Perspectives towards antiviral drug discovery against Ebola virus

J Med Virol. 2019 Dec;91(12):2029-2048. doi: 10.1002/jmv.25357. Epub 2019 Sep 30.

Abstract

Ebola virus disease (EVD), caused by Ebola viruses, resulted in more than 11 500 deaths according to a recent 2018 WHO report. With mortality rates up to 90%, it is nowadays one of the most deadly infectious diseases. However, no Food and Drug Administration-approved Ebola drugs or vaccines are available yet with the mainstay of therapy being supportive care. The high fatality rate and absence of effective treatment or vaccination make Ebola virus a category-A biothreat pathogen. Fortunately, a series of investigational countermeasures have been developed to control and prevent this global threat. This review summarizes the recent therapeutic advances and ongoing research progress from research and development to clinical trials in the development of small-molecule antiviral drugs, small-interference RNA molecules, phosphorodiamidate morpholino oligomers, full-length monoclonal antibodies, and vaccines. Moreover, difficulties are highlighted in the search for effective countermeasures against EVD with additional focus on the interplay between available in silico prediction methods and their evidenced potential in antiviral drug discovery.

Keywords: Ebola virus; advancement; antiviral; discovery; drugs; in silico methods; therapeutic.

Publication types

  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal / pharmacology
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use*
  • Clinical Trials as Topic
  • Disease Models, Animal
  • Disease Outbreaks / prevention & control
  • Drug Discovery*
  • Ebolavirus / drug effects*
  • Hemorrhagic Fever, Ebola / drug therapy*
  • Hemorrhagic Fever, Ebola / mortality
  • Hemorrhagic Fever, Ebola / prevention & control
  • Humans
  • Macaca mulatta
  • Mice
  • RNA, Small Interfering / pharmacology

Substances

  • Antibodies, Monoclonal
  • Antiviral Agents
  • RNA, Small Interfering