Emerging Strategies and Progress in the Medical Management of Marburg Virus Disease DOI Creative Commons

Sanctus Musafiri,

Emmanuel Edwar Siddig, John Baptist Nkuranga

и другие.

Pathogens, Год журнала: 2025, Номер 14(4), С. 322 - 322

Опубликована: Март 27, 2025

During the current outbreak of Marburg virus disease (MVD) in Rwanda, we synthesized evidence from literature to improve case management. Accordingly, experimental treatment was offered patients under close follow-up. Remdesivir alone or combination with monoclonal antibody (MBP091) complemented supportive care has improved clinical outcomes patients. Additionally, have identified several therapies currently investigation, including antiviral drugs such as favipiravir, galidesivir, obeldesivir, and remdesivir, along polyclonal antibodies (e.g., IgG, MR-78-N; MR82-N; MR191-N; MR186-YTE MBP091). Furthermore, substantial progress is being made vaccine development, promising candidates adenovirus-vectored vaccines, DNA recombinant vesicular stomatitis (rVSV) vaccine. Moreover, innovative preventive strategies-such synthetic hormones like estradiol benzoate, small interfering RNA (siRNA), interferon-β therapy, phosphorodiamidate morpholino oligomers-are emerging potential options for MVD Further investment needed accelerate research optimize these therapeutics modalities. Additional epidemiological, preclinical, studies are warranted generate required inform policymaking, resource mobilization, implementation cost-effective interventions prevention, control, MVD.

Язык: Английский

Immunogenicity, Pathogenesis, and Host’s Immuno-Responses to Marburg Virus Infection DOI Creative Commons
Emmanuel Edwar Siddig, Nicaise Ndembi, Ayman Ahmed

и другие.

Pathogens, Год журнала: 2025, Номер 14(4), С. 323 - 323

Опубликована: Март 27, 2025

Due to the sudden emergence and burnout nature of Marburg virus (MARV) outbreaks, little is known about MARV's pathogenicity immunogenicity. These gaps in knowledge are limiting our understanding disease implementation cost-effective prevention control measures including case management through safe effective therapeutic modalities. Therefore, this review aims synthesize summarize evidence pathogenicity, immunogenicity, virulence humans towards MARV. Upon infection, MARV rapidly disseminates throughout various tissues, provoking severe cellular injury, particularly lymphatic organs, liver, kidneys, gastrointestinal tract. The takes advantage host cells by avoiding immune responses, mainly disrupting function dendritic blocking signaling pathways for interferon. As a result, patients experience profound dysregulation characterized early lymphocyte depletion shift pro-inflammatory cytokine release, resulting storm that can lead hemorrhagic septic shock. Additionally, adaptive antibody production, impaired, further complicating recovery increasing susceptibility outcomes. Understanding these intricate host-pathogen interactions critical developing strategies vaccines against Continuing research essential explain mechanisms evasion identify potential intervention points improving patient

Язык: Английский

Процитировано

1

Emerging Strategies and Progress in the Medical Management of Marburg Virus Disease DOI Creative Commons

Sanctus Musafiri,

Emmanuel Edwar Siddig, John Baptist Nkuranga

и другие.

Pathogens, Год журнала: 2025, Номер 14(4), С. 322 - 322

Опубликована: Март 27, 2025

During the current outbreak of Marburg virus disease (MVD) in Rwanda, we synthesized evidence from literature to improve case management. Accordingly, experimental treatment was offered patients under close follow-up. Remdesivir alone or combination with monoclonal antibody (MBP091) complemented supportive care has improved clinical outcomes patients. Additionally, have identified several therapies currently investigation, including antiviral drugs such as favipiravir, galidesivir, obeldesivir, and remdesivir, along polyclonal antibodies (e.g., IgG, MR-78-N; MR82-N; MR191-N; MR186-YTE MBP091). Furthermore, substantial progress is being made vaccine development, promising candidates adenovirus-vectored vaccines, DNA recombinant vesicular stomatitis (rVSV) vaccine. Moreover, innovative preventive strategies-such synthetic hormones like estradiol benzoate, small interfering RNA (siRNA), interferon-β therapy, phosphorodiamidate morpholino oligomers-are emerging potential options for MVD Further investment needed accelerate research optimize these therapeutics modalities. Additional epidemiological, preclinical, studies are warranted generate required inform policymaking, resource mobilization, implementation cost-effective interventions prevention, control, MVD.

Язык: Английский

Процитировано

0