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Small-molecule polymerase inhibitor protects non-human primates from measles and reduces shedding

Author

Listed:
  • Kevin Wittwer

    (Paul-Ehrlich-Institute)

  • Danielle E. Anderson

    (Duke-NUS Medical School)

  • Kristin Pfeffermann

    (Paul-Ehrlich-Institute)

  • Robert M. Cox

    (Georgia State University)

  • Josef D. Wolf

    (Georgia State University)

  • Sabine Santibanez

    (Robert Koch-Institute)

  • Annette Mankertz

    (Robert Koch-Institute)

  • Roland Plesker

    (Paul-Ehrlich-Institute)

  • Zachary M. Sticher

    (Emory University)

  • Alexander A. Kolkykhalov

    (Emory University)

  • Michael G. Natchus

    (Emory University)

  • Christian K. Pfaller

    (Paul-Ehrlich-Institute)

  • Richard K. Plemper

    (Georgia State University)

  • Veronika von Messling

    (Paul-Ehrlich-Institute
    Federal Ministry of Education and Research)

Abstract

Measles virus (MeV) is a highly contagious pathogen that enters the human host via the respiratory route. Besides acute pathologies including fever, cough and the characteristic measles rash, the infection of lymphocytes leads to substantial immunosuppression that can exacerbate the outcome of infections with additional pathogens. Despite the availability of effective vaccine prophylaxis, measles outbreaks continue to occur worldwide. We demonstrate that prophylactic and post-exposure therapeutic treatment with an orally bioavailable small-molecule polymerase inhibitor, ERDRP-0519, prevents measles disease in squirrel monkeys (Saimiri sciureus). Treatment initiation at the onset of clinical signs reduced virus shedding, which may support outbreak control. Results show that this clinical candidate has the potential to alleviate clinical measles and augment measles virus eradication.

Suggested Citation

  • Kevin Wittwer & Danielle E. Anderson & Kristin Pfeffermann & Robert M. Cox & Josef D. Wolf & Sabine Santibanez & Annette Mankertz & Roland Plesker & Zachary M. Sticher & Alexander A. Kolkykhalov & Mic, 2021. "Small-molecule polymerase inhibitor protects non-human primates from measles and reduces shedding," Nature Communications, Nature, vol. 12(1), pages 1-7, December.
  • Handle: RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-25497-4
    DOI: 10.1038/s41467-021-25497-4
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    Cited by:

    1. Robert M. Cox & Josef D. Wolf & Nicole A. Lieberman & Carolin M. Lieber & Hae-Ji Kang & Zachary M. Sticher & Jeong-Joong Yoon & Meghan K. Andrews & Mugunthan Govindarajan & Rebecca E. Krueger & Elizab, 2024. "Therapeutic mitigation of measles-like immune amnesia and exacerbated disease after prior respiratory virus infections in ferrets," Nature Communications, Nature, vol. 15(1), pages 1-16, December.

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