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2015 ; 24
(7
): 851-65
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An overview of investigational toxin-directed therapies for the adjunctive
management of Bacillus anthracis infection and sepsis
#MMPMID25920540
Ohanjanian L
; Remy KE
; Li Y
; Cui X
; Eichacker PQ
Expert Opin Investig Drugs
2015[]; 24
(7
): 851-65
PMID25920540
show ga
INTRODUCTION: Sepsis with Bacillus anthracis infection has a very high mortality
rate despite appropriate antibiotic and supportive therapies. Over the past 15
years, recent outbreaks in the US and in Europe, coupled with anthrax's
bioterrorism weapon potential, have stimulated efforts to develop adjunctive
therapies to improve clinical outcomes. Since lethal toxin and edema toxin (LT
and ET) make central contributions to the pathogenesis of B. anthracis, these
have been major targets in this effort. AREAS COVERED: Here, the authors review
different investigative biopharmaceuticals that have been recently identified for
their therapeutic potential as inhibitors of LT or ET. Among these inhibitors are
two antibody preparations that have been included in the Strategic National
Stockpile (SNS) and several more that have reached Phase I testing. Presently,
however, many of these candidate agents have only been studied in vitro and very
few tested in bacteria-challenged models. EXPERT OPINION: Although a large number
of drugs have been identified as potential therapeutic inhibitors of LT and ET,
in most cases their testing has been limited. The use of the two SNS antibody
therapies during a large-scale exposure to B. anthracis will be difficult.
Further testing and development of agents with oral bioavailability and
relatively long shelf lives should be a focus for future research.