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Enhanced anti-influenza agents conjugated with anti-inflammatory activity.

Abstract
Influenza therapy with a single targeted compound is often limited in efficacy due to the rapidly developed drug resistance. Moreover, the uncontrolled virus-induced cytokines could cause the high mortality of human infected by H5N1 avian influenza virus. In this study, we explored the novel dual-targeted bifunctional anti-influenza drugs formed by conjugation with anti-inflammatory agents. In particular, the caffeic acid (CA)-bearing zanamivir (ZA) conjugates ZA-7-CA (1) and ZA-7-CA-amide (7) showed simultaneous inhibition of influenza virus neuraminidase and suppression of pro-inflammatory cytokines. These ZA conjugates provided remarkable protection of cells and mice against influenza infections. Intranasal administration of low dosage (<1.2 μmol/kg/day) of ZA conjugates exhibited much greater effect than the combination therapy with ZA and the anti-inflammatory agents in protection of the lethally infected mice by H1N1 or H5N1 influenza viruses.
AuthorsKung-Cheng Liu, Jim-Min Fang, Jia-Tsrong Jan, Ting-Jen R Cheng, Shi-Yun Wang, Shi-Ting Yang, Yih-Shyun E Cheng, Chi-Huey Wong
JournalJournal of medicinal chemistry (J Med Chem) Vol. 55 Issue 19 Pg. 8493-501 (Oct 11 2012) ISSN: 1520-4804 [Electronic] United States
PMID22963087 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Inflammatory Agents, Non-Steroidal
  • Antiviral Agents
  • Caffeic Acids
  • Interleukin-6
  • Lipopolysaccharides
  • Tumor Necrosis Factor-alpha
  • Interferon-gamma
  • Neuraminidase
  • Zanamivir
Topics
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal (chemical synthesis, chemistry, pharmacology)
  • Antiviral Agents (chemical synthesis, chemistry, pharmacology)
  • Caffeic Acids (chemical synthesis, pharmacology)
  • Cell Line
  • Dogs
  • Female
  • Influenza A Virus, H1N1 Subtype
  • Influenza A Virus, H5N1 Subtype
  • Interferon-gamma (blood)
  • Interleukin-6 (blood)
  • Lipopolysaccharides (pharmacology)
  • Mice
  • Mice, Inbred BALB C
  • Neuraminidase (antagonists & inhibitors)
  • Orthomyxoviridae Infections (drug therapy, virology)
  • Rats
  • Rats, Sprague-Dawley
  • Structure-Activity Relationship
  • Tumor Necrosis Factor-alpha (blood)
  • Zanamivir (analogs & derivatives, chemical synthesis, pharmacology)

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