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Original research article ebola and zika virusviruslar maqola
Clinical anagement and treatement
Besides activity against influenza virus infection, this drug
also has documented activity against RNA viruses including
Ebolaviruses
. (Smither
et al
., 2014; Furuta
et al
., 2013)
Favipiravir prevented death in mice infected with EBOV when
treatment was started six dayspost infection. (Oestereich
et al
.,
2014) BCX-4430 is also a nucleoside analogue with broad
spectrum activity against RNA viruses and has proven to be
effective against the Marburg virus in a non-human primate
model and Ebola virus in a mouse model. (Warren
et al
., 2014)
Zika
virus
Zika is a viral infection transmitted by the bite of an infected
mosquito. It can sometimes be spread by having sex with an
infected man. Anyone who gets bitten by an infected
mosquito, or who has unprotected sex with an infected man
can become infected with Zika. On 1 February 2016, the
World Health organization (WHO) declared that the recent
cluster of microcephaly cases and other neurological disorders
reported in the America’s, where an outbreak with Zika virus
(ZIKV) is ongoing, constitutes a Public Health Emergency of
International Concern (PHEIC) (WHO, 2016). Zika virus
(ZIKV) is a mosquito-borne virus (genus
Flavivirus,
family
Flaviviridae
) related to yellow fever, dengue, ZIKV was first
isolated in 1947 from Rhesus macaques living in the
eponymous forest in Uganda (Dick
et al
., 1952). Up to 2006,
only sporadic cases of ZIKV human infections were reported
in literature (Hayes, 2009). Accordingly, ZIKV was long
considered a low-impact human pathogen, which might
explain the limited, compared to other mosquito-borne viruses
such as dengue virus (9187 references), West Nile virus (5949
references) or chikungunya virus (2183 references) (Martinez-
Pulgarin
et al
., 2015) Virions of ZIKV are 40–60 nm in
diameter, spherical in shape and contain a lipid envelope. Its
genome consists of a positive sense RNA of approximately 11
kb. The virions consist of a single capsid (C) and two
membrane-associated envelope proteins (M, E). The
nonstructural proteins (NS1-NS5) contain sequence motifs
characteristic of a serine protease, RNA helicase and RdRp
(NS5). The genomic RNA contains a single long ORF flanked
by 5’- and 3’-terminal non-coding regions (NCRs) that form
specific secondary structures required for genome replication
and translation. Translation-initiation of genomic RNA is cap-
dependent. Viral proteins are synthesized as part of a
polyprotein that is co- and post-translationally cleaved by viral
and cellular proteases. RNA synthesis occurs in the cytoplasm
in association with modified cellular membranes via synthesis
of full-length negative-strand intermediates. Virion assembly,
including acquisition of the glycoprotein-containing lipid
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