Challenges with the discovery of RNA-based therapeutics for flaviviruses

Expert Opin Drug Discov. 2023 Apr;18(4):371-383. doi: 10.1080/17460441.2023.2195164. Epub 2023 Mar 30.

Abstract

Introduction: Flaviviruses are emerging or reemerging pathogens that have caused several outbreaks throughout the world and pose serious threats on human health and economic development. RNA-based therapeutics are developing rapidly, and hold promise in the fight against flaviviruses. However, to develop efficient and safe therapeutics for flaviviruses, many challenges remain unsolved.

Areas covered: In this review, the authors briefly introduced the biology of flaviviruses and the current advances in RNA-based therapeutics for them. Furthermore, the authors list the challenges and possible solutions in this area. Finally, the authors give their opinion on the development and future of RNA-based therapeutics for flaviviruses.

Expert opinion: With the rapid development of structural biology, the crystal structures of flavivirus proteins may lay the foundation for future rational drug design. Studies regarding the interactions between the flavivirus and the host will also be invaluable to inhibitor design. Researchers should maintain the current momentum to bring about safe and effective anti-flavivirus drugs to licensure through joint efforts of academia, government, and industry.

Keywords: ASOs; Flaviviruses; RNA aptamers; RNA interference; RNA-based therapeutics.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Flavivirus Infections* / drug therapy
  • Flavivirus* / genetics
  • Flavivirus* / metabolism
  • Humans
  • RNA / metabolism
  • RNA / pharmacology

Substances

  • RNA