{"id":8803,"date":"2021-10-17T23:10:00","date_gmt":"2021-10-17T21:10:00","guid":{"rendered":"https:\/\/www.fipwarriors.eu\/?p=8803"},"modified":"2023-09-07T16:42:33","modified_gmt":"2023-09-07T14:42:33","slug":"dlha-historia-beta-d-n4-hydroxycytidinu-a-jeho-moderna-aplikacia-na-liecbu-covid-19-u-ludi-a-fip-u-maciek","status":"publish","type":"post","link":"https:\/\/www.fipwarriors.eu\/en\/dlha-historia-beta-d-n4-hydroxycytidinu-a-jeho-moderna-aplikacia-na-liecbu-covid-19-u-ludi-a-fip-u-maciek\/","title":{"rendered":"The long history of Beta-d-N4-hydroxycytidine and its modern application to treatment of Covid-19 in people and FIP in cats."},"content":{"rendered":"<p class=\"has-small-font-size wp-block-paragraph\">Niels C. Pedersen DVM, PhD<br>Origin&aacute;lny &#269;l&aacute;nok: <a href=\"https:\/\/sockfip.org\/the-long-history-of-beta-d-n4-hydroxycytidine-and-its-modern-application-to-treatment-of-covid-19-in-people-and-fip-in-cats\/\" target=\"_blank\" rel=\"noreferrer noopener\">The long history of Beta-d-N4-hydroxycytidine and its modern application to treatment of Covid-19 in people and <\/a><a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Infek&#269;n&aacute; peritonit&iacute;da ma&#269;iek (angl. Feline infectious peritonitis, zau&#382;&iacute;van&aacute; skratka FIP) je infek&#269;n&eacute; ochorenie ma&#269;iek sp&ocirc;sobuj&uacute;ce smr&#357;. N&aacute;zov je mierne zav&aacute;dzaj&uacute;ci, preto&#382;e nejde o z&aacute;pal pobru&scaron;nice (&#269;i&#382;e peritonea), ale o z&aacute;pal ciev (vaskulit&iacute;da). Klinick&eacute; pr&iacute;znaky FIP sa v&scaron;ak &#269;asto prejavuj&uacute; vo forme z&aacute;palu pobru&scaron;nice. V&iacute;rus FIP nap&aacute;da v&scaron;ak aj pohrudnicu &ndash; z toho d&ocirc;vodu je niekedy choroba ozna&#269;ovan&aacute; tie&#382; ako Infek&#269;n&aacute; ma&#269;acia polyserozit&iacute;da (Feline infectious polyserositis).&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/fip\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">FIP<\/a> in cats.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Beta-d-N4-hydroxycytid&iacute;n je mal&aacute; molekula (nukleozid), ktor&aacute; bola &scaron;tudovan&aacute; koncom 70. rokov v b&yacute;valom Sovietskom zv&auml;ze ako s&uacute;&#269;as&#357; v&yacute;skumu biologick&yacute;ch zbran&iacute; <sup>[2]<\/sup>. Weaponiz&aacute;cia chor&ocirc;b, ako s&uacute; kiahne, bola celosvetov&yacute;m postrachom, ale nebezpe&#269;enstvo pou&#382;itia v&iacute;rusu kiahn&iacute; na tento &uacute;&#269;el bolo pr&iacute;li&scaron; ve&#318;k&eacute;. Prav&eacute; kiahne boli zo sveta vykorenen&eacute;, prakticky v&scaron;etky z&aacute;soby zni&#269;en&eacute; a &#271;al&scaron;&iacute; v&yacute;skum zak&aacute;zan&yacute;. To viedlo USA a Sovietsky zv&auml;z k v&yacute;skumu &#271;al&scaron;&iacute;ch <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Ribonukleov&aacute; kyselina. Polymern&iacute; makromolekula, jej&iacute;&#382; z&aacute;kladn&iacute;mi stavebn&iacute;mi jednotkami jsou ribonukleotidy. Je sou&#269;&aacute;st&iacute; v&scaron;ech bun&#283;k a slou&#382;&iacute; k p&#345;enosu informac&iacute; z DNA d&aacute;le do bu&#328;ky. Existuje mnoho druh&#367; RNA s r&#367;zn&yacute;mi funkcemi. Mezi nejzn&aacute;mn&#283;j&scaron;&iacute; pat&#345;&iacute; mRNA (medi&aacute;torov&aacute;), tRNA (transferov&aacute;) a rRNA (ribozom&aacute;ln&iacute;).&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/rna\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">RNA<\/a> v&iacute;rusov ako biologick&yacute;ch zbran&iacute; a antivirot&iacute;k na obranu proti nim. V&iacute;rus venezuelskej konskej encefalomyelit&iacute;dy (VEEV) bol jedn&yacute;m z prv&yacute;ch v&iacute;rusov, u ktor&eacute;ho sa seri&oacute;zne zva&#382;ovalo jeho vyu&#382;itie ako biologickej zbrane <sup>[3]<\/sup>. VEEV sa na &#318;ud&iacute; pren&aacute;&scaron;a u&scaron;tipnut&iacute;m kom&aacute;rom a sp&ocirc;sobuje vysok&uacute; hor&uacute;&#269;ku, bolesti hlavy a encefalit&iacute;du s opuchmi, ktor&eacute; m&ocirc;&#382;u by&#357; smrte&#318;n&eacute;. Zistilo sa, &#382;e beta-d-N4-hydroxycytid&iacute;n nielen&#382;e inhibuje