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Emerging Antiviral Drug Targets


Description: In recent years, many pharmaceutical and biotechnology companies have shifted their drug development for infectious diseases from antibacterial to antiviral discovery and development. This trend reflects a perception among many companies of limited commercial opportunity in antibacterials - due to high competition, increased genericization, and short treatment courses. In contrast, antiviral markets represent large populations, the need for chronic or long-term treatment, and significant unmet needs. In particular, human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) have been the focus of drug development, representing important areas of future growth. Early research has identified numerous potential targets in the viral lifecycle of these infections that could yield novel therapeutics with improved safety and efficacy.

This report provides an overview of the viral lifecycle of these infections, outlines the key drug targets and steps where pharmacologic intervention can have a favorable therapeutic benefit, and outlines key drugs aimed at emerging drug targets.

Business Implications

HIV, hepatitis B, and hepatitis C are among the most important viral infections for drug developers because of their large patient populations, high medical need, and potential for chronic treatment. The complex viral lifecycles of these infections provide numerous potential targets for drug developers. To date, however, current therapies against these infections have focused on a limited number of targets.

Among these three infectious organisms, HIV has yielded the highest number of drug targets and candidates, partly because of the high level of investment in HIV research and availability of in vitro models for drug testing. Integrase and several viral and host proteins involved in viral entry (CCR5, gp120, gp41, and CD4) appear to be the most promising emerging targets for the next generation of HIV therapeutics.

Historically, hepatitis C virus (HCV) drug development has been hampered by the lack of reliable cell culture systems and animal infection models. However, several highly promising targets, including protease and polymerase, have yielded drug candidates that can potentially revolutionize the treatment of HCV.

In contrast with HIV and HCV, hepatitis B virus (HBV) drug development is relatively concentrated within nucleoside analogues that target reverse transcription. Drug development in HBV is aimed at providing nucleoside analogues with higher potency than currently marketed products and activity against viral strains resistant to current agents.


Contents: Introduction
HIV
Viral Structure
Viral Life Cycle and Drug Targets
Virus Entry and Host Receptors
Nuclear Import
Reverse Transcription
Genomic Integration
Viral Expression and Assembly
Emerging Targets and Therapeutics for HIV
HCV
Key Viral Proteins and Drug Targets
NS2 and NS2/3 Protease
NS3 Protease
NS3 Helicase
NS4A
NS4B
NS5A
NS5B
Untranslated Regions
Core Protein
E1 and E2
Hypervariable Region
Emerging Targets and Therapeutics for HCV
HBV
Viral Structure
The HBV DNA Genome
The HBV Replication Cycle
Receptor Attachment
DNA Repair and Transcription
Encapsidation
Reverse Transcription and DNA Synthesis
Virion Assembly
Emerging Targets and Therapeutics for HBV
Outlook

List of Figures

Figure 1 Human Immunodeficiency Virus Structure
Figure 2 The Life Cycle of HIV-1
Figure 3 CD4 Receptor and Coreceptor Binding
Figure 4 Reverse Transcription
Figure 5 Hepatitis C Viral Genome
Figure 6 The Dane Particle
Figure 7 Hepatitis B Virus Replication

List of Tables

Table 1 HIV Gene Products Involved in the Production of New Infectious HIV Particles Table 2 Emerging Drug Targets and Therapeutics in Development for HIV, 2006
Table 3 Emerging Drug Targets and Therapeutics in Development for HCV, 2006
Table 4 Emerging Drug Targets and Therapeutics in Development for HBV, 2006



Companies Mentioned Some of the companies mentioned include: - Trimeris - Bristol-Myers Squibb - Pfizer - Progenics Pharmaceuticals - AnorMED - Tanox - Merck - Tibotec Pharmaceuticals - Jannsen Research Foundation - Johnson & Johnson - Incyte - Roche - Panacos Pharmaceuticals - Schering-Plough - Roche - Idenix Pharmaceuticals - ViroPharma - Wyeth - Valeant Pharmaceuticals - Coley Pharmaceuticals - Anadys Pharmaceuticals - Novartis - Sima Therapeutics - Gilead Sciences


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