2010
DOI: 10.2217/imt.10.53
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Therapeutic targeting of respiratory syncytial virus G-protein

Abstract: Respiratory syncytial virus (RSV) is a leading cause of pneumonia and bronchiolitis in infants and young children and an important pathogen of the elderly and immune suppressed. The only intervention currently available is a monoclonal antibody against the RSV fusion protein, which has shown utility as a prophylactic for high-risk premature infants, but which has not shown postinfection therapeutic efficacy in the specific RSV-infected populations studied. Thus, for the major susceptible populations, there rem… Show more

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Cited by 34 publications
(37 citation statements)
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“…Moreover, palivizumab has not been effective as postinfection therapy and may even be deleterious when administered postinfection (5). Emerging data support targeting of the G glycoprotein (3). In the present study, comparisons of anti-RSV-F (palivizumab) and anti-RSV-G were examined in both prophylactic and postinfection approaches as well as in a secondary, reinfection model.…”
Section: Discussionmentioning
confidence: 97%
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“…Moreover, palivizumab has not been effective as postinfection therapy and may even be deleterious when administered postinfection (5). Emerging data support targeting of the G glycoprotein (3). In the present study, comparisons of anti-RSV-F (palivizumab) and anti-RSV-G were examined in both prophylactic and postinfection approaches as well as in a secondary, reinfection model.…”
Section: Discussionmentioning
confidence: 97%
“…Repeated efforts to develop a vaccine against RSV have failed, and therapeutic options are limited (2). The development of new therapeutic or prophylactic agents remains a major challenge and clinical priority (3).…”
Section: Clinical Relevancementioning
confidence: 99%
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“…In addition to NS1 and NS2, the G-protein itself seems to play a major role in immune evasion of RSV. This protein is highly glycosylated, which may impede immune recognition, and its high variability allows easy escape from neutralising antibodies [43]. Furthermore, during viral replication, a soluble form of G-protein (sG-protein) is released and binds RSV-specific antibodies, thus, reducing the concentrations available for RSV neutralisation [44].…”
Section: Rsv Infection and Host Immune Responsementioning
confidence: 99%
“…It is becoming evident that the G protein also plays a substantial role in evading the host immune response to infection (27,28) as well as inducing immune responses that contribute to disease. For example, the G protein is associated with a lower frequency of interferon gamma (IFN-␥) and a higher frequency of interleukin-5 (IL-5)-and IL-6-expressing T cells (29) and alterations in the production of cytokines in infected mice (30).…”
mentioning
confidence: 99%