Shutting the gate before the horse has bolted: is it time for a conversation about SARS-CoV-2 and antiviral drug resistance?

Hiscox, Julian A ORCID: 0000-0002-6582-0275, Khoo, Saye H ORCID: 0000-0002-2769-0967, Stewart, James P ORCID: 0000-0002-8928-2037 and Owen, Andrew ORCID: 0000-0002-9819-7651 (2021) Shutting the gate before the horse has bolted: is it time for a conversation about SARS-CoV-2 and antiviral drug resistance? JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 76 (9). pp. 2230-2233.

Text Hiscox el al 2020_JAC revised tracked.docx - Author Accepted Manuscript Download (111kB)

Abstract

This article provides a brief overview of drug resistance to antiviral therapy as well as known and emergent variability in key SARS-CoV-2 viral sequences. The purpose is to stimulate deliberation about the need to consider drug resistance prior to widespread roll-out of antivirals for SARS-CoV-2. Many existing candidate agents have mechanisms of action involving drug targets likely to be critical for future drug development. Resistance emerged quickly with monotherapies deployed for other pulmonary viruses such as influenza virus, and in HIV mutations in key drug targets compromised efficacy of multiple drugs within a class. The potential for drug resistance in SARS-CoV-2 has not yet been rigorously debated or assessed, and we call for more academic and industry research on this potentially important future threat prior to widespread roll-out of monotherapies for COVID-19 treatment and prevention.

Item Type:	Article
Uncontrolled Keywords:	Animals, Humans, Coronavirus Infections, Antiviral Agents, Drug Resistance, Viral, SARS-CoV-2, COVID-19 Drug Treatment
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	26 Nov 2021 08:33
Last Modified:	18 Feb 2023 02:30
DOI:	10.1093/jac/dkab189
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3128556