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It is universally
accepted that there will be another flu pandemic, and despite advances
in medicine there will probably be many fatalities - as many as
50 million as in 1918, or 'only' a million or so as in 1957 or 1968.
The new flu will be derived from one of the 144 type A bird influenza
viruses that peacefully coexist in nature with their waterfowl hosts.
Today, flu is controlled by vaccines, anti-viral drugs, and infection
limitation, but there are problems: a new vaccine could take many
months to make, virus is already resistant to the main drug (Tamiflu),
and it may be impracticable to isolate people for the duration of
a pandemic. Into this picture comes a new concept in antivirals
- protecting virus.
Protecting viruses
are natural virus variants that have lost a substantial chunk of
their genome through a faulty replication event and cannot multiply.
Protecting virus is given intranasally and acts instantly. It remains
quiescent in cells until it is joined by a normal virus. Normal
virus replicates both its own genome and that of the protecting
virus, but as the protecting virus genome is 5 times smaller, 5
copies are made in the time it takes to make one copy of the full-length
genome. As a result, the majority of new virus particles formed
incorporate protecting RNA, and these go on to protect neighbouring
cells. Infection aborts without clinical disease, and virus is cleared
by host defences. Because protecting influenza virus acts at the
level of genome replication it can act on any strain of flu A. Next
up are human trials.
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Influenza A Virus
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