules ; 26(15)2021 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-34361822

RESUMO

Human noroviruses, which belong to the enterovirus family, are one of the most common etiological agents of food-borne diseases. In recent years, intensive research has been carried out regarding the antiviral activity of plant metabolites that could be used for the preservation of fresh food, because they are safer for consumption when compared to synthetic chemicals. Plant preparations with proven antimicrobial activity differ in their chemical compositions, which significantly affects their biological activity. Our review aimed to present the results of research related to the characteristics, applicability, and mechanisms of the action of various plant-based preparations and metabolites against norovirus. New strategies to combat intestinal viruses are necessary, not only to ensure food safety and reduce infections in humans but also to lower the direct health costs associated with them.


Assuntos
Antivirais/farmacologia , Infecções por Caliciviridae/tratamento farmacológico , Norovirus/efeitos dos fármacos , Extratos Vegetais/farmacologia , Animais , Infecções por Caliciviridae/virologia , Humanos
5.
J Ethnopharmacol ; 278: 114250, 2021 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-34089810

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Pogostemon cablin, the dry overground parts of Pogostemon cablin (Blanco) Benth, has been widely used in the treatment of gastrointestinal dysfunction, such as nausea, diarrhea, headaches and fever. Pogostone (PO) is a major component of Pogostemon cablin which has a variety of pharmacological properties, including antiinflammatory, and immunosuppressive activities, and antioxidant. However, the effect of PO on norovirus gastroenteritis and the underlying molecular mechanism remain unclear. AIM OF THE STUDY: The purpose of our study is to investigate the effects of PO against MNV infection using RAW264.7 cells and to elucidate its active mechanisms. MATERIALS AND METHODS: The cell viability was assessed using Cell Counting Kit-8 (CCK-8) assay and Fluorescein diacetate (FDA) staining. The activation of nuclear factor kappa B (NF-κB) signaling and NOD-like receptor 3 (NLRP3) inflammasome was evaluated by assessing the level of phospho-NF-κB p65, interleukin (IL)-6, TNF-α, NLRP3, cleaved caspase-1, IL-18, IL-1ß using Western blot and quantitative real-time PCR (qPCR), respectively. The number of infected cells were determined by immunofluorescence microscopic assay. RESULTS: PO did not possess a cytotoxic effect toward RAW264.7 cells. The cytotoxic damage caused by MNV infection in RAW264.7 cells decreased significantly in the presence of PO. Cell viability assays showed that pyroptosis is the major mechanism of death in MNV-infected RAW264.7 cells. PO could decreased the expression levels of p-p65, IL-6, TNF-α, NLRP3, cleaved caspase-1, IL-1ß, and IL-18. CONCLUSIONS: These results demonstrate that PO decreases MNV-induced RAW264.7 macrophages death and MNV replication through repressing NF-κB/NLRP3-dependent pyroptosis. Therefore PO may be considered as a potential therapeutic agent for preventing and treating norovirus gastroenteritis.


Assuntos
Macrófagos/efeitos dos fármacos , Norovirus/efeitos dos fármacos , Óleos Voláteis/farmacologia , Piroptose/efeitos dos fármacos , Animais , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/virologia , Sobrevivência Celular/efeitos dos fármacos , Gastroenterite/tratamento farmacológico , Gastroenterite/virologia , Inflamassomos/metabolismo , Macrófagos/virologia , Camundongos , NF-kappa B/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Óleos Voláteis/isolamento & purificação , Pogostemon/química , Células RAW 264.7
6.
Arch Virol ; 166(9): 2443-2450, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34173062

RESUMO

Cats infected with feline calicivirus (FCV) often display oral ulcers and inflammation of the upper respiratory tract, which can lead to death in severe cases. Antiviral therapy is one of the most effective ways to control FCV infection. Natural compounds in Chinese herbal medicines and medicinal plants provide abundant resources for research on antiviral drugs. In this study, we found that icariin (ICA), formononetin (FMN) and caffeic acid phenethyl ester (CPAE) show low cytotoxicity towards F81 cells, that the three natural compounds have apparent antiviral effects on FCV in vitro, and that they can inhibit different FCV strains. Then, we found that ICA and FMN mainly function in the early stage of FCV infection, while CAPE can function in both the early and late stages of FCV infection. Finally, we found that ICA has an antagonistic effect on FMN and CAPE in FCV infection, and FMN has a synergistic effect with CAPE against FCV infection. Our results showed that ICA, FMN and CAPE may be potential drug candidates for FCV-induced diseases.


