Deney aşamasındaki yeni bir tedavi yöntemi biyoterör ajanı potansiyeli bulunan Arjantin kanamalı ateşi virusuna karşı umut veriyor. Laboratuvar deneyleri kobaylar üzerinde başarılı olan yöntemin insan deneylerine ne zaman geçileceği henüz bilinmiyor. Arjantin hemorajik ateşine Junin adı verilen virus neden oluyor. Hastalığa karşı şimdiye kadar bilinen tek tedavi yöntemi hastalığı geçirerek hayatta kalan ve vücudunda antikor bulunan birinden plazma transfüzyonu yapılmasıydı. Arjantin’de her yıl Junin virusuyla 10-50 kadar kişi infekte oluyor. Rakam düşük olsa da Arjantin’de Junin’den etkilenen bölgeler artış gösteriyor. Ayrıca virus etkilediği bölgenin dışına çıkma riski taşıyor.
Junin, an Ebola-like disease in Argentina, has a death rate of 20 to 30 percent
MONDAY, April 4, 2016 (HealthDay News) — An experimental drug could offer a new weapon against the virus that causes Argentine hemorrhagic fever — a potentially fatal infection that is considered a “bioterror” threat.
The findings are based on lab studies of guinea pigs. And researchers said it’s not clear when the treatment might advance to human trials.
But they said there’s a vital need for new ways to battle Argentine hemorrhagic fever, which is caused by a virus called Junin. There is no drug against it, and the only treatment is a plasma transfusion from someone who has survived the disease — and, therefore, has built up antibodies against the virus.
Those transfusions are effective, said Dr. Larry Zeitlin, lead researcher on the new study.
But in the event of an outbreak, the supply could fall well short of the demand, said Zeitlin, who is president of the San Diego-based Mapp Biopharmaceutical.
Mapp Bio is one of the companies that developed a similar treatment against the Ebola virus during the 2014-2015 outbreak. That drug, called ZMapp, is still experimental, but last September the U.S. Food and Drug Administration gave it “fast-track” status, to speed its approval process.
Junin virus occurs in rural parts of Argentina and, for now, remains confined to that country. According to the U.S. Centers for Disease Control and Prevention, the virus is carried by certain rodents, and humans can become sick if they come in contact with contaminated droppings, urine or saliva.
Person-to-person transmission is rare, but possible, says the Public Health Agency of Canada.
In Argentina, between 10 and 50 people are infected with Junin virus each year, said Dr. Delia Enria, a scientist with Argentina’s National Laboratories and Health Institutes Administration, who also worked on the study.
It’s a small number, but within Argentina, the areas affected by Junin have expanded, Enria said.
And there is always the potential for the virus to escape its confined area, Zeitlin said.
“As we’ve seen with the Ebola outbreak in West Africa and the ongoing Zika epidemic, it’s very difficult to predict when and where viruses like these will spread,” he said. Junin “is not a virus I lose sleep over, but it’s one to keep a watchful eye on.”
Junin is also on the U.S. government’s list of potential bioterror weapons — along with other viruses that cause hemorrhagic fever. Their symptoms vary, but most often include high fever, dizziness and fatigue. Some people will develop internal bleeding and neurological complications, such as delirium and seizures.
Untreated, Junin infection has a death rate of 20 percent to 30 percent, Zeitlin’s team said.
Similar to ZMapp, the experimental drug against Junin is a monoclonal antibody. Antibodies are immune system proteins that recognize foreign invaders; monoclonal antibodies are generated in the lab and designed to latch onto a specific target, like a cancer cell or virus.
The monoclonal antibody against Junin, dubbed J199, was isolated from mice exposed to a key Junin protein, then genetically altered to make it more like a human antibody, the researchers said.
When Zeitlin’s team tested it in guinea pigs infected with Junin, the antibody prevented death in all of the animals when started within six days. When given on day seven, 92 percent survived.
A monoclonal antibody capable of fighting Junin would be “very welcome,” said Dr. Amesh Adalja, a spokesman for the Infectious Disease Society of America. He was not involved in the study.
Now, Adalja said, monoclonal antibodies are mainly used to treat certain cancers and some autoimmune diseases.
But the antibodies are an “elegant approach” to treating serious infections, he said. “Hopefully, we’ll see more of them being used in infectious disease,” Adalja added.
The question is, will J199 advance to human testing any time soon?
“Drug development is very expensive and it may be challenging to move J199 much further along,” Zeitlin said. “We may need to ‘park’ J199, so it’s available for rapid advancement should a large-scale Junin outbreak occur.”
A better move, Zeitlin said, could be to focus on finding a “broad-spectrum” antibody against Junin and other viruses in the same family, which are also on the U.S. government’s list of possible bioterror weapons.
The U.S. Centers for Disease Control and Prevention has more on viral hemorrhagic fevers.
SOURCES: Larry Zeitlin, M.D., president, Mapp Biopharmaceutical, San Diego; Delia Enria, M.D., National Laboratories and Health Institutes Administration, Buenos Aires, Argentina; Amesh Adalja, M.D., spokesman, Infectious Disease Society of America, and senior associate, Center for Health Security, University of Pittsburgh Medical Center; April 4, 2016, Proceedings of the National Academy of Sciences, online
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