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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.docVIP

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.doc

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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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