Assuntos
Antivirais/farmacologia , Ácidos Cafeicos/farmacologia , Calicivirus Felino/efeitos dos fármacos , Flavonoides/farmacologia , Isoflavonas/farmacologia , Álcool Feniletílico/análogos & derivados , Álcool Feniletílico/farmacologia , Replicação Viral/efeitos dos fármacos , Animais , Infecções por Caliciviridae/tratamento farmacológico , Doenças do Gato/tratamento farmacológico , Gatos , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Interações Medicamentosas
7.
Viruses ; 12(9)2020 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-32906822

RESUMO

Norovirus is the leading cause of nonbacterial foodborne disease outbreaks. Human noroviruses (HuNoVs) bind to histo-blood group antigens as the host receptor for infection. In this study, the inhibitory effects of fucoidans from brown algae, Laminaria japonica (LJ), Undaria pinnatifida and Undaria pinnatifida sporophyll, were evaluated against murine norovirus (MNoV), feline calicivirus (FCV) and HuNoV. Pretreatment of MNoV or FCV with the fucoidans at 1 mg/mL showed high antiviral activities, with 1.1 average log reductions of viral titers in plaque assays. They also showed significant inhibition on the binding of the P domains of HuNoV GII.4 and GII.17 to A- or O-type saliva and the LJ fucoidan was the most effective, reaching 54-72% inhibition at 1 mg/mL. In STAT1-/- mice infected with MNoV, oral administration of the LJ fucoidan, composed of mainly sulfated fucose and minor amounts of glucose and galactose, improved the survival rates of mice and significantly reduced the viral titers in their feces. Overall, these results provide the LJ fucoidan can be used to reduce NoV outbreaks.


Assuntos
Antivirais/administração & dosagem , Infecções por Caliciviridae/tratamento farmacológico , Laminaria/química , Norovirus/efeitos dos fármacos , Extratos Vegetais/administração & dosagem , Polissacarídeos/administração & dosagem , Animais , Antivirais/química , Infecções por Caliciviridae/virologia , Humanos , Camundongos , Camundongos Knockout , Norovirus/genética , Norovirus/fisiologia , Extratos Vegetais/química , Polissacarídeos/química
8.
Mar Drugs ; 17(7)2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31324025

RESUMO

Posidonia oceanica waste biomass has been valorised to produce extracts by means of different methodologies and their bioactive properties have been evaluated. Water-based extracts were produced using ultrasound-assisted and hot water methods and classified according to their ethanol-affinity (E1: ethanol soluble; E2: non-soluble). Moreover, a conventional protocol with organic solvents was applied, yielding E3 extracts. Compositional and structural characterization confirmed that while E1 and E3 extracts were mainly composed of minerals and lipids, respectively, E2 extracts were a mixture of minerals, proteins and carbohydrates. All the extracts showed remarkably high antioxidant capacity, which was not only related to phenolic compounds but also to the presence of proteins and polysaccharides. All E2 and E3 extracts inhibited the growth of several foodborne fungi, while only E3 extracts decreased substantially the infectivity of feline calicivirus and murine norovirus. These results show the potential of P. oceanica waste biomass for the production of bioactive extracts.


