Small Molecules—Prospective Novel HCMV Inhibitors

Human cytomegalovirus (HCMV), a member of the betaherpesvirinae, can cause life-threatening diseases. HCMV is globally widespread, with a seroprevalence in adults varying from 50 to 100%. HCMV infection is rarely of significant consequence in immunocompetent individuals. However, although immune con...

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Main Authors: Elke Bogner, Anna Egorova, Vadim Makarov
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/3/474
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author Elke Bogner
Anna Egorova
Vadim Makarov
author_facet Elke Bogner
Anna Egorova
Vadim Makarov
author_sort Elke Bogner
collection DOAJ
description Human cytomegalovirus (HCMV), a member of the betaherpesvirinae, can cause life-threatening diseases. HCMV is globally widespread, with a seroprevalence in adults varying from 50 to 100%. HCMV infection is rarely of significant consequence in immunocompetent individuals. However, although immune control is efficient, it cannot achieve the clearance of the virus. HCMV persists lifelong in the infected host and reactivates in certain circumstances. In neonates and in immunocompromised adults, HCMV is a serious pathogen that can cause fatal organ damage. Different antiviral compounds alone or in combination have been used for the treatment of HCMV diseases. In clinical use, mutations in the viral DNA polymerase or the terminase confer resistance to ganciclovir, foscarnet, cidofovir, and letermovir. There is an urgent need to find new well-tolerated compounds supporting different modes of action. The list of novel small molecules that might have anti-HCMV activity has grown in recent years. In this short review, a selection of compounds in clinical trials and novel inhibitors targeting host-cell factors or viral proteins is presented, and their modes of action, described.
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spelling doaj.art-90f568ec2a2545098f1c258a774537e82023-11-21T10:17:43ZengMDPI AGViruses1999-49152021-03-0113347410.3390/v13030474Small Molecules—Prospective Novel HCMV InhibitorsElke Bogner0Anna Egorova1Vadim Makarov2Institute of Virology, Charité—Universitätsmedizin Berlin, 10117 Berlin, GermanyResearch Center of Biotechnology RAS, 119071 Moscow, RussiaResearch Center of Biotechnology RAS, 119071 Moscow, RussiaHuman cytomegalovirus (HCMV), a member of the betaherpesvirinae, can cause life-threatening diseases. HCMV is globally widespread, with a seroprevalence in adults varying from 50 to 100%. HCMV infection is rarely of significant consequence in immunocompetent individuals. However, although immune control is efficient, it cannot achieve the clearance of the virus. HCMV persists lifelong in the infected host and reactivates in certain circumstances. In neonates and in immunocompromised adults, HCMV is a serious pathogen that can cause fatal organ damage. Different antiviral compounds alone or in combination have been used for the treatment of HCMV diseases. In clinical use, mutations in the viral DNA polymerase or the terminase confer resistance to ganciclovir, foscarnet, cidofovir, and letermovir. There is an urgent need to find new well-tolerated compounds supporting different modes of action. The list of novel small molecules that might have anti-HCMV activity has grown in recent years. In this short review, a selection of compounds in clinical trials and novel inhibitors targeting host-cell factors or viral proteins is presented, and their modes of action, described.https://www.mdpi.com/1999-4915/13/3/474human cytomegalovirusantiviral therapysmall molecules
spellingShingle Elke Bogner
Anna Egorova
Vadim Makarov
Small Molecules—Prospective Novel HCMV Inhibitors
Viruses
human cytomegalovirus
antiviral therapy
small molecules
title Small Molecules—Prospective Novel HCMV Inhibitors
title_full Small Molecules—Prospective Novel HCMV Inhibitors
title_fullStr Small Molecules—Prospective Novel HCMV Inhibitors
title_full_unstemmed Small Molecules—Prospective Novel HCMV Inhibitors
title_short Small Molecules—Prospective Novel HCMV Inhibitors
title_sort small molecules prospective novel hcmv inhibitors
topic human cytomegalovirus
antiviral therapy
small molecules
url https://www.mdpi.com/1999-4915/13/3/474
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