Visceral leishmaniasis treatment: What do we have, what do we need and how to deliver it?

被引:219
作者
Freitas-Junior, Lucio H. [1 ]
Chatelain, Eric [2 ]
Kim, Helena Andrade [1 ]
Siqueira-Neto, Jair L. [1 ]
机构
[1] Inst Pasteur Korea, Ctr Neglected Dis Drug Discovery, Songnam, Gyeonggi Do, South Korea
[2] Drugs Neglected Dis Initiat, CH-1202 Geneva, Switzerland
关键词
Leishmania; Leishmaniasis; Drug discovery; High throughput screening; LIPOSOMAL AMPHOTERICIN-B; HIGH-THROUGHPUT; DRUG TARGETS; PENTAVALENT ANTIMONIALS; MEGLUMINE ANTIMONIATE; IN-VITRO; DONOVANI; DISEASE; IDENTIFICATION; MILTEFOSINE;
D O I
10.1016/j.ijpddr.2012.01.003
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Leishmaniasis is one of the most neglected tropical disease in terms of drug discovery and development. Most antileishmanial drugs are highly toxic, present resistance issues or require hospitalization, being therefore not adequate to the field. Recently improvements have been achieved by combination therapy, reducing the time and cost of treatment. Nonetheless, new drugs are still urgently needed. In this review, we describe the current visceral leishmaniasis (VL) treatments and their limitations. We also discuss the new strategies in the drug discovery field including the development and implementation of high-throughput screening (HTS) assays and the joint efforts of international teams to deliver clinical candidates. (C) 2012 Australian Society for Parasitology Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:11 / 19
页数:9
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