Effective Oral Favipiravir (T-705) Therapy Initiated after the Onset of Clinical Disease in a Model of Arenavirus Hemorrhagic Fever 英文参考文献.docVIP
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Effective Oral Favipiravir (T-705) Therapy Initiated after the Onset of Clinical Disease in a Model of Arenavirus Hemorrhagic Fever 英文参考文献
EffectiveOralFavipiravir(T-705)TherapyInitiatedafter
theOnsetofClinicalDiseaseinaModelofArenavirus
HemorrhagicFever
MichelleMendenhall1,AndrewRussell1,DonaldF.Smee1,JefferyO.Hall1,RamonaSkirpstunas1,2,
YousukeFuruta3,BrianB.Gowen1*
1DepartmentofAnimal,Dairy,andVeterinarySciences,UtahStateUniversity,Logan,Utah,UnitedStatesofAmerica,2DepartmentofAgricultureandFood,Stateof
Utah,Logan,Utah,UnitedStatesofAmerica,3ResearchLaboratories,ToyamaChemicalCompany,Ltd.,Toyama,Japan
Abstract
Background:LassaandJun?′nvirusesarethemostprominentmembersoftheArenaviridaefamilyofvirusesthatcauseviral
hemorrhagicfeversyndromesLassafeverandArgentinehemorrhagicfever,respectively.Atpresent,ribavirinistheonly
antiviral drug indicated for use in treatment of these diseases, but because of its limited efficacy in advanced cases of
diseaseanditstoxicity,saferandmoreeffectiveantiviralsareneeded.
Methodology/Principal Findings: Here, we used a model of acute arenaviral infection in outbred guinea pigs based on
challenge with an adapted strain of Pichinde′ virus (PICV) to further preclinical development of T-705 (Favipiravir), a
promisingbroad-spectruminhibitorofRNAvirusinfections.Theguineapig-adaptedpassage19PICVwasuniformlylethal
with an LD50 of ,5 plaque-forming units and disease was associated with fever, weight loss, thrombocytopenia,
coagulation defects, increases in serum aspartate aminotransferase (AST) concentrations, and pantropic viral infection.
Favipiravir (300mg/kg/day, twice daily orally for 14 days) was highly effective, as all animals recovered fully from PICV-
induceddiseaseevenwhentherapywasinitiatedoneweekafterviruschallengewhenanimalswerealreadysignificantlyill
with marked fevers and thrombocytopenia. Antiviral activity and reduced disease severity was evidenced by dramatic
reductionsinpeakserumvirustitersandASTconcentrationsinfavipiravir-treatedanimals.Moreover,asharpdecreasein
body temperature was observed shortly after the start of treatment. Oral ribavirin was also evalu
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