1. Early control of viral load by favipiravir promotes survival to Ebola virus challenge and prevents cytokine storm in non-human primates
- Author
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Hervé Raoul, Nicolas Baillet, Xavier de Lamballerie, Emilie Gloaguen, Jeremie Guedj, Stéphanie Reynard, Sylvain Baize, Jimmy Mullaert, Vincent Madelain, Biologie des Infections Virales Émergentes - Biology of Emerging Viral Infections (UBIVE), Centre International de Recherche en Infectiologie (CIRI), École normale supérieure de Lyon (ENS de Lyon)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-École normale supérieure de Lyon (ENS de Lyon)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut Pasteur [Paris] (IP), Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord, Laboratoire P4 - Jean Mérieux, Centre Européen de Virologie/Immunologie-Institut National de la Santé et de la Recherche Médicale (INSERM), Unité des Virus Emergents (UVE), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pasteur [Paris]-Centre International de Recherche en Infectiologie - UMR (CIRI), École normale supérieure - Lyon (ENS Lyon)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-École normale supérieure - Lyon (ENS Lyon)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Université Sorbonne Paris Nord, Aix Marseille Université (AMU)-Institut de Recherche pour le Développement (IRD)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre International de Recherche en Infectiologie - UMR (CIRI), Institut National de la Santé et de la Recherche Médicale (INSERM)-École normale supérieure - Lyon (ENS Lyon)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-École normale supérieure - Lyon (ENS Lyon)-Université Claude Bernard Lyon 1 (UCBL), and Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut Pasteur [Paris]
- Subjects
0301 basic medicine ,RNA viruses ,Viral Diseases ,Physiology ,T-Lymphocytes ,viruses ,RC955-962 ,Cancer Treatment ,Disease ,medicine.disease_cause ,Virus Replication ,Pathology and Laboratory Medicine ,White Blood Cells ,0302 clinical medicine ,Medical Conditions ,Animal Cells ,Arctic medicine. Tropical medicine ,Immune Physiology ,Medicine and Health Sciences ,Medicine ,030212 general & internal medicine ,Hemostatic function ,Immune Response ,Innate Immune System ,T Cells ,virus diseases ,Viral Load ,Ebolavirus ,3. Good health ,Body Fluids ,Infectious Diseases ,Blood ,Oncology ,Medical Microbiology ,Pyrazines ,Filoviruses ,Viral Pathogens ,Viruses ,[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology ,Cytokines ,Public aspects of medicine ,RA1-1270 ,Pathogens ,Anatomy ,Cellular Types ,Cytokine Release Syndrome ,Ebola Virus ,Viral load ,Research Article ,Immune Cells ,Immunology ,Viremia ,Cytokine Therapy ,Favipiravir ,Antiviral Agents ,Microbiology ,Blood Plasma ,03 medical and health sciences ,Signs and Symptoms ,Virology ,Animals ,Microbial Pathogens ,Inflammation ,Ebola virus ,Blood Cells ,business.industry ,Hemorrhagic Fever Viruses ,Public Health, Environmental and Occupational Health ,Organisms ,Biology and Life Sciences ,Cell Biology ,Hemorrhagic Fever, Ebola ,Molecular Development ,medicine.disease ,Amides ,Disease Models, Animal ,Macaca fascicularis ,030104 developmental biology ,Viral replication ,Immune System ,Clinical Medicine ,business ,Cytokine storm ,Viral Transmission and Infection ,Developmental Biology - Abstract
Ebola virus has been responsible for two major epidemics over the last several years and there has been a strong effort to find potential treatments that can improve the disease outcome. Antiviral favipiravir was thus tested on non-human primates infected with Ebola virus. Half of the treated animals survived the Ebola virus challenge, whereas the infection was fully lethal for the untreated ones. Moreover, the treated animals that did not survive died later than the controls. We evaluated the hematological, virological, biochemical, and immunological parameters of the animals and performed proteomic analysis at various timepoints of the disease. The viral load strongly correlated with dysregulation of the biological functions involved in pathogenesis, notably the inflammatory response, hemostatic functions, and response to stress. Thus, the management of viral replication in Ebola virus disease is of crucial importance in preventing the immunopathogenic disorders and septic-like shock syndrome generally observed in Ebola virus-infected patients., Author summary Ebola virus was responsible for several epidemics in the recent years and is now considered as a major public health concern in Central and West African countries. We and others demonstrated that pathogenic events observed during Ebola virus disease are linked to a deleterious immune response. However, the mechanisms implicated are not fully understood. Here, we studied immune responses depending on the viral loads observed in infected cynomolgus monkeys. An antiviral treatment allowed the reduction of viral load in some animals and we observed that these animals did not experience deleterious immune response and the loss of hemostasis. The release of pathogen-associated molecular patterns may thus be limited by the inhibition of viral replication, avoiding the overstimulation of the immune system and consequently the pathogenic events observed in Ebola virus disease.
- Published
- 2021
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