학술논문

Perspective on Schistosomiasis Drug Discovery: Highlights from a Schistosomiasis Drug Discovery Workshop at Wellcome Collection, London, September 2022
Document Type
article
Source
ACS Infectious Diseases. 9(5)
Subject
Medical Microbiology
Biomedical and Clinical Sciences
Orphan Drug
Vector-Borne Diseases
Infectious Diseases
Rare Diseases
Digestive Diseases
Development of treatments and therapeutic interventions
5.1 Pharmaceuticals
Infection
Good Health and Well Being
Animals
London
Schistosomiasis
Praziquantel
Anthelmintics
Schistosoma
schistosomiasis
neglected tropical disease
infectious disease
drug discovery
therapeutic s
anthelmintic s
target product profile
anthelmintics
therapeutics
Medical microbiology
Language
Abstract
In September 2022, the Drug Discovery Unit at the University of Dundee, UK, organised an international meeting at the Wellcome Collection in London to explore the current clinical situation and challenges associated with treating schistosomiasis. The aim of this meeting was to discuss the need for new treatments in view of the clinical situation and to ascertain what the key requirements would be for any potential new anti-schistosomals. This information will be essential to inform ongoing drug discovery efforts for schistosomiasis. We also discussed the potential drug discovery pathway and associated criteria for progressing compounds to the clinic. To date, praziquantel (PZQ) is the only drug available to treat all species causing schistosomiasis, but it is often unable to completely clear parasites from an infected patient, partially due to its inactivity against juvenile worms. PZQ-mediated mass drug administration campaigns conducted in endemic areas (e.g., sub-Saharan Africa, where schistosomiasis is primarily prevalent) have contributed to reducing the burden of disease but will not eliminate the disease as a public health problem. The potential for Schistosoma to develop resistance towards PZQ, as the sole treatment available, could become a concern. Consequently, new anthelmintic medications are urgently needed, and this Perspective aims to capture some of the learnings from our discussions on the key criteria for new treatments.