replik&aacute;ciu VEEV, ale aj &scaron;irok&uacute; &scaron;k&aacute;lu alfav&iacute;rusov vr&aacute;tane eboly, chikungunya, chr&iacute;pkov&eacute;ho v&iacute;rusu, norov&iacute;rusu, v&iacute;rusu bovinnej diarey, v&iacute;rusu hepatit&iacute;dy C a respira&#269;n&eacute;ho syncyci&aacute;lneho v&iacute;rusu. <sup>[3-8]<\/sup>. Prv&eacute; spr&aacute;vy o inhibi&#269;nom &uacute;&#269;inku beta-d-N4-hydroxycytid&iacute;nu na &#318;udsk&yacute; koronav&iacute;rus NL63 poch&aacute;dzaj&uacute; z roku 2006 <sup>[9]<\/sup>. Ned&aacute;vne &scaron;t&uacute;die potvrdili jeho inhibi&#269;n&yacute; &uacute;&#269;inok na &scaron;irok&eacute; spektrum &#318;udsk&yacute;ch a zvierac&iacute;ch koronav&iacute;rusov <sup>[8]<\/sup>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D&ocirc;le&#382;it&aacute; &#269;as&#357; nov&scaron;ej hist&oacute;rie beta-d-N4-hydroxycytid&iacute;nu je spojen&aacute; s Emory Institute for Drug Development (EIDD) <sup>[1]<\/sup>, kde dostal experiment&aacute;lne ozna&#269;enie EIDD-1931. V&yacute;znamn&uacute; finan&#269;n&uacute; podporu na &scaron;t&uacute;dium antivirot&iacute;k proti alfav&iacute;rusom v in&scaron;tit&uacute;ci&aacute;ch, ako je Emory, poskytovala americk&aacute; vl&aacute;da u&#382; od roku 2004 <sup>[10]<\/sup>. Agent&uacute;ra na zn&iacute;&#382;enie obrann&yacute;ch hrozieb poskytla v roku 2014 in&scaron;titucion&aacute;lnu podporu s cie&#318;om n&aacute;js&#357; antiv&iacute;rusov&uacute; zl&uacute;&#269;eninu proti VEEV a in&yacute;m alfakoronav&iacute;rusom. &bdquo;N4-Hydroxycytid&iacute;n a jeho deriv&aacute;ty a antiv&iacute;rusov&eacute; pou&#382;itia&ldquo; boli zahrnut&eacute; v patentovej prihl&aacute;&scaron;ke USA 2016\/106050 A1 z roku 2016 <sup>[11]<\/sup>. &#270;al&scaron;ie financovanie v roku 2019 poskytol N&aacute;rodn&yacute; &uacute;stav pre alergie a infekcie na partnersk&yacute; v&yacute;skum esterifikovan&eacute;ho prekurzora beta-d-N4-hydroxycytid&iacute;nu (EIDD-2801) na lie&#269;bu chr&iacute;pky <sup>[10]<\/sup>. Uveden&yacute;m z&aacute;merom chemick&yacute;ch zmien EIDD-2801 bolo zv&yacute;&scaron;enie jeho or&aacute;lnej biologickej dostupnosti, &#269;o by v kone&#269;nom d&ocirc;sledku umo&#382;nilo pod&aacute;va&#357; beta-d-N4-hydroxycytid&iacute;n ako pilulky a nie ako injekcie. V roku 2019\/2020 do&scaron;lo k zmene zamerania v&yacute;skumu z chr&iacute;pky na SARS-CoV-2 <sup>[2]<\/sup>. Komercializ&aacute;ciou EIDD-2801 bola poveren&aacute; pobo&#269;ka Emory s n&aacute;zvom Ridgeway Biotherapeutics, ktor&aacute; n&aacute;sledne spolupracovala so spolo&#269;nos&#357;ou Merck na zd&#314;havom a n&aacute;kladnom procese schva&#318;ovania FDA. Aktu&aacute;lna verzia EIDD-2081 na testovanie v ter&eacute;ne dostala n&aacute;zov Molnupiravir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Beta-d-N4-hydroxycytid&iacute;n, &uacute;&#269;inn&aacute; l&aacute;tka Molnupiraviru, existuje v dvoch form&aacute;ch ako tautom&eacute;ry. V jednej forme sa chov&aacute; ako cytid&iacute;n s jednoduchou v&auml;zbou medzi uhl&iacute;kom a skupinou N-OH. Vo svojej &#271;al&scaron;ej forme, ktor&aacute; napodob&#328;uje urid&iacute;n, m&aacute; oxim s dvojitou v&auml;zbou medzi uhl&iacute;kom a skupinou N-OH. Za pr&iacute;tomnosti beta-d-N4-hydroxycytid&iacute;nu ho v&iacute;rusov&aacute; RNA-dependentn&aacute; RNA polymer&aacute;za &#269;&iacute;ta ako urid&iacute;n namiesto cytid&iacute;nu a namiesto guanoz&iacute;nu vklad&aacute; adenoz&iacute;n. Prep&iacute;nanie medzi formami sp&ocirc;sobuje nezhody po&#269;as transkripcie, &#269;o m&aacute; za n&aacute;sledok po&#269;etn&eacute; mut&aacute;cie v&iacute;rusov&eacute;ho gen&oacute;mu a zastavenie replik&aacute;cie v&iacute;rusu <sup>[8]<\/sup>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Snaha spolo&#269;nosti Merck o podmiene&#269;n&eacute; a &uacute;pln&eacute; schv&aacute;lenie Molnupariviru FDA pokra&#269;uje. Spolo&#269;nos&#357; Merck vo svojom vyhl&aacute;sen&iacute; uviedla: <sup>[12]<\/sup>  <em>&bdquo;V o&#269;ak&aacute;van&iacute; v&yacute;sledkov programu MOVe-OUT spolo&#269;nos&#357; Merck vyr&aacute;ba Molnupiravir na vlastn&eacute; riziko. Spolo&#269;nos&#357; Merck