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扎那米韦治疗甲型流感临床研究进展
Progress in Clinical Studies of Zanamivir in the Treatment of Influenza A

DOI: 10.12677/acm.2025.152410, PP. 806-812

Keywords: 扎那米韦,甲型流感,抗病毒药物,神经氨酸酶抑制剂
Zanamivir
, Influenza A, Antiviral Drugs, Neuraminidase Inhibitors

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Abstract:

甲型流感病毒因其高变异性和传播能力,能够引起全球性的大流行。目前,抗流感病毒药物是临床治疗流感的主要手段,这些药物通过阻断病毒的进入、复制和释放等环节发挥抗病毒作用。然而,流感病毒的变异和逃避免疫系统的能力促使科研人员不断分析新的甲型流感抗病毒药物。扎那米韦是一种有效的神经氨酸酶抑制剂,通过抑制病毒从宿主细胞中释放,从而限制其在体内的传播。随着流感病毒的不断变异和耐药性的增加,单一药物的治疗方案已经不足以应对当前的流感挑战。因此,开发与扎那米韦等神经氨酸酶抑制剂联合使用,成为当前抗流感药物研发的热点。本文综述了扎那米韦在治疗甲型流感方面的临床研究进展,重点关注了其对流感治疗作用,期望对流感临床药学应用发展提供新的用药治疗参考。
Influenza A viruses are capable of causing a global pandemic due to their high mutability and transmissibility. Currently, anti-influenza virus drugs are the mainstay of clinical treatment for influenza, and these drugs exert their antiviral effects by blocking the entry, replication, and release of the virus. However, the ability of influenza viruses to mutate and evade the immune system has prompted researchers to continuously analyze new influenza A antiviral drugs. Zanamivir is a potent neuraminidase inhibitor that works by inhibiting the release of the virus from host cells, thereby limiting its spread through the body. As influenza viruses continue to mutate and increase drug resistance, single-drug regimens are no longer sufficient to meet the current influenza challenge. Therefore, the development of combinations with neuraminidase inhibitors, such as zanamivir, has become a hot topic in current anti-influenza drug development. This article reviews the clinical research progress of zanamivir in the treatment of influenza A, focusing on its therapeutic effect on influenza, and expects to provide new references for the development of influenza clinical pharmacy applications for drug therapy.

References

[1]  李周平, 刘音, 薛晓艳. 甲型流感病毒研究回顾及进展[J]. 中国合理用药探索, 2023, 20(3): 1-12.
[2]  张梦怡, 李岚舒, 黄维金, 等. 甲型流感病毒H3N2抗原进化研究进展[J]. 中华微生物学和免疫学杂志, 2023, 43(6): 479-484.
[3]  刘妮, 徐志. 扎那米韦的合成及临床应用进展[J]. 国外医药(抗生素分册), 2020, 41(5): 347-353.
[4]  张晓晗, 李行舟, 郭长彬. 流感病毒RNA碱性聚合酶-2抑制剂的研究进展[J]. 首都师范大学学报(自然科学版), 2024, 45(3): 157-171.
[5]  包佳琪, 王晓晨, 邹迁达, 等. 流感病毒对神经氨酸酶抑制剂耐药性的研究进展[J]. 中华临床感染病杂志, 2018, 11(6): 473-480.
[6]  Javanian, M., Barary, M., Ghebrehewet, S., Koppolu, V., Vasigala, V. and Ebrahimpour, S. (2021) A Brief Review of Influenza Virus Infection. Journal of Medical Virology, 93, 4638-4646.
https://doi.org/10.1002/jmv.26990

[7]  Wang, M., Hao, M., Huangfu, Y., Yang, K., Zhang, X., Zhang, Y., et al. (2023) A Universal Aptamer for Influenza a Viruses: Selection, Recognition, and Infection Inhibition. ACS Pharmacology & Translational Science, 7, 249-258.
https://doi.org/10.1021/acsptsci.3c00258

[8]  甲型H1N1流感传播途径[J]. 中国地方病防治杂志, 2013, 28(1): 10.
[9]  潘明磊. 甲型流感病毒基因组RNA序列与结构特征影响病毒复制的研究[D]: [博士学位论文]. 北京: 北京协和医学院, 2022.
[10]  薛涛, 黄乐冉, 杨建龙, 等. 扎那米韦粉雾剂的研制[J]. 师范大学学报(自然科学版), 2023, 17(2): 45-76.
[11]  Gao, Y., Guyatt, G., Uyeki, T.M., Liu, M., Chen, Y., Zhao, Y., et al. (2024) Antivirals for Treatment of Severe Influenza: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials. The Lancet, 404, 753-763.
https://doi.org/10.1016/s0140-6736(24)01307-2