Assuntos
Alismatales/química , Anti-Infecciosos/farmacologia , Antioxidantes/farmacologia , Compostos Fitoquímicos/farmacologia , Extratos Vegetais/farmacocinética , Animais , Anti-Infecciosos/química , Anti-Infecciosos/isolamento & purificação , Antioxidantes/química , Antioxidantes/isolamento & purificação , Biomassa , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/virologia , Calicivirus Felino/efeitos dos fármacos , Gatos , Etanol/química , Doenças Transmitidas por Alimentos/microbiologia , Doenças Transmitidas por Alimentos/prevenção & controle , Humanos , Lipídeos/química , Lipídeos/isolamento & purificação , Lipídeos/farmacologia , Camundongos , Testes de Sensibilidade Microbiana , Fungos Mitospóricos/efeitos dos fármacos , Norovirus/efeitos dos fármacos , Fenóis/química , Fenóis/isolamento & purificação , Fenóis/farmacologia , Compostos Fitoquímicos/química , Compostos Fitoquímicos/isolamento & purificação , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Proteínas de Plantas/química , Proteínas de Plantas/isolamento & purificação , Proteínas de Plantas/farmacologia , Polissacarídeos/química , Polissacarídeos/isolamento & purificação , Polissacarídeos/farmacologia , Células RAW 264.7 , Solventes/química , Água/química
9.
J Microbiol ; 56(9): 683-689, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30141161

RESUMO

Human noroviruses are the causative agents of non-bacterial gastroenteritis worldwide. The rapid onset and resolution of disease symptoms suggest that innate immune responses are critical for controlling norovirus infection; however, no effective antivirals are yet available. The present study was conducted to examine the antiviral activities of Schizonepeta tenuifolia Briquet extract (STE) against noroviruses. Treatment of human norovirus replicon-bearing HG23 cells with STE at 5 and 10 mg/ml concentrations resulted in the reduction in the viral RNA levels by 77.2% and 85.9%, respectively. STE had no cytotoxic effects on HG23 cells. Treatment of RAW 264.7 cells infected with murine norovirus 1 (MNV-1), a surrogate virus of human noroviruses, with STE at 10 and 20 µg/ml concentrations resulted in the reduction of viral replication by 58.5% and 84.9%, respectively. STE treatment induced the expression of mRNAs for type I and type II interferons in HG23 cells and upregulated the transcription of interferon-ß in infected RAW 264.7 cells via increased phosphorylation of interferon regulatory factor 3, a critical transcription regulator for type I interferon production. These results suggest that STE inhibits norovirus replication through the induction of antiviral interferon production during virus replication and may serve as a candidate antiviral substance for treatment against noroviruses.


Assuntos
Antivirais/farmacologia , Infecções por Caliciviridae/tratamento farmacológico , Interferons/metabolismo , Lamiaceae/química , Norovirus/efeitos dos fármacos , Extratos Vegetais/farmacologia , Animais , Infecções por Caliciviridae/virologia , Linhagem Celular/efeitos dos fármacos , Monoterpenos Cicloexânicos , Humanos , Imunidade Inata , Fator Regulador 3 de Interferon/metabolismo , Interferon Tipo I/metabolismo , Interferon gama/metabolismo , Mentol/farmacologia , Camundongos , Monoterpenos/farmacologia , Norovirus/patogenicidade , Vírus Norwalk , Compostos Fitoquímicos/química , Compostos Fitoquímicos/farmacologia , Sesquiterpenos Policíclicos , Células RAW 264.7 , RNA Viral , Sesquiterpenos/farmacologia , Replicação Viral/efeitos dos fármacos
10.
Gut Microbes ; 8(6): 616-620, 2017 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-28727498

RESUMO

Gut microbiota has been revealed to play an important role in various health conditions, and recent studies have suggested the modulation of gut microbiota as a therapeutic strategy. There is no effective treatment of norovirus infection, though vitamin A has been suggested to have an antiviral effect in an epidemiological study. We demonstrated that vitamin A significantly inhibited murine norovirus replication. Vitamin A supplementation significantly increased the abundance of Lactobacillus sp. during norovirus infection, which played a crucial role in antiviral efficacy, inhibiting murine norovirus. Therefore, we elaborated the antiviral effect of vitamin A via modulation of gut microbiota. Furthermore, we suggest a novel strategy, using potential probiotics, as having a protective and therapeutic effect on noroviral infection.


