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Advancements in Nipah virus treatment: Analysis of current progress in vaccines, antivirals, and therapeutics

Journal

IMMUNOLOGY
Volume -, Issue -, Pages -

Publisher

WILEY
DOI: 10.1111/imm.13695

Keywords

clinical trials; mAbs; Nipah virus; protective immunity; vaccine

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Nipah virus (NiV) causes severe encephalitis in humans and has been circulating in South-Asian nations, including new strains reported in 2019. Sporadic outbreaks have been observed in Southeast Asian countries, raising concerns about human-to-human transmission and pandemic potential. Research activities have focused on developing and testing potential vaccine candidates, as well as discovering therapeutic monoclonal antibodies (mAbs). However, progress in finding antiviral drugs has been limited. Fast-tracking ongoing projects related to vaccine clinical trials and anti-NiV therapeutics is crucial.
Nipah virus (NiV) causes severe encephalitis in humans. Three NiV strains NiV-Malaysia (NiVM), NiV Bangladesh (NiVB), and NiV India (NiVI reported in 2019) have been circulating in South-Asian nations. Sporadic outbreak observed in South-East Asian countries but human to human transmission raises the concern about its pandemic potential. The presence of the viral genome in reservoir bats has further confirmed that NiV has spread to the African and Australian continents. NiV research activities have gained momentum to achieve specific preparedness goals to meet any future emergency-as a result, several potential vaccine candidates have been developed and tested in a variety of animal models. Some of these candidate vaccines have entered further clinical trials. Research activities related to the discovery of therapeutic monoclonal antibodies (mAbs) have resulted in the identification of a handful of candidates capable of neutralizing the virion. However, progress in discovering potential antiviral drugs has been limited. Thus, considering NiV's pandemic potential, it is crucial to fast-track ongoing projects related to vaccine clinical trials, anti-NiV therapeutics. Here, we discuss the current progress in NiV-vaccine research and therapeutic options, including mAbs and antiviral medications.

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