o&#269;ak&aacute;va, &#382;e do konca roku 2021 vyrob&iacute; 10 mili&oacute;nov lie&#269;ebn&yacute;ch d&aacute;vok, pri&#269;om v roku 2022 sa o&#269;ak&aacute;va v&yacute;roba &#271;al&scaron;&iacute;ch. Merck sa zav&auml;zuje poskytova&#357; v&#269;asn&yacute; pr&iacute;stup k lieku Molnupiravir na celom svete, ak bude autorizovan&yacute; alebo schv&aacute;len&yacute;, a pl&aacute;nuje zavies&#357; pr&iacute;stup k viac&uacute;rov&#328;ov&yacute;m cen&aacute;m na z&aacute;klade krit&eacute;ri&iacute; pr&iacute;jmu kraj&iacute;n Svetovej banky, ktor&eacute; bud&uacute; odr&aacute;&#382;a&#357; relat&iacute;vnu schopnos&#357; kraj&iacute;n financova&#357; svoju zdravotn&uacute; reakciu na pand&eacute;miu. V r&aacute;mci svojho z&aacute;v&auml;zku roz&scaron;&iacute;ri&#357; glob&aacute;lny pr&iacute;stup spolo&#269;nos&#357; Merck u&#382; sk&ocirc;r ozn&aacute;mila, &#382;e uzavrela nev&yacute;hradn&eacute; dobrovo&#318;n&eacute; licen&#269;n&eacute; zmluvy na Molnupiravir so zaveden&yacute;mi generick&yacute;mi v&yacute;robcami na ur&yacute;chlenie dostupnosti Molnupiraviru vo viac ako 100 krajin&aacute;ch s n&iacute;zkymi a stredn&yacute;mi pr&iacute;jmami (LMIC) po schv&aacute;len&iacute; alebo n&uacute;dzovom povolen&iacute; miestnymi regula&#269;n&yacute;mi agent&uacute;rami. &ldquo; <\/em>Je nepravdepodobn&eacute;, &#382;e by sa t&aacute;to &bdquo;ve&#318;korysos&#357;&ldquo; vz&#357;ahovala aj na pou&#382;itie u zvierat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lieky na inhib&iacute;ciu p&ocirc;vodcu s&uacute;&#269;asnej pand&eacute;mie Covid-19 boli v posledn&yacute;ch dvoch rokoch predmetom ur&yacute;chlen&yacute;ch ter&eacute;nnych testov a jeden z nich, Remdesivir, bol schv&aacute;len&yacute; v rekordnom &#269;ase pre pou&#382;itie u hospitalizovan&yacute;ch pacientov. V minulom roku bol Molnupiravir post&uacute;pen&yacute; k podmiene&#269;n&eacute;mu schv&aacute;leniu ako peror&aacute;lny liek na dom&aacute;cu lie&#269;bu infekcie v po&#269;iato&#269;nom &scaron;t&aacute;diu <sup>[12]<\/sup>. &Uacute;&#269;inn&eacute; zl&uacute;&#269;eniny proti koronav&iacute;rusu v&scaron;ak boli vyv&iacute;jan&eacute; u&#382; sk&ocirc;r pre in&uacute; be&#382;n&uacute; a v&aacute;&#382;nu chorobu ma&#269;iek, ma&#269;aciu  infek&#269;n&uacute; peritonit&iacute;du (FIP). Tieto lieky zah&#341;&#328;aj&uacute; <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;L&aacute;tka v&yacute;razne spoma&#318;uj&uacute;ca alebo zastavuj&uacute;ca reakciu.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/inhibitor\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">inhib&iacute;tor<\/a> prote&aacute;zy (GC376) <sup>[13]<\/sup> a inhib&iacute;tor RNA dependentnej RNA polymer&aacute;zy (GS-441524), ktor&yacute; je akt&iacute;vnou zlo&#382;kou Remdesiviru <sup>[14]<\/sup>. &Uacute;spech antiv&iacute;rusov&yacute;ch liekov pri lie&#269;be FIP podnietil ned&aacute;vnu &scaron;t&uacute;diu EIDD-1931 a EIDD-2801 pre ich schopnosti inhibova&#357; FIPV v tkanivov&yacute;ch kult&uacute;rach <sup>[15]<\/sup>. &Uacute;&#269;inn&aacute; koncentr&aacute;cia <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;EC50 - &uacute;&#269;inn&aacute; koncentr&aacute;cia, ktor&aacute; sp&ocirc;sob&iacute; &uacute;&#269;inok (zn&iacute;&#382;en&aacute; reprodukcia, rast a pod.) u 50% testovan&yacute;ch organizmov, &#269;i ktor&aacute; sp&ocirc;sob&iacute; 50 % maxim&aacute;lneho &uacute;&#269;inku, 50% odpove&#271; v testovacej popul&aacute;cii (mg\/L, ml\/L, mol\/L)&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/ec50\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">EC50<\/a> pre EIDD-1931 proti FIPV je 0,09 &mu;M, EIDD-2801 0,4 &mu;M a GS441524 0,66 &mu;M <sup>[15]<\/sup>. Percento cytotoxicity pri 100 &mu;M je 2.8, 3.8, respekt&iacute;ve 0. Preto s&uacute; EIDD-1931 a EIDD-2801 o nie&#269;o &uacute;&#269;innej&scaron;ie pri inhib&iacute;cii v&iacute;rusov, ale tie&#382; cytotoxickej&scaron;ie ako GS-441524. Tieto laborat&oacute;rne &scaron;t&uacute;die nazna&#269;uj&uacute;, &#382;e EIDD-1931 a EIDD-2801 s&uacute; vynikaj&uacute;cimi kandid&aacute;tmi na lie&#269;bu FIP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Napriek