Assuntos
Antivirais/farmacologia , Microbioma Gastrointestinal/efeitos dos fármacos , Norovirus/efeitos dos fármacos , Vitamina A/farmacologia , Antivirais/uso terapêutico , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/microbiologia , Disbiose/tratamento farmacológico , Disbiose/microbiologia , Humanos , Lactobacillus/fisiologia , Probióticos , Replicação Viral/efeitos dos fármacos
11.
Virus Res ; 234: 21-33, 2017 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-28041960

RESUMO

Noroviruses belong to the Caliciviridae family of single-stranded positive-sense RNA viruses. The genus Norovirus includes seven genogroups (designated GI-GVII), of which GI, GII and GIV infect humans. Human noroviruses are responsible for widespread outbreaks of acute gastroenteritis and represent one of the most common causes of foodborne illness. No vaccine or antiviral treatment options are available for norovirus infection. The RNA-dependent RNA polymerase (RdRp) of noroviruses is a key enzyme responsible for transcription and replication of the viral genome. Here, we review the progress made in understanding the structures and functions of norovirus RdRp and its use as a target for small molecule inhibitors. Crystal structures of the RdRp at different stages of substrate interaction have been determined, which shed light on its multi-step catalytic cycle. The in vitro assays and in vivo animal models that have been developed to identify and characterize inhibitors of norovirus RdRp are also summarized, followed by an update on the current antiviral research targeting different regions of norovirus RdRp. In the future, structure-based drug design and rational optimization of known nucleoside and non-nucleoside inhibitors of norovirus RdRp may pave the way towards the next generation of direct-acting antivirals.


Assuntos
Antivirais/metabolismo , Inibidores Enzimáticos/metabolismo , Norovirus/enzimologia , RNA Polimerase Dependente de RNA/química , RNA Polimerase Dependente de RNA/metabolismo , Transcrição Gênica , Replicação Viral , Animais , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/virologia , Cristalografia por Raios X , Modelos Animais de Doenças , Avaliação Pré-Clínica de Medicamentos/métodos , Humanos , Testes de Sensibilidade Microbiana , Norovirus/efeitos dos fármacos , Conformação Proteica , RNA Polimerase Dependente de RNA/antagonistas & inibidores
12.
Arch Virol ; 161(6): 1559-67, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26997613

RESUMO

Feline calicivirus (FCV) often causes respiratory tract and oral disease in cats and is a highly contagious virus. Widespread vaccination does not prevent the spread of FCV. Furthermore, the low fidelity of the RNA-dependent RNA polymerase of FCV leads to the emergence of new variants, some of which show increased virulence. Currently, few effective anti-FCV drugs are available. Here, we found that germacrone, one of the main constituents of volatile oil from rhizoma curcuma, was able to effectively reduce the growth of FCV strain F9 in vitro. This compound exhibited a strong anti-FCV effect mainly in the early phase of the viral life cycle. The antiviral effect depended on the concentration of the drug. In addition, germacrone treatment had a significant inhibitory effect against two other reference strains, 2280 and Bolin, and resulted in a significant reduction in the replication of strains WZ-1 and HRB-SS, which were recently isolated in China. This is the first report of antiviral effects of germacrone against a calicivirus, and extensive in vivo research is needed to evaluate this drug as an antiviral therapeutic agent for FCV.


Assuntos
Antivirais/farmacologia , Calicivirus Felino/efeitos dos fármacos , Sesquiterpenos de Germacrano/farmacologia , Animais , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/veterinária , Calicivirus Felino/genética , Calicivirus Felino/fisiologia , Doenças do Gato/tratamento farmacológico , Gatos , Linhagem Celular , Medicamentos de Ervas Chinesas/farmacologia , Técnicas In Vitro , Óleos de Plantas/farmacologia , Replicação Viral/efeitos dos fármacos
13.
Rev. ciênc. farm. básica apl ; 36(1)mar. 2015. graf, tab
Artigo em Português | LILACS | ID: lil-761228

