2011
DOI: 10.1517/14712598.2011.608062
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A review of palivizumab and emerging therapies for respiratory syncytial virus

Abstract: Although there are potential drugs and vaccines in development to prevent or reduce the effects of RSV infection, palivizumab remains the only licensed product to reduce the severity of disease in high-risk pediatric patients.

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Cited by 55 publications
(45 citation statements)
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“…Estimates suggest that each year, RSV leads to 3.4 million hospitalizations and at least 66,000 deaths in children under five years of age (Falsey et al, 2005; Hall et al, 2009; Nair et al, 2010; Shay et al, 1999). Despite ongoing efforts, there are no vaccines against RSV and the only treatments available are passive immunoprophylaxis (Shadman and Wald, 2011) and nebulized ribavirin (Smith et al, 1991). Clearly, new treatment strategies are needed.…”
Section: Introductionmentioning
confidence: 99%
“…Estimates suggest that each year, RSV leads to 3.4 million hospitalizations and at least 66,000 deaths in children under five years of age (Falsey et al, 2005; Hall et al, 2009; Nair et al, 2010; Shay et al, 1999). Despite ongoing efforts, there are no vaccines against RSV and the only treatments available are passive immunoprophylaxis (Shadman and Wald, 2011) and nebulized ribavirin (Smith et al, 1991). Clearly, new treatment strategies are needed.…”
Section: Introductionmentioning
confidence: 99%
“…A virus of the Family Paramyxoviridae , genus Pneumovirus, RSV is an enveloped single-stranded RNA virus that replicates in human alveolar macrophages and bronchial epithelial cells in vivo. While most disease is mild to moderate in nature, some infants are at high risk for severe disease, including those with bronchopulmonary dysplasia, immunodeficiency, premature birth and congenital heart disease; monoclonal antibody prophylaxis is available for these individuals [Shadman & Wald, 2011]. Although not currently available, research and development is ongoing toward a safe and effective RSV vaccine [Rudraraju et al , 2013].…”
Section: Introductionmentioning
confidence: 99%
“…were shown to induce inadequate protection, being under-or overattenuated in a variety of animal models (37,39,88). However, it is clear that anti-RSV F protein antibody responses are effective at neutralizing RSV (8,89,90), and this is further supported by studies examining the efficacy of palivizumab, which is a humanized antibody specific to the F protein and which has been approved for prophylactic use in children with certain risk factors (21,22,91). The RSV F protein has been shown to be a TLR4 and CD14 agonist (61).…”
Section: Figmentioning
confidence: 99%
“…The F protein binds to glycosaminoglycans (GAGs) and putatively nucleolin on host cells (20) and like HA is a major viral glycoprotein where antibodies to F protein neutralize RSV (21). One such antibody directed against RSV F protein is palivizumab (Synagis), which is used to treat premature infants and those at high risk for development of severe RSV infection (22,23).…”
mentioning
confidence: 99%