tomu, &#382;e EIDD-1931 a EIDD-2801 s&uacute; ve&#318;k&yacute;m pr&iacute;s&#318;ubom pre lie&#269;bu FIP, existuje nieko&#318;ko prek&aacute;&#382;ok, kv&ocirc;li ktor&yacute;m v bl&iacute;zkej bud&uacute;cnosti nebude leg&aacute;lne pou&#382;&iacute;vanie t&yacute;chto zl&uacute;&#269;en&iacute;n ve&#318;mi pravdepodobn&eacute;. GS-441524, akt&iacute;vna forma Remdesiviru a patentovan&aacute; spolo&#269;nos&#357;ou Gilead Sciences, bol sk&uacute;man&yacute; na pou&#382;itie u ma&#269;iek s FIP kr&aacute;tko pred pand&eacute;miou Covid-19. V&yacute;skum FIP <sup>[14]<\/sup> preto podnietil potenci&aacute;lne pou&#382;itie Remdesiviru proti v&iacute;rusu Ebola, a nie koronav&iacute;rusom podobn&yacute;m SARS <sup>[14]<\/sup>. Aj ke&#271; boli tieto &scaron;t&uacute;die realizovan&eacute; v spolupr&aacute;ci s vedcami z Gilead Sciences, spolo&#269;nos&#357; odmietla udeli&#357; pr&aacute;va na GS-441524 na lie&#269;bu u zvierat, akon&aacute;hle bolo zrejm&eacute;, &#382;e existuje ove&#318;a v&auml;&#269;&scaron;&iacute; trh s Covid-19 u &#318;ud&iacute; <sup>[16]<\/sup>. Podobne moje pokusy za posledn&eacute; 2-3 roky u Emory, Ridgeback Biotherapeutics a veterin&aacute;rnej div&iacute;zie spolo&#269;nosti Merck sk&uacute;ma&#357; EIDD-1931 a EIDD2801 pre lie&#269;bu FIP u ma&#269;iek bu&#271; zostali bez odpovede, alebo boli zamietnut&eacute;, nepochybne z podobn&yacute;ch d&ocirc;vodov, pre&#269;o Gilead odmietol udeli&#357; pr&aacute;va pre GS-441524. Ve&#318;k&aacute; celosvetov&aacute; potreba lie&#269;by FIP v&scaron;ak r&yacute;chlo podporila neschv&aacute;len&yacute; trh s GS-441524 z &#268;&iacute;ny. T&aacute; ist&aacute; potreba lie&#269;i&#357; FIP ned&aacute;vno vyvolala z&aacute;ujem o Molnupiravir, tie&#382; z &#268;&iacute;ny.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Situ&aacute;cia s EIDD-1931 vs. EIDD-2801\/Molnupiravir a GS-441524 vs. Remdesivir vyvol&aacute;va ot&aacute;zku, pre&#269;o sa niektor&eacute; lieky pre &uacute;&#269;ely marketingu prev&aacute;dzaj&uacute; na prolie&#269;iv&aacute;<sup> [17]<\/sup>. Remdesivir bol &uacute;dajne esterifikovan&yacute;, aby sa zv&yacute;&scaron;ila antiv&iacute;rusov&aacute; aktivita, aj ke&#271; &scaron;t&uacute;die na ma&#269;k&aacute;ch uk&aacute;zali, &#382;e GS-441524 a Remdesivir mali podobn&uacute; v&iacute;rusov&uacute; inhibi&#269;n&uacute; aktivitu v tkanivovej kult&uacute;re <sup>[18]<\/sup>. Zistilo sa v&scaron;ak, &#382;e Remdesivir sa zle absorbuje or&aacute;lnou cestou, a preto bol podmienen&#269;ne schv&aacute;len&yacute; iba pre injek&#269;n&eacute; pou&#382;itie. EIDD-2801 bol vytvoren&yacute; pre zv&yacute;&scaron;enie or&aacute;lnej absorpcie EIDD-1931, aj ke&#271; predch&aacute;dzaj&uacute;ci v&yacute;skum uk&aacute;zal, &#382;e EIDD-1931 je dobre absorbovan&yacute; or&aacute;lne aj bez esterifik&aacute;cie <sup>[6]<\/sup>. Mot&iacute;vy komercializ&aacute;cie Remdesiviru namiesto GS-441524 na hum&aacute;nne pou&#382;itie boli vedecky spochybnen&eacute;, preto&#382;e tento sa zd&aacute; by&#357; v nieko&#318;k&yacute;ch smeroch lep&scaron;&iacute; bez &#271;al&scaron;&iacute;ch &uacute;prav <sup>[17]<\/sup>. Pre&#269;o bol pre komercializ&aacute;ciu vybran&yacute; EIDD-2801, ke&#271; EIDD-1931 by bol lacnej&scaron;&iacute;, 4-n&aacute;sobne &uacute;&#269;innej&scaron;&iacute; proti v&iacute;rusom a o jednu tretinu menej toxick&yacute; ako EIDD-2801 <sup>[15]<\/sup>? Sila patentov&yacute;ch pr&aacute;v a dlh&aacute; &#382;ivotnos&#357; patentov m&ocirc;&#382;u v t&yacute;chto rozhodnutiach predstavova&#357; d&ocirc;le&#382;itej&scaron;ie faktory. <sup>[16,17,19]<\/sup>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jedn&yacute;m z probl&eacute;mov pri lie&#269;be FIP u ma&#269;iek s&uacute; hematookul&aacute;rne a hematoencefalick&eacute; bari&eacute;ry, ktor&eacute; nadob&uacute;daj&uacute; ve&#318;k&yacute; v&yacute;znam, ke&#271; choroba postihne o&#269;i a\/alebo mozog <sup>[13, 14, 20]<\/sup>. Tento probl&eacute;m bol z ve&#318;kej &#269;asti prekonan&yacute; pri lie&#269;be o&#269;n&yacute;ch a neurologick&yacute;ch foriem FIP pomocou GS-441524 postupn&yacute;m zvy&scaron;ovan&iacute;m