[12]  中国研究型医院学会感染与炎症放射学专业委员会, 中华医学会放射学分会传染病学组, 中国科技产业化促进会数字健康专业委员会, 等. 甲型H1N1流感重症肺炎影像诊断中国专家共识[J]. 中华医学杂志, 2023(33): 2571-2578.
[13]  曹鸿鹏, 陶佩珍, 杜冠华. 扎那米韦等对流感病毒神经氨酸酶的抑制作用[J]. 医药导报, 2002, 21(7): 401-403.
[14]  Wieringa, A., ter Horst, P.G., Wagenvoort, G.H., Koch, B.C. and Haringman, J.J. (2023) Pharmacokinetics of Zanamivir in Critically Ill Patients Undergoing Continuous Venovenous Hemofiltration. Antiviral Therapy, 28, 1-5.
https://doi.org/10.1177/13596535221150746

[15]  张萌, 唐军, 何洋, 等. 2009年H1N1全球大流行孕产妇和儿童感染患者流行病学特征的系统评价[J]. 中国循证医学杂志, 2020, 20(6): 661-671.
[16]  Zhao, Y., Gao, Y., Guyatt, G., Uyeki, T.M., Liu, P., Liu, M., et al. (2024) Antivirals for Post-Exposure Prophylaxis of Influenza: A Systematic Review and Network Meta-analysis. The Lancet, 404, 764-772.
https://doi.org/10.1016/s0140-6736(24)01357-6

[17]  Trebbien, R., Pedersen, S.S., Vorborg, K., Franck, K.T. and Fischer, T.K. (2017) Development of Oseltamivir and Zanamivir Resistance in Influenza A(H1N1)pdm09 Virus, Denmark, 2014. Eurosurveillance, 22, 30445.
https://doi.org/10.2807/1560-7917.es.2017.22.3.30445

[18]  元科阳, 廖洪梅, 李东林. 神经氨酸酶抑制剂类抗流感病毒药物的研究进展[J]. 抗感染药学, 2022, 19(7): 938-942.
[19]  包佳琪, 王晓晨, 邹迁达, 等. 流感病毒对神经氨酸酶抑制剂耐药性的研究进展[J]. 中华临床感染病杂志, 2018, 11(6): 473-480.
[20]  姜彩肖, 韩光跃, 李岩, 等. 2017-2020年流感流行季节河北省甲型H1N1流感病毒耐药性及耐药基因分析[J]. 疾病监测, 2021, 36(10): 1081-1085.
[21]  邓斐, 王慎骄, 余慧燕, 等. 2022-2023年江苏省H3N2流感病毒分子特征及耐药性分析[J]. 中国人兽共患病学报, 2024, 40(9): 848-854.
[22]  Baker, J., Block, S.L., Matharu, B., Burleigh Macutkiewicz, L., Wildum, S., Dimonaco, S., et al. (2020) Baloxavir Marboxil Single-Dose Treatment in Influenza-Infected Children: A Randomized, Double-Blind, Active Controlled Phase 3 Safety and Efficacy Trial (miniSTONE-2). Pediatric Infectious Disease Journal, 39, 700-705.
https://doi.org/10.1097/inf.0000000000002747

[23]  Lee, C.M., Weight, A.K., Haldar, J., Wang, L., Klibanov, A.M. and Chen, J. (2012) Polymer-attached Zanamivir Inhibits Synergistically Both Early and Late Stages of Influenza Virus Infection. Proceedings of the National Academy of Sciences of the United States of America, 109, 20385-20390.
https://doi.org/10.1073/pnas.1219155109

[24]  Scherger, S.J. and Kalil, A.C. (2024) In Persons Exposed to Influenza, Zanamivir, Oseltamivir, Laninamivir, and Baloxavir Reduce Symptomatic Seasonal Influenza. Annals of Internal Medicine, 177, JC134.
https://doi.org/10.7326/annals-24-03197-jc

[25]  Liu, X., Balligand, T., Carpenet, C. and Ploegh, H.L. (2023) An Armed Anti-Immunoglobulin Light Chain Nanobody Protects Mice against Influenza a and B Infections. Science Immunology, 8, eadg9459.
https://doi.org/10.1126/sciimmunol.adg9459

[26]  Koszalka, P., Subbarao, K. and Baz, M. (2022) Preclinical and Clinical Developments for Combination Treatment of Influenza. PLOS Pathogens, 18, e1010481.
https://doi.org/10.1371/journal.ppat.1010481

[27]  冯晓敏. 喜炎平注射液联合扎那米韦治疗甲型H1N1流感的临床研究[J]. 北方药学, 2017, 14(2): 119-120.
[28]  Lee, A.C.Y., To, K.K.W., Zhang, A.J.X., Zhu, H., Li, C., Zhang, R.R., et al. (2018) Triple Combination of FDA-Approved Drugs Including Flufenamic Acid, Clarithromycin and Zanamivir Improves Survival of Severe Influenza in Mice. Archives of Virology, 163, 2349-2358.
https://doi.org/10.1007/s00705-018-3852-4

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