RESUMO

O calicivírus felino (FCV) é um importante patógeno de gatos que causa lesões ulcerativas orais e infecções respiratórias. O vírus tem sido utilizado como modelo experimental para avaliação de agente antivirais contra norovírus (NoVs). Nesse estudo, investigou-se a ação dos óleos essenciais de alecrim (Rosmarinus officinalis L.), orégano mexicano (Lippia graveolens HBK.) e tomilho (Thymus vulgaris L.) frente ao FCV, in vitro. A toxicidade celular foi testada pelo método de MTT e os ensaios antivirais pelo teste de redução de placas. Três protocolos foram aplicados: a) diferentes concentrações não tóxicas dos óleos essenciais (CNTOE) foram incubadas com o vírus por 1 hora antes da inoculação (ensaio virucida); b) CNTOE foram adicionadas às células CRFK e incubadas por 1 hora antes da adsorção viral (ensaio de pré-tratamento); c) CNTOE foram adicionadas às células após a inoculação do FCV e mantidas por 18 horas (ensaio de pós-tratamento). A CC 50 para os óleos de alecrim, orégano mexicano e tomilho foram: 1300,21 ?g mL -1 ; 435,92 ?g mL -1 e 675,34 ?g mL -1 ; respectivamente. O óleo essencial de tomilho apresentou índice de seletividade [IS=CC 50 /CI 50 ] de 8,57 para o ensaio de pré-tratamento e 6,2 no ensaio virucida. O óleo de alecrim mostrou atividade antiviral no ensaio virucida (IS=6,54) e de pós-tratamento (IS=6,86). O orégano mexicano apresentou IS de 5,75 no ensaio virucida e 5,59 no de pós-tratamento. Conclui-se que os óleos essenciais de tomilho e alecrim apresentaram atividade frente ao FCV em diferentes momentos da infecção viral.(AU)


The feline calicivirus (FCV) is an important pathogen of feline causing oral ulcerative lesions and respiratory disease. This virus has been used as a model to evaluate antiviral compounds against Norovirus (NoVs). In this study, the essential oils of rosemary (Rosmarinus officinalis L.), mexican oregano (Lippia graveolens HBK) and thyme (Thymus vulgaris L.) were examined for their activity towards FCV, in vitro. The cytotoxicity was determined by the MTT test and the antiviral assays were performed by the plaque reduction test. Three protocols were applied: a) different non-toxic concentrations of the essential oils (NTCEO) were incubated with the virus for 1 hour before viral inoculation (virucidal assay); b) NTCEO were added to CRFK cells and incubated for 1 hour before viral adsorption (pre-treatment assay); c) NTCEO were added to cells after virus inoculation and maintained for 18 hours (post-treatment assay). The cytotoxic concentration at 50% (CC 50 ) for the essential oils of rosemary, mexican oregano, and thyme were: 1300.21 ?g mL -1 ; 435.92 ?g mL -1 and 675.34 ?g mL -1 ; respectively. The essential oil of thyme showed a selectivity index (IS=CC 50 /CI 50 ) of 8.57 at the cell pre-treatment assay and 6.2 at the virucidal assay. The essential oil of rosemary showed antiviral activity at the virucidal assay (IS=6.54) and, also, at the post- treatment assay (IS=6.86). The mexican oregano showed an IS of 5.75 at the virucidal assay and 5.59 at the post-treatment. Therefore, it can be concluded that the essential oils of thyme and rosemary show antiviral activity against FCV in different times of the infection.(AU)


Assuntos
Animais , Óleos Voláteis/uso terapêutico , Thymus serpyllum/uso terapêutico , Calicivirus Felino , Infecções por Caliciviridae/tratamento farmacológico , Norovirus , Rosmarinus/toxicidade , Origanum/toxicidade , Colorimetria/métodos , Fitoterapia
14.
Antiviral Res ; 105: 80-91, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24583027

