Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil

Viral neuraminidase inhibitors show limited efficacy in mice infected with H7N9 influenza A viruses isolated from humans. Although baloxavir marboxil protected mice from lethal challenge infection with a low pathogenic avian influenza H7N9 virus isolated from a human, its efficacy in mice infected w...

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Main Authors: Maki Kiso, Seiya Yamayoshi, Yuri Furusawa, Masaki Imai, Yoshihiro Kawaoka
Format: Article
Language:English
Published: MDPI AG 2019-11-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/11/11/1066
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author Maki Kiso
Seiya Yamayoshi
Yuri Furusawa
Masaki Imai
Yoshihiro Kawaoka
author_facet Maki Kiso
Seiya Yamayoshi
Yuri Furusawa
Masaki Imai
Yoshihiro Kawaoka
author_sort Maki Kiso
collection DOAJ
description Viral neuraminidase inhibitors show limited efficacy in mice infected with H7N9 influenza A viruses isolated from humans. Although baloxavir marboxil protected mice from lethal challenge infection with a low pathogenic avian influenza H7N9 virus isolated from a human, its efficacy in mice infected with a recent highly pathogenic version of H7N9 human isolates is unknown. Here, we examined the efficacy of baloxavir marboxil in mice infected with a highly pathogenic human H7N9 virus, A/Guangdong/17SF003/2016. Treatment of infected mice with a single 1.5 mg/kg dose of baloxavir marboxil protected mice from the highly pathogenic human H7N9 virus infection as effectively as oseltamivir treatment at 50 mg/kg twice a day for five days. Daily treatment for five days at 15 or 50 mg/kg of baloxavir marboxil showed superior therapeutic efficacy, largely preventing virus replication in respiratory organs. These results indicate that baloxavir marboxil is a valuable candidate treatment for human patients suffering from highly pathogenic H7N9 virus infection.
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spelling doaj.art-117a95924f2d4cfc9cc35bdf2ff19b982022-12-22T01:20:36ZengMDPI AGViruses1999-49152019-11-011111106610.3390/v11111066v11111066Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir MarboxilMaki Kiso0Seiya Yamayoshi1Yuri Furusawa2Masaki Imai3Yoshihiro Kawaoka4Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, JapanDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, JapanDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, JapanDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, JapanDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, JapanViral neuraminidase inhibitors show limited efficacy in mice infected with H7N9 influenza A viruses isolated from humans. Although baloxavir marboxil protected mice from lethal challenge infection with a low pathogenic avian influenza H7N9 virus isolated from a human, its efficacy in mice infected with a recent highly pathogenic version of H7N9 human isolates is unknown. Here, we examined the efficacy of baloxavir marboxil in mice infected with a highly pathogenic human H7N9 virus, A/Guangdong/17SF003/2016. Treatment of infected mice with a single 1.5 mg/kg dose of baloxavir marboxil protected mice from the highly pathogenic human H7N9 virus infection as effectively as oseltamivir treatment at 50 mg/kg twice a day for five days. Daily treatment for five days at 15 or 50 mg/kg of baloxavir marboxil showed superior therapeutic efficacy, largely preventing virus replication in respiratory organs. These results indicate that baloxavir marboxil is a valuable candidate treatment for human patients suffering from highly pathogenic H7N9 virus infection.https://www.mdpi.com/1999-4915/11/11/1066influenzabaloxavir marboxilh7n9highly pathogenic
spellingShingle Maki Kiso
Seiya Yamayoshi
Yuri Furusawa
Masaki Imai
Yoshihiro Kawaoka
Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil
Viruses
influenza
baloxavir marboxil
h7n9
highly pathogenic
title Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil
title_full Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil
title_fullStr Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil
title_full_unstemmed Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil
title_short Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil
title_sort treatment of highly pathogenic h7n9 virus infected mice with baloxavir marboxil
topic influenza
baloxavir marboxil
h7n9
highly pathogenic
url https://www.mdpi.com/1999-4915/11/11/1066
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