Mpox (formerly monkeypox): pathogenesis, prevention, and treatment

Abstract In 2022, a global outbreak of Mpox (formerly monkeypox) occurred in various countries across Europe and America and rapidly spread to more than 100 countries and regions. The World Health Organization declared the outbreak to be a public health emergency of international concern due to the...

Full description

Bibliographic Details
Main Authors: Junjie Lu, Hui Xing, Chunhua Wang, Mengjun Tang, Changcheng Wu, Fan Ye, Lijuan Yin, Yang Yang, Wenjie Tan, Liang Shen
Format: Article
Language:English
Published: Nature Publishing Group 2023-12-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-023-01675-2
_version_ 1797371167152013312
author Junjie Lu
Hui Xing
Chunhua Wang
Mengjun Tang
Changcheng Wu
Fan Ye
Lijuan Yin
Yang Yang
Wenjie Tan
Liang Shen
author_facet Junjie Lu
Hui Xing
Chunhua Wang
Mengjun Tang
Changcheng Wu
Fan Ye
Lijuan Yin
Yang Yang
Wenjie Tan
Liang Shen
author_sort Junjie Lu
collection DOAJ
description Abstract In 2022, a global outbreak of Mpox (formerly monkeypox) occurred in various countries across Europe and America and rapidly spread to more than 100 countries and regions. The World Health Organization declared the outbreak to be a public health emergency of international concern due to the rapid spread of the Mpox virus. Consequently, nations intensified their efforts to explore treatment strategies aimed at combating the infection and its dissemination. Nevertheless, the available therapeutic options for Mpox virus infection remain limited. So far, only a few numbers of antiviral compounds have been approved by regulatory authorities. Given the high mutability of the Mpox virus, certain mutant strains have shown resistance to existing pharmaceutical interventions. This highlights the urgent need to develop novel antiviral drugs that can combat both drug resistance and the potential threat of bioterrorism. Currently, there is a lack of comprehensive literature on the pathophysiology and treatment of Mpox. To address this issue, we conducted a review covering the physiological and pathological processes of Mpox infection, summarizing the latest progress of anti-Mpox drugs. Our analysis encompasses approved drugs currently employed in clinical settings, as well as newly identified small-molecule compounds and antibody drugs displaying potential antiviral efficacy against Mpox. Furthermore, we have gained valuable insights from the process of Mpox drug development, including strategies for repurposing drugs, the discovery of drug targets driven by artificial intelligence, and preclinical drug development. The purpose of this review is to provide readers with a comprehensive overview of the current knowledge on Mpox.
first_indexed 2024-03-08T18:15:54Z
format Article
id doaj.art-b9b45f41a1f847e4a4aa1c9b5dbcd0f3
institution Directory Open Access Journal
issn 2059-3635
language English
last_indexed 2024-03-08T18:15:54Z
publishDate 2023-12-01
publisher Nature Publishing Group
record_format Article
series Signal Transduction and Targeted Therapy
spelling doaj.art-b9b45f41a1f847e4a4aa1c9b5dbcd0f32023-12-31T12:16:01ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352023-12-018111510.1038/s41392-023-01675-2Mpox (formerly monkeypox): pathogenesis, prevention, and treatmentJunjie Lu0Hui Xing1Chunhua Wang2Mengjun Tang3Changcheng Wu4Fan Ye5Lijuan Yin6Yang Yang7Wenjie Tan8Liang Shen9Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and ScienceXiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and ScienceXiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and ScienceXiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and ScienceNHC Key Laboratory of Biosafety, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and PreventionXiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and ScienceCollege of Biotechnology, Tianjin University of Science & TechnologyShenzhen Key Laboratory of Pathogen and Immunity, National Clinical Research Center for infectious disease, State Key Discipline of Infectious Disease, Shenzhen Third People’s Hospital, Second Hospital Affiliated to Southern University of Science and TechnologyNHC Key Laboratory of Biosafety, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and PreventionXiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and ScienceAbstract In 2022, a global outbreak of Mpox (formerly monkeypox) occurred in various countries across Europe and America and rapidly spread to more than 100 countries and regions. The World Health Organization declared the outbreak to be a public health emergency of international concern due to the rapid spread of the Mpox virus. Consequently, nations intensified their efforts to explore treatment strategies aimed at combating the infection and its dissemination. Nevertheless, the available therapeutic options for Mpox virus infection remain limited. So far, only a few numbers of antiviral compounds have been approved by regulatory authorities. Given the high mutability of the Mpox virus, certain mutant strains have shown resistance to existing pharmaceutical interventions. This highlights the urgent need to develop novel antiviral drugs that can combat both drug resistance and the potential threat of bioterrorism. Currently, there is a lack of comprehensive literature on the pathophysiology and treatment of Mpox. To address this issue, we conducted a review covering the physiological and pathological processes of Mpox infection, summarizing the latest progress of anti-Mpox drugs. Our analysis encompasses approved drugs currently employed in clinical settings, as well as newly identified small-molecule compounds and antibody drugs displaying potential antiviral efficacy against Mpox. Furthermore, we have gained valuable insights from the process of Mpox drug development, including strategies for repurposing drugs, the discovery of drug targets driven by artificial intelligence, and preclinical drug development. The purpose of this review is to provide readers with a comprehensive overview of the current knowledge on Mpox.https://doi.org/10.1038/s41392-023-01675-2
spellingShingle Junjie Lu
Hui Xing
Chunhua Wang
Mengjun Tang
Changcheng Wu
Fan Ye
Lijuan Yin
Yang Yang
Wenjie Tan
Liang Shen
Mpox (formerly monkeypox): pathogenesis, prevention, and treatment
Signal Transduction and Targeted Therapy
title Mpox (formerly monkeypox): pathogenesis, prevention, and treatment
title_full Mpox (formerly monkeypox): pathogenesis, prevention, and treatment
title_fullStr Mpox (formerly monkeypox): pathogenesis, prevention, and treatment
title_full_unstemmed Mpox (formerly monkeypox): pathogenesis, prevention, and treatment
title_short Mpox (formerly monkeypox): pathogenesis, prevention, and treatment
title_sort mpox formerly monkeypox pathogenesis prevention and treatment
url https://doi.org/10.1038/s41392-023-01675-2
work_keys_str_mv AT junjielu mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT huixing mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT chunhuawang mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT mengjuntang mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT changchengwu mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT fanye mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT lijuanyin mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT yangyang mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT wenjietan mpoxformerlymonkeypoxpathogenesispreventionandtreatment
AT liangshen mpoxformerlymonkeypoxpathogenesispreventionandtreatment