d&aacute;vkovania na zv&yacute;&scaron;enie hlad&iacute;n v krvi a t&yacute;m aj koncentr&aacute;cie lie&#269;iva v komorovom moku a\/alebo v mozgu <sup>[20]<\/sup>. GC376, jedno z naj&uacute;&#269;innej&scaron;&iacute;ch antivirot&iacute;k proti v&iacute;rusu FIP v kult&uacute;re <sup>[17]<\/sup>, nie je &uacute;&#269;inn&yacute; proti okul&aacute;rnej a neurologickej FIP kv&ocirc;li neschopnosti dosta&#357; do t&yacute;chto miest dostatok lie&#269;iva, aj ke&#271; sa d&aacute;vka nieko&#318;kon&aacute;sobne zvy&scaron;uje<sup>[14]<\/sup>. Na&scaron;&#357;astie sa zd&aacute;, &#382;e EIDD-1931 m&ocirc;&#382;e dosiahnu&#357; &uacute;&#269;inn&eacute; hladiny v mozgu, ako to nazna&#269;uj&uacute; &scaron;t&uacute;die na ko&#328;och s infekciou VEEV <sup>[3]<\/sup>. Rezistencia na lie&#269;iv&aacute; je &#271;al&scaron;&iacute;m probl&eacute;mom, ktor&yacute; sa teraz prejavuje u niektor&yacute;ch ma&#269;iek lie&#269;en&yacute;ch GS-441524, najm&auml; u jedincov s neurologickou formou FIP. Dlh&eacute; lie&#269;ebn&eacute; proced&uacute;ry a &#357;a&#382;kosti s transportom dostato&#269;n&eacute;ho mno&#382;stva lie&#269;iva do mozgu podporuj&uacute; rozvoj liekovej rezistencie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Z&aacute;sadn&yacute; v&yacute;znam m&aacute; kr&aacute;tkodob&yacute; a dlhodob&yacute; toxick&yacute; &uacute;&#269;inok kandid&aacute;tskeho lieku na testovan&eacute;ho &#269;loveka alebo zviera. V bunkov&yacute;ch kult&uacute;rach vyk&aacute;zal GS-441524 ni&#382;&scaron;iu toxicitu ako GC376, EIDD-1931 a EIDD-2801 <sup>[15]<\/sup>. Najd&ocirc;le&#382;itej&scaron;ia je v&scaron;ak toxicita, ktor&aacute; sa prejavuje <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;in vivo - lat. &amp;quot;V &#382;ivom&amp;quot;, v &#382;ivom organizme, &#318;udskom alebo zvieracom. M&ocirc;&#382;e sa t&yacute;ka&#357; ako pokuse aj skuto&#269;n&eacute;ho priebehu ur&#269;it&eacute;ho deja alebo choroby. Porov. in vitro lat. in v; Vivus &#382;iv&yacute;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/in-vivo\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">in vivo<\/a>. GC376 patr&iacute; medzi lieky s najvy&scaron;&scaron;&iacute;m inhibi&#269;n&yacute;m &uacute;&#269;inkom na koronav&iacute;rus <sup>[15]<\/sup>, ale pri pod&aacute;van&iacute; mlad&yacute;m ma&#269;iatkam spoma&#318;uje v&yacute;voj dospel&eacute;ho chrupu <sup>[13]<\/sup>. Po&#269;as takmer troch rokov pou&#382;&iacute;vania GS-441524 v ter&eacute;ne nebola pozorovan&aacute; &#382;iadna v&aacute;&#382;na toxicita, &#269;o odzrkad&#318;uje &uacute;pln&uacute; absenciu cytotoxick&yacute;ch &uacute;&#269;inkov <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;in vitro - lat. &amp;quot;V skle&amp;quot; tj. V sk&uacute;mavke, za umel&yacute;ch, laborat&oacute;rnych podmienok. Napr. pri testovan&iacute; &uacute;&#269;inkov chemick&yacute;ch l&aacute;tok na &#382;iv&yacute; organizmus s&uacute; &uacute;&#269;inky sk&uacute;man&eacute; najprv na kult&uacute;re buniek pestovan&yacute;ch v sk&uacute;mavke. In&yacute;m pr&iacute;kladom je oplodnenie in vitro &amp;quot;die&#357;a zo sk&uacute;mavky&amp;quot;, IVF. Porov. in vivo lat. in v; VITRUM sklo&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/in-vitro\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">in vitro<\/a> pri koncentr&aacute;ci&aacute;ch a&#382; 400 &micro;M <sup>[18]<\/sup>. EIDD-1931 a EIDD-2801 v&scaron;ak vykazuj&uacute; v&yacute;znamn&uacute; cytoxicitu pri 100 &micro;M <sup>[15]<\/sup>. Preto schopnos&#357; EIDD-1931 vytv&aacute;ra&#357; fat&aacute;lne mut&aacute;cie v RNA vyvol&aacute;va u&#382; nejak&yacute; &#269;as mno&#382;tvo ot&aacute;zok <sup>[8, 21, 22]<\/sup>. To bol hlavn&yacute; d&ocirc;vod, pre&#269;o sa aplik&aacute;cia na lie&#269;bu chor&ocirc;b st&aacute;le odkladala. S&uacute;&#269;asn&aacute; odpor&uacute;&#269;an&aacute; doba lie&#269;by Covid-19 Molnupiravirom je v&scaron;ak v po&#269;iato&#269;nom &scaron;t&aacute;diu lie&#269;by iba 5 dn&iacute; <sup>[10]<\/sup>. Odpor&uacute;&#269;an&aacute; doba lie&#269;by FIP s GS-441524 je ale 12 t&yacute;&#382;d&#328;ov <sup>[14]<\/sup>, &#269;o predstavuje ove&#318;a dlh&scaron;&iacute; &#269;as pre manifest&aacute;ciu toxicity. Preto bude d&ocirc;le&#382;it&eacute; d&ocirc;kladn&eacute; pozorovanie ma&#269;iek pri lie&#269;be EIDD-1931 alebo EIDD-2801, &#269;i u&#382; ide o kr&aacute;tkodob&eacute; alebo dlhodob&eacute; &uacute;&#269;inky.