2007
DOI: 10.1002/rmv.558
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Human cytomegalovirus DNA replication: antiviral targets and drugs

Abstract: Human cytomegalovirus (HCMV) infection is associated with severe morbidity and mortality in immunocompromised individuals, in particular transplant recipients and AIDS patients, and is the most frequent congenital viral infection in humans. There are currently five drugs approved for HCMV treatment: ganciclovir and its prodrug valganciclovir, foscarnet, cidofovir and fomivirsen. These drugs have provided a major advance in HCMV disease management, but they suffer from poor bioavailability, significant toxicity… Show more

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Cited by 65 publications
(44 citation statements)
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“…Given the ability of quinolones to interact with protein-nucleic acid complexes (2,30), the possibility existed that WC5 might inhibit HCMV DNA replication either by affecting the activity of a component of the DNA replication complex other than the viral polymerase or of a protein(s) indirectly involved in virus genome replication (26,29) or by interfering with DNA maturation. To test this hypothesis, the effect of WC5 on viral DNA synthesis in HCMV-infected cells was quantitatively determined by qPCR at 72 h p.i.…”
Section: Resultsmentioning
confidence: 99%
“…Given the ability of quinolones to interact with protein-nucleic acid complexes (2,30), the possibility existed that WC5 might inhibit HCMV DNA replication either by affecting the activity of a component of the DNA replication complex other than the viral polymerase or of a protein(s) indirectly involved in virus genome replication (26,29) or by interfering with DNA maturation. To test this hypothesis, the effect of WC5 on viral DNA synthesis in HCMV-infected cells was quantitatively determined by qPCR at 72 h p.i.…”
Section: Resultsmentioning
confidence: 99%
“…HCMV is the most complex human-pathogenic herpesvirus and encodes approximately 180 proteins, of which 45 were categorized as absolutely essential and 35 were assumed to be critical for efficient viral replication in cell culture (14,33,48). Thus, in addition to the well-established antiviral target molecules comprising the viral protein kinase UL97 and the DNA polymerase UL54, HCMV encodes several more target proteins that deserve further evaluation and validation (32). In this report, we focused on the gene product encoded by the open reading frame UL84, which has previously been shown to be essential for the initiation of viral lytic DNA replication (34,35,37).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, increasing evidence suggests that atherosclerotic vascular disease manifestations, such as coronary restenosis or transplant atherosclerosis, are linked to HCMV infection (5). Despite considerable diagnostic and therapeutic progress in recent years, the clinical application of all presently licensed anti-HCMV drugs is limited due to several drawbacks, including toxicity and the emergence of drug-resistant virus strains after prolonged therapy (27,32). Consequently, new therapeutic strategies, as well as novel antiviral targets, are urgently required to improve the treatment options for life-threatening HCMV infections.…”
mentioning
confidence: 99%
“…Subsequently, HCMV replication sites are enlarged to form globular replication compartments that eventually fill the nucleus at late stage [19,29,30]. Viral proteins involved in HCMV DNA replication at least include UL44 (the DNA polymerase processivity factor), UL84 (likely a replication initiator interacting with the RNA/DNA hybrid within oriLyt) and the immediate-early 2 (IE2) protein [29,[31][32][33][34]. HCMV with IE2 gene deleted is not viable [35].…”
Section: Introductionmentioning
confidence: 99%