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Insights into the Currently Available Drugs and Investigational Compounds Against RSV with a Focus on Their Drug-Resistance Profiles
by
D’Anna, Stefano
, Tramontozzi, Caterina
, Piermatteo, Lorenzo
, Salpini, Romina
, Artese, Anna
, Magnapera, Alessia
, Alcaro, Stefano
, Riccio, Anna
, Curcio, Antonio
, La Frazia, Simone
, Alteri, Claudia
, Svicher, Valentina
in
Animals
/ Antiviral agents
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Clinical isolates
/ COVID-19 vaccines
/ Diagnosis
/ Disease prevention
/ Disease resistance
/ Disease transmission
/ Drug resistance
/ Drug Resistance, Viral - genetics
/ Drug therapy
/ Drugs, Investigational - pharmacology
/ Drugs, Investigational - therapeutic use
/ Epidemics
/ Epidemiology
/ Fatalities
/ FDA approval
/ Genomes
/ Glycoproteins
/ Hospitalization
/ Humans
/ Illnesses
/ Immunization
/ Immunocompromised hosts
/ Infants
/ Infections
/ Monoclonal antibodies
/ Mutation
/ mutations
/ novel drugs
/ Older people
/ Pandemics
/ Prevention
/ Protein structure
/ Proteins
/ Respiratory syncytial virus
/ Respiratory syncytial virus infection
/ Respiratory Syncytial Virus Infections - drug therapy
/ Respiratory Syncytial Virus Infections - virology
/ Respiratory Syncytial Virus, Human - drug effects
/ Respiratory Syncytial Virus, Human - genetics
/ Respiratory tract infection
/ Review
/ RSV
/ Seasonal variations
/ Severe acute respiratory syndrome coronavirus 2
/ structural dynamics
2025
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Insights into the Currently Available Drugs and Investigational Compounds Against RSV with a Focus on Their Drug-Resistance Profiles
by
D’Anna, Stefano
, Tramontozzi, Caterina
, Piermatteo, Lorenzo
, Salpini, Romina
, Artese, Anna
, Magnapera, Alessia
, Alcaro, Stefano
, Riccio, Anna
, Curcio, Antonio
, La Frazia, Simone
, Alteri, Claudia
, Svicher, Valentina
in
Animals
/ Antiviral agents
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Clinical isolates
/ COVID-19 vaccines
/ Diagnosis
/ Disease prevention
/ Disease resistance
/ Disease transmission
/ Drug resistance
/ Drug Resistance, Viral - genetics
/ Drug therapy
/ Drugs, Investigational - pharmacology
/ Drugs, Investigational - therapeutic use
/ Epidemics
/ Epidemiology
/ Fatalities
/ FDA approval
/ Genomes
/ Glycoproteins
/ Hospitalization
/ Humans
/ Illnesses
/ Immunization
/ Immunocompromised hosts
/ Infants
/ Infections
/ Monoclonal antibodies
/ Mutation
/ mutations
/ novel drugs
/ Older people
/ Pandemics
/ Prevention
/ Protein structure
/ Proteins
/ Respiratory syncytial virus
/ Respiratory syncytial virus infection
/ Respiratory Syncytial Virus Infections - drug therapy
/ Respiratory Syncytial Virus Infections - virology
/ Respiratory Syncytial Virus, Human - drug effects
/ Respiratory Syncytial Virus, Human - genetics
/ Respiratory tract infection
/ Review
/ RSV
/ Seasonal variations
/ Severe acute respiratory syndrome coronavirus 2
/ structural dynamics
2025
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Insights into the Currently Available Drugs and Investigational Compounds Against RSV with a Focus on Their Drug-Resistance Profiles
by
D’Anna, Stefano
, Tramontozzi, Caterina
, Piermatteo, Lorenzo
, Salpini, Romina
, Artese, Anna
, Magnapera, Alessia
, Alcaro, Stefano
, Riccio, Anna
, Curcio, Antonio
, La Frazia, Simone
, Alteri, Claudia
, Svicher, Valentina
in
Animals
/ Antiviral agents
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Clinical isolates
/ COVID-19 vaccines
/ Diagnosis
/ Disease prevention
/ Disease resistance
/ Disease transmission
/ Drug resistance
/ Drug Resistance, Viral - genetics
/ Drug therapy
/ Drugs, Investigational - pharmacology
/ Drugs, Investigational - therapeutic use
/ Epidemics
/ Epidemiology
/ Fatalities
/ FDA approval
/ Genomes
/ Glycoproteins
/ Hospitalization
/ Humans
/ Illnesses
/ Immunization
/ Immunocompromised hosts
/ Infants
/ Infections
/ Monoclonal antibodies
/ Mutation
/ mutations
/ novel drugs
/ Older people
/ Pandemics
/ Prevention
/ Protein structure
/ Proteins
/ Respiratory syncytial virus
/ Respiratory syncytial virus infection
/ Respiratory Syncytial Virus Infections - drug therapy
/ Respiratory Syncytial Virus Infections - virology
/ Respiratory Syncytial Virus, Human - drug effects
/ Respiratory Syncytial Virus, Human - genetics
/ Respiratory tract infection
/ Review
/ RSV
/ Seasonal variations
/ Severe acute respiratory syndrome coronavirus 2
/ structural dynamics
2025
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Insights into the Currently Available Drugs and Investigational Compounds Against RSV with a Focus on Their Drug-Resistance Profiles
Journal Article
Insights into the Currently Available Drugs and Investigational Compounds Against RSV with a Focus on Their Drug-Resistance Profiles
2025
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Overview
Respiratory syncytial virus (RSV) is a leading cause of severe respiratory illness in infants, young children, as well as elderly and immunocompromised patients worldwide. RSV is classified into two major subtypes, RSV-A and RSV-B, and remains the most frequently detected pathogen in infants hospitalized with acute respiratory infections. Recent advances have brought both passive and active immunization strategies, including FDA-approved vaccines for older adults and pregnant women and new monoclonal antibodies (mAbs) for infant protection. Although significant progress has been made, the need remains for improved antiviral treatments, particularly for vulnerable infants and immunocompromised patients. Recent studies have identified multiple RSV mutations that confer resistance to current treatments. These mutations, detected in both in vitro studies and clinical isolates, often complicate therapeutic outcomes, underscoring the need for updated and effective management strategies. In this context, evaluating protein flexibility through tools like DisoMine provides insight into how specific mutations impact structural dynamics at binding sites, thus affecting ligand affinity. This review aims to synthesize these aspects, offering a comprehensive insight into ongoing efforts to counteract RSV and address the evolving challenge of drug resistance.
Publisher
MDPI AG,MDPI
Subject
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Drug Resistance, Viral - genetics
/ Drugs, Investigational - pharmacology
/ Drugs, Investigational - therapeutic use
/ Genomes
/ Humans
/ Infants
/ Mutation
/ Proteins
/ Respiratory syncytial virus infection
/ Respiratory Syncytial Virus Infections - drug therapy
/ Respiratory Syncytial Virus Infections - virology
/ Respiratory Syncytial Virus, Human - drug effects
/ Respiratory Syncytial Virus, Human - genetics
/ Review
/ RSV
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