1. Trying to treat the untreatable: experimental approaches to clear rabies virus infection from the CNS
- Author
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Ashley C. Banyard, Samuel P. Smith, Julian K.-C. Ma, Anthony R. Fooks, and Guanghui Wu
- Subjects
0301 basic medicine ,Rabies ,030106 microbiology ,Rabies virus ,Disease ,Biology ,medicine.disease ,medicine.disease_cause ,Clinical disease ,Antiviral Agents ,Virology ,Virus ,3. Good health ,03 medical and health sciences ,Central Nervous System Infections ,030104 developmental biology ,medicine ,Animals ,Humans ,Rabies encephalitis ,Encephalitis - Abstract
Rabies virus causes an invariably fatal encephalitis following the onset of clinical disease. Despite the availability of safe and effective vaccines, the clinical stages of rabies encephalitis remain untreatable, with few survivors being documented. A principal obstacle to the treatment of rabies is the neurotropic nature of the virus, with the blood-brain barrier size exclusion limit rendering the delivery of antiviral drugs and molecules to the central nervous system inherently problematic. This review focuses on efforts to try and overcome barriers to molecule delivery to treat clinical rabies and overviews current progress in the development of experimental live rabies virus vaccines that may have future applications in the treatment of clinical rabies, including the attenuation of rabies virus vectors through either the duplication or mutation of existing genes or the incorporation of non-viral elements within the genome. Rabies post-infection treatment (PIT) remains the holy grail of rabies research.
- Published
- 2019