A pan-serotype dengue virus inhibitor targeting the NS3-NS4B interaction

Dengue virus causes approximately 96 million symptomatic infections annually, manifesting as dengue fever or occasionally as severe dengue1,2. There are no antiviral agents available to prevent or treat dengue. Here, we describe a highly potent dengue virus inhibitor (JNJ-A07) that exerts nanomolar...

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Veröffentlicht in:NATURE 2021-10, Vol.598 (7881), p.504-+
Hauptverfasser: Kaptein, Suzanne J.F, Goethals, Olivia, Kiemel, Dominik, Marchand, Arnaud, Kesteleyn, Bart, Bonfanti, Jean-Francois, Bardiot, Dorothee, Stoops, Bart, Jonckers, Tim H.M, Dallmeier, Kai, Geluykens, Peggy, Thys, Kim, Crabbe, Marjolein, Chatel-Chaix, Laurent, Muenster, Max, Querat, Gilles, Touret, Franck, de Lamballerie, Xavier, Raboisson, Pierre, Simmen, Kenny, Chaltin, Patrick, Bartenschlager, Ralf, Van Loock, Marnix, Neyts, Johan
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container_issue 7881
container_start_page 504
container_title NATURE
container_volume 598
creator Kaptein, Suzanne J.F
Goethals, Olivia
Kiemel, Dominik
Marchand, Arnaud
Kesteleyn, Bart
Bonfanti, Jean-Francois
Bardiot, Dorothee
Stoops, Bart
Jonckers, Tim H.M
Dallmeier, Kai
Geluykens, Peggy
Thys, Kim
Crabbe, Marjolein
Chatel-Chaix, Laurent
Muenster, Max
Querat, Gilles
Touret, Franck
de Lamballerie, Xavier
Raboisson, Pierre
Simmen, Kenny
Chaltin, Patrick
Bartenschlager, Ralf
Van Loock, Marnix
Neyts, Johan
description Dengue virus causes approximately 96 million symptomatic infections annually, manifesting as dengue fever or occasionally as severe dengue1,2. There are no antiviral agents available to prevent or treat dengue. Here, we describe a highly potent dengue virus inhibitor (JNJ-A07) that exerts nanomolar to picomolar activity against a panel of 21 clinical isolates that represent the natural genetic diversity of known genotypes and serotypes. The molecule has a high barrier to resistance and prevents the formation of the viral replication complex by blocking the interaction between two viral proteins (NS3 and NS4B), thus revealing a previously undescribed mechanism of antiviral action. JNJ-A07 has a favourable pharmacokinetic profile that results in outstanding efficacy against dengue virus infection in mouse infection models. Delaying start of treatment until peak viraemia results in a rapid and significant reduction in viral load. An analogue is currently in further development.
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title A pan-serotype dengue virus inhibitor targeting the NS3-NS4B interaction
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