TABLE 1.
Summary of 9 human infectious diseases treated by approved drugs
| Human virus | Yr of discovery/isolation | Animal reservoir(s) | Transmission route | Mean incubation period (range) | Mean viral particle diam (nm) (range) | Genome type,c length (kb) | Protein target(s) of approved drug(s) |
|---|---|---|---|---|---|---|---|
| HIV | 1983 | Chimpanzee, gorilla, sooty mangabey | Blood borne | 8–11 yr | ∼145 (95–166) | Linear (+)ssRNA, ∼9.8 | Protease, RT, integrase, GP41, CCR5 |
| HCV | 1989 | Unclear | Blood borne | ∼7 wk (4–20 wk) | ∼68 (45–86) | Linear (+)ssRNA, ∼9.6 | NS3/4 protease, NS5A, NS5B polymerase |
| Human influenza virus | 1933 | Birds, pigs, horses | Respiratory | ∼2 days (1–4 days) | ∼120 (84–170) | Linear (−)ssRNA, ∼13.6 | Matrix protein 2, neuraminidase, RNA polymerase |
| RSV | 1957 | No animal reservoir | Respiratory | ∼5 days (3–8 days) | 100–1,000 | Linear (−)ssRNA, ∼15 | RNA polymerase, glycoproteins |
| HBV | 1963 | Unclear (bats?) | Blood borne | 90 days (60–150 days) | 42–46 | Circular dsDNA, ∼3.3 | DNA polymerase |
| HCMV | 1956 | No animal reservoir | Blood borne | 3–12 wk | 150–200 | Linear dsDNA, ∼230 | DNA polymerase |
| HSV | Before 1900 | No animal reservoir | Sexual or skin contact | ∼4 days (2–12 days) | ∼225 (209–239) | Linear dsDNA, 152–155 | DNA polymerase, envelope proteins |
| VZV | 1953 | No animal reservoir | Respiratory | 10–21 days | 150–200 | Linear dsDNA, ∼125 | DNA polymerase, envelope proteins |
| HPV | 1965 | No animal reservoira | Skin-to-skin contact | ∼2.9 mo (0.5–8 mo) | 65–120 | Circular dsDNA, ∼8 | —b |
Papillomaviruses have been widely found in birds, reptiles, marsupials, and mammals, whereas cross-transfer between species is rare (54).
Instead of targeting HPV proteins directly, three FDA-approved drugs (podofilox, sinecatechins, and imiquimod) act as immunomodulatory or antimitotic agents to treat external genital warts caused by HPV infections.
(+)ssRNA, positive-sense single-stranded RNA; (−)ssRNA, negative-sense single-stranded RNA; dsDNA, double-stranded DNA.