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

tetano

Editor, Senior Moderator
Viruses. 2019 Nov 15;11(11). pii: E1066. doi: 10.3390/v11111066. [h=1]Treatment of Highly Pathogenic H7N9 Virus-Infected Mice with Baloxavir Marboxil.[/h]
Kiso M[SUP]1[/SUP], Yamayoshi S[SUP]1[/SUP], Furusawa Y[SUP]1[/SUP], Imai M[SUP]1[/SUP], Kawaoka Y[SUP]1,[/SUP][SUP]2,[/SUP][SUP]3[/SUP].
[h=3]Author information[/h] 1 Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, Japan. 2 Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706, USA. 3 Department of Special Pathogens, International Research Center for Infectious Diseases, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, Japan.

[h=3]Abstract[/h] 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.


[h=4]KEYWORDS:[/h] H7N9; baloxavir marboxil; highly pathogenic; influenza

PMID: 31731678 DOI: 10.3390/v11111066
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