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V&scaron;etky doteraj&scaron;ie antiv&iacute;rusov&eacute; lieky viedli k rozvoju liekovej rezistencie prostredn&iacute;ctvom mut&aacute;ci&iacute; vo v&iacute;rusovom gen&oacute;me. Aj ke&#271; sa Remdesivir jav&iacute; menej n&aacute;chyln&yacute; vo&#269;i tak&yacute;mto mut&aacute;ci&aacute;m v porovnan&iacute; s liekmi pou&#382;&iacute;van&yacute;ch pri v&iacute;rusov&yacute;ch ochoreniach, ako je HIV\/AIDS, rezistencia je dobre zdokumentovan&aacute; <sup>[23&ndash;25]<\/sup>. Rezistencia vo&#269;i GS-441524 u ma&#269;iek lie&#269;en&yacute;ch na FIP bola pozorovan&aacute; s vy&scaron;&scaron;ou frekvenciou, najm&auml; u ma&#269;iek s neurologickou FIP, kde je &#357;a&#382;&scaron;ie dopravi&#357; do mozgu dostato&#269;n&eacute; mno&#382;stvo lie&#269;iva<sup> [13, 14, 20]<\/sup>. Rezistencia vo&#269;i GS-441524 u ma&#269;iek bude tie&#382; pravdepodobne v&auml;&#269;&scaron;&iacute;m probl&eacute;mom, preto&#382;e ma&#269;ky s FIP sa &#269;asto lie&#269;ia 12 t&yacute;&#382;d&#328;ov alebo dlh&scaron;ie, zatia&#318; &#269;o Remdesivir (a Molnupiravir) sa odpor&uacute;&#269;aj&uacute; u&#382;&iacute;va&#357; iba p&auml;&#357; dn&iacute; po&#269;as po&#269;iato&#269;n&eacute;ho viremick&eacute;ho &scaron;t&aacute;dia Covid-19 <sup>[16]<\/sup>. Probl&eacute;m rezistencie na lie&#269;iv&aacute; je v lie&#269;be HIV\/AIDS efekt&iacute;vne zvl&aacute;dnut&yacute; pou&#382;it&iacute;m kokteilu r&ocirc;znych liekov s&uacute;&#269;asne s r&ocirc;znymi profilmi rezistencie. Mutanty rezistentn&eacute; na jedno lie&#269;ivo bud&uacute; ostatn&eacute; lieky okam&#382;ite inhibova&#357;, &#269;&iacute;m sa zabr&aacute;ni ich pozit&iacute;vnej selekcii pri lie&#269;be. Inhib&iacute;cia rezistencie je obzvl&aacute;&scaron;&#357; siln&aacute;, ak tieto dva lieky &uacute;to&#269;ia na r&ocirc;zne prote&iacute;ny zahrnut&eacute; v replik&aacute;cii v&iacute;rusu. Napr&iacute;klad GC376 je inhib&iacute;tor prote&aacute;zy <sup>[13]<\/sup>, zatia&#318; &#269;o GS-441524 p&ocirc;sob&iacute; na RNA dependentn&uacute; RNA polymer&aacute;zu <sup>[18]<\/sup>. GC376 v&scaron;ak nie je tak dobre absorbovan&yacute; cez hematoencefalick&uacute; bari&eacute;ru. Aj ke&#271; e&scaron;te neprebehol potrebn&yacute; v&yacute;skum, zd&aacute; sa, &#382;e medzi GS-441524 a Molnupiravirom nebude existova&#357; &#382;iadna skr&iacute;&#382;en&aacute; rezistencia, a  pri prechode <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;&amp;lt;strong&amp;gt;Hematoencefalick&aacute; bari&eacute;ra&amp;lt;\/strong&amp;gt;&amp;amp;nbsp;(in&eacute; n&aacute;zvy:&amp;amp;nbsp;&amp;lt;strong&amp;gt;hematolikvorov&aacute; bari&eacute;ra&amp;lt;\/strong&amp;gt;,&amp;amp;nbsp;&amp;lt;strong&amp;gt;krvno-mozgov&aacute; bari&eacute;ra&amp;lt;\/strong&amp;gt;) je fyziologick&aacute; bari&eacute;ra medzi&amp;amp;nbsp;krvn&yacute;m obehom&amp;amp;nbsp;a&amp;amp;nbsp;centr&aacute;lnou nervovou s&uacute;stavou&amp;amp;nbsp;(CNS) u v&scaron;etk&yacute;ch &scaron;tvorno&#382;cov. Sl&uacute;&#382;i na udr&#382;anie podmienok prostredia v mozgu a ich oddelenie od podmienok prostredia v krvi.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&amp;lt;!-- wp:paragraph --&amp;gt;Krvn&eacute; kapil&aacute;ry s&uacute; tvoren&eacute; jednou tenkou vrstvou endotelov&yacute;ch buniek. V CNS jednotliv&eacute; endotelov&eacute; bunky kapil&aacute;rnej steny priliehaj&uacute; tesne k sebe a v mieste ich kontaktov sa vytv&aacute;raj&uacute; tzv. tesn&eacute; spojenia (tight junctions). Navy&scaron;e zvonka na obvod kapil&aacute;r tesne priliehaj&uacute; pericyty - &#269;&iacute;m je pohyb l&aacute;tok medzi krvou a nervov&yacute;m tkanivom obmedzen&yacute;. Hovor&iacute;me o hematoencefalickej bari&eacute;re.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&amp;lt;!