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. 2012 Sep 26;96(3):391–404. doi: 10.1016/j.antiviral.2012.09.013

Table 2.

Agents under development that target the host to achieve antiviral and/or immunomodulatory effects.

Potential therapeutic candidates Antiviral effect Immunomodulatory effect
Sialidase Removes sialic acid receptors on the cell surface, blocking interaction with the viral HA
Protease inhibitors Inhibit cleavage of the precursor HA0 into functional HA1/HA2
MEK inhibitors Block the MAPK/ERK protein kinase cascade, suppress the function of nuclear export protein, resulting in nuclear retention of viral RNPs
NF-κB and IKK2 inhibitors Suppress the action of caspase and inhibit the release of viral RNP from the nucleus. Decrease proinflammatory cytokine and chemokine production upon H5N1 infection
Inhibit SOCS-3 induction, removing the inhibitory effect on ISG production mediated via the JAK/STAT pathway.
COX-2 inhibitors Suppress viral gene transcription, viral protein expression and progeny virus production in H5N1-infected cells Attenuate H5N1-hyperinduced cytokines in the proinflammatory cascade
S1P agonists Suppress cytokine release by T-cells and affect the antigen presentation ability of dendritic cells
IPP and PAM expanded gamma-delta T-cells Expanded Vγ9Vδ2 T cell population to enhance the host immune response
PPAR agonists Suppress inflammatory cytokine expression through trans-repression of NF-κB and AP-1
Statins Suppress inducible MHC-II expression and activity of LFA-1