RESUMO

Noroviruses (NV) are the most common cause of acute gastrointestinal illness in the United States and worldwide. The development of specific antiviral countermeasures has lagged behind that of other viral pathogens, primarily because norovirus disease has been perceived as brief and self-limiting and robust assays suitable for drug discovery have been lacking. The increasing recognition that NV illness can be life-threatening, especially in immunocompromised patients who often require prolonged hospitalization and intensive supportive care, has stimulated new research to develop an effective antiviral therapy. Here, we propose a path forward for evaluating drug therapy in norovirus-infected immunocompromised individuals, a population at high risk for serious and prolonged illness. The clinical and laboratory features of norovirus illness in immunocompromised patients are reviewed, and potential markers of drug efficacy are defined. We discuss the potential design of clinical trials in these patients and how an antiviral therapy that proves effective in immunocompromised patients might also be used in the setting of acute outbreaks, especially in confined settings such as nursing homes, to block the spread of infection and reduce the severity of illness. We conclude by reviewing the current status of approved and experimental compounds that might be evaluated in a hospital setting.


Assuntos
Antivirais/uso terapêutico , Infecções por Caliciviridae/tratamento farmacológico , Ensaios Clínicos como Assunto , Hospedeiro Imunocomprometido , Norovirus/efeitos dos fármacos , Antivirais/isolamento & purificação , Biomarcadores/análise , Infecções por Caliciviridae/patologia , Avaliação Pré-Clínica de Medicamentos/métodos , Monitoramento de Medicamentos/métodos , Saúde Global , Humanos , Estados Unidos/epidemiologia
15.
J Infect Dis ; 196(7): 978-85, 2007 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-17763317

RESUMO

BACKGROUND: The effect of vitamin A supplementation on viral gastrointestinal infections among young children living in developing countries remains unclear. METHODS: The effect of vitamin A supplementation on norovirus (NoV) infection among 127 Mexican children 5-15 months of age was studied in a randomized, placebo-controlled trial during June-August 1998. Stool samples collected every 2 weeks and after diarrheal episodes were screened for NoV and characterized at the genogroup level (GI and GII). RESULTS: Of the stool samples collected, 29.9% were positive for NoV, and NoV GI and NoV GII were found in 55.4% and 46.4% of the positive samples, respectively. Vitamin A supplementation reduced the prevalence of NoV GII infections (rate ratio [RR], 0.60 [95% confidence interval {CI}, 0.20-0.82]), increased the length of both NoV GI and GII shedding, and decreased the prevalence of NoV-associated diarrhea (RR, 0.51 [95% CI, 0.26-0.97]). CONCLUSIONS: These findings suggest that NoV is an important cause of pediatric diarrhea in this study population and that vitamin A supplementation has divergent effects on specific outcomes of NoV infection.


Assuntos
Infecções por Caliciviridae , Gastroenterite , Norovirus/efeitos dos fármacos , Vitamina A , Infecções por Caliciviridae/tratamento farmacológico , Infecções por Caliciviridae/epidemiologia , Infecções por Caliciviridae/fisiopatologia , Fezes/virologia , Feminino , Gastroenterite/tratamento farmacológico , Gastroenterite/epidemiologia , Gastroenterite/fisiopatologia , Gastroenterite/virologia , Humanos , Lactente , Masculino , México/epidemiologia , Norovirus/classificação , Norovirus/isolamento & purificação , Prevalência , Resultado do Tratamento , Vitamina A/administração & dosagem , Vitamina A/uso terapêutico , Vitaminas/administração & dosagem , Vitaminas/uso terapêutico
16.
Zhongguo Zhong Xi Yi Jie He Za Zhi ; 14(9): 543-5, 1994 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-7866004

RESUMO

The hypothermic effect of Kangli San (KLS) on the model of rabbit viral hyperpyrexia caused by rabbit hemorrhagic fever virus was studied. Intraperitoneal injection of 200% KLS (4g/kg) could inhibit the pyrogenic action of the virus efficiently. The results showed that KLS could decrease the function of pyrogenic transmitters such as PGE2 and cAMP etc. in cerebrospinal fluid.


Assuntos
Infecções por Caliciviridae/tratamento farmacológico , Medicamentos de Ervas Chinesas/uso terapêutico , Febre/tratamento farmacológico , Vírus da Doença Hemorrágica de Coelhos , Animais , Feminino , Febre/virologia , Masculino , Coelhos
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