-- wp:paragraph --&amp;gt;&Uacute;lohou hematoencefalickej bari&eacute;ry je izolova&#357; tkanivo nervovej s&uacute;stavy od krvn&eacute;ho pr&uacute;du. V&#271;aka hematoencefalickej bari&eacute;re do mozgu &#357;a&#382;&scaron;ie prenikaj&uacute; bakt&eacute;rie, tox&iacute;ny, ale aj lie&#269;iv&aacute; a &#271;al&scaron;ie l&aacute;tky. Pri poru&scaron;en&iacute; bari&eacute;ry sa medzi prv&yacute;mi pr&iacute;znakmi objav&iacute; ed&eacute;m mozgov&eacute;ho tkaniva.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/hematoencefalicka-bariera\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">hematoencefalickou bari&eacute;rou<\/a> je rovnako &uacute;&#269;inn&yacute; ako GS-441524 <sup>[3]<\/sup>. To z Molnupiraviru (alebo 5-hyroxycytid&iacute;nu) rob&iacute; d&ocirc;le&#382;it&yacute; pr&iacute;spevok pre bud&uacute;cu lie&#269;bu FIP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ako sa dalo &#269;aka&#357;, Molnupiravir bol ned&aacute;vno testovan&yacute; na ma&#269;k&aacute;ch s FIP najmenej jedn&yacute;m &#269;&iacute;nskym predajcom GS-441524 a predbe&#382;n&eacute; v&yacute;sledky s&uacute; uveden&eacute; na webovej str&aacute;nke FIP Warriors CZ\/SK <sup>[26]<\/sup>. Ter&eacute;nne testy zah&#341;&#328;ali 286 ma&#269;iek s r&ocirc;znymi formami prirodzene sa vyskytuj&uacute;cej FIP pozorovan&yacute;ch na klinik&aacute;ch pre dom&aacute;ce zvierat&aacute; v USA, Ve&#318;kej Brit&aacute;nii, Taliansku, Nemecku, Franc&uacute;zsku, Japonsku, Rumunsku, Turecku a &#268;&iacute;ne. 286 ma&#269;iek, ktor&eacute; sa z&uacute;&#269;astnili &scaron;t&uacute;die, vr&aacute;tane siedmich ma&#269;iek s okul&aacute;rnou (n=2) a neurologickou (n=5) FIP, nedo&scaron;lo k &#382;iadnemu &uacute;hynu. Dvadsa&#357; osem z t&yacute;chto ma&#269;iek bolo vylie&#269;en&yacute;ch po 4-6 t&yacute;&#382;d&#328;och lie&#269;by a 258 po 8 t&yacute;&#382;d&#328;och. V&scaron;etky lie&#269;en&eacute; ma&#269;ky boli zdrav&eacute; aj po 3-5 mesiacoch, &#269;o je obdobie, po&#269;as ktor&eacute;ho by sa u ne&uacute;spe&scaron;ne lie&#269;en&yacute;ch ma&#269;iek o&#269;ak&aacute;vali relapsy. Tieto &uacute;daje poskytuj&uacute; presved&#269;iv&eacute; d&ocirc;kazy o bezpe&#269;nosti a &uacute;&#269;innosti Molnupiraviru pre ma&#269;ky s r&ocirc;znymi formami FIP. D&uacute;fame v&scaron;ak, &#382;e t&aacute;to ter&eacute;nna &scaron;t&uacute;dia bude nap&iacute;san&aacute; v rukopisnej forme, predlo&#382;en&aacute; k recenzn&eacute;mu konaniu a uverejnen&aacute;. Tak &#269;i tak, Molnupiravir sa u&#382; teraz pred&aacute;va majite&#318;om ma&#269;iek s FIP. Minim&aacute;lne jeden &#271;al&scaron;&iacute; ve&#318;k&yacute; predajca GS-441524 m&aacute; tie&#382; z&aacute;ujem pou&#382;&iacute;va&#357; Molnupiravir na FIP, &#269;o nazna&#269;uje dopyt po &#271;al&scaron;&iacute;ch antiv&iacute;rusov&yacute;ch lie&#269;iv&aacute;ch pre ma&#269;ky s FIP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bezpe&#269;n&eacute; a &uacute;&#269;inn&eacute; d&aacute;vkovanie pre Molnupiravir u ma&#269;iek s FIP nebolo publikovan&eacute;. Minim&aacute;lne jeden predajca z &#268;&iacute;ny v&scaron;ak poskytol iste farmakokinetick&eacute; d&aacute;ta a d&aacute;ta z ter&eacute;nnych testov Molnupariviru u ma&#269;iek s prirodzene sa vyskytuj&uacute;cou FIP v reklamnom let&aacute;ku na v&yacute;robok s n&aacute;zvom Hero-2081 <sup>[26]<\/sup>. Tieto inform&aacute;cie v&scaron;ak jasne neuv&aacute;dzaj&uacute; mno&#382;stvo Molnupiraviru v jednej z ich &bdquo;50 mg tabliet&ldquo; a skuto&#269;n&yacute; d&aacute;vkovac&iacute; interval (q12h alebo q24h?). Na&scaron;&#357;astie odhadovan&uacute; po&#269;iato&#269;n&uacute; d&aacute;vku molnupiraviru pre ma&#269;ky s FIP je mo&#382;n&eacute; z&iacute;ska&#357; z publikovan&yacute;ch &scaron;t&uacute;di&iacute; o EIDD-1931 a EIDD-2801 in vitro na bunkov&yacute;ch kult&uacute;rach <sup>[15]<\/sup> a laborat&oacute;rnych a ter&eacute;nnych &scaron;t&uacute;di&iacute; GS-441524 <sup>[14,18]<\/sup>. Molnupiravir (EIDD-2801) m&aacute; EC50 0,4 uM\/ul proti FIPV v bunkovej kult&uacute;re, zatia&#318; &#269;o EC50 GS-441524 je asi 1,0 uM\/ul <sup>[18]<\/sup>. Oba maj&uacute; podobn&uacute; peror&aacute;lnu absorpciu okolo 40 &ndash; 50 %, tak&#382;e &uacute;&#269;inn&aacute; subkut&aacute;nna (SC) d&aacute;vka pre Molnupiravir by bola pribli&#382;ne polovica odpor&uacute;&#269;anej 4 mg\/kg SC ka&#382;d&yacute;ch 24 hod&iacute;n za&#269;iato&#269;nej d&aacute;vky pre GS441524 <sup>[14]<\/sup> alebo 2 mg\/kg SC q24h. D&aacute;vka per-os (PO) by sa zdvojn&aacute;sobila, aby sa zoh&#318;adnila menej &uacute;&#269;inn&aacute; peror&aacute;lna absorpcia na d&aacute;vku 4 mg\/kg PO ka&#382;d&yacute;ch 24 hod&iacute;n. Odhadovan&uacute; po&#269;iato&#269;n&uacute; peror&aacute;lnu d&aacute;vku molnupiraviru pre ma&#269;ky s FIP je mo&#382;n&eacute; tie&#382; vypo&#269;&iacute;ta&#357; z dostupn&yacute;ch &uacute;dajov o lie&#269;be Covid-19. Pacientom lie&#269;en&yacute;m na Covid-19 sa pod&aacute;va 200 mg molnupiraviru PO q12h po&#269;as 5 dn&iacute;. T&aacute;to d&aacute;vka bola evidentne vypo&#269;&iacute;tan&aacute; z farmakokinetickej &scaron;t&uacute;die vykonanej na &#318;u&#271;och a ak priemern&yacute; &#269;lovek v&aacute;&#382;i 60-80 kg (70 kg), &uacute;&#269;inn&aacute; inhibi&#269;n&aacute; d&aacute;vka je ~ 3,0 mg\/kg PO q12h. Ma&#269;ka m&aacute; baz&aacute;lny metabolick&yacute; pomer 1,5 -kr&aacute;t vy&scaron;&scaron;&iacute; ako &#269;lovek a za predpokladu rovnakej or&aacute;lnej absorpcie u &#318;ud&iacute; aj ma&#269;iek by minim&aacute;lna d&aacute;vka pre ma&#269;ky pod&#318;a tohto v&yacute;po&#269;tu bola 4,5 mg\/kg PO ka&#382;d&yacute;ch 12 hod&iacute;n. Za predpokladu, &#382;e molnupiravir prech&aacute;dza cez hematookul&aacute;rnu bari&eacute;ru a hematoencefalick&uacute; bari&eacute;ru rovnako efekt&iacute;vne ako GS-441524 <sup>[3,18]<\/sup>, d&aacute;vka by sa zv&yacute;&scaron;ila ~1,5 a ~2,0-kr&aacute;t, aby sa umo&#382;nila adekv&aacute;tna penetr&aacute;cia do komorovej vody a <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Cerebrospin&aacute;lny mok (latinsky liquor cerebrospinalis, CSF) alebo tie&#382; likvor je &#269;&iacute;ra a bezfarebn&aacute; telov&aacute; tekutina, ktor&aacute; obklopuje, chr&aacute;ni proti infekcii a vy&#382;ivuje a zabezpe&#269;uje mozog a miechu. Je pribli&#382;ne izotonick&yacute;, obsahuje na rozdiel od krvi len m&aacute;lo prote&iacute;nov a takmer &#382;iadne bunky (takmer &#382;iadne &#269;erven&eacute; krvinky). &#317;udsk&eacute; telo obsahuje v priemere asi 150 ml mozgovomiechov&eacute;ho moku.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/mozgovomiechovy-mok\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">mozgovomiechov&yacute; mok<\/a> pre ma&#269;ky s okul&aacute;rnou (~ 8 mg\/kg PO, q12 h) alebo neurologickou FIP (~ 10 mg\/kg PO, q12h). Lie&#269;ba bude trva&#357; 10-12 t&yacute;&#382;d&#328;ov a monitorovanie odpovede na lie&#269;bu bude identick&eacute; s GS-441524 <sup>[14, 20]<\/sup>. Tieto odpor&uacute;&#269;ania s&uacute; zalo&#382;en&eacute; na predpokladoch zo zverejnen&yacute;ch inform&aacute;ci&iacute; a bud&uacute; potrebn&eacute; &#271;al&scaron;ie sk&uacute;senosti s Molnupiravirom v tejto oblasti. Nie je pravdepodobn&eacute;, &#382;e Molnupiravir bude na lie&#269;bu FIP bezpe&#269;nej&scaron;&iacute; a &uacute;&#269;innej&scaron;&iacute; ako GS-441524, ale tretie antiv&iacute;rusov&eacute; lie&#269;ivo m&ocirc;&#382;e by&#357; mimoriadne u&#382;ito&#269;n&eacute; pri prevencii rezistencie vo&#269;i GS-441524 (ako kokteil antivirot&iacute;k s r&ocirc;znymi profilmi rezistencie) alebo pri lie&#269;be ma&#269;iek, ktor&eacute; u&#382; nereaguj&uacute; dobre na GS-441524. Ve&#318;kou nezn&aacute;mou je, &#269;i bude Molnupiravir bez dlhodob&yacute;ch toxick&yacute;ch &uacute;&#269;inkov, preto&#382;e &uacute;&#269;inn&aacute; l&aacute;tka N4-hydroxycytid&iacute;n je mimoriadne &uacute;&#269;inn&yacute; mutag&eacute;n <sup>[21]<\/sup> a doba lie&#269;by FIP je ove&#318;a dlh&scaron;ia ako pri Covid-19 a existuje pravdepodobnos&#357; v&auml;&#269;&scaron;&iacute;ch ved&#318;aj&scaron;&iacute;ch &uacute;&#269;inkov.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Je &scaron;koda, &#382;e EIDD-1931 (N4-hydroxycytid&iacute;n), &uacute;&#269;innej l&aacute;tke Molnupiraviru, nebola pri lie&#269;be ma&#269;iek FIP venovan&aacute; v&auml;&#269;&scaron;ia pozornos&#357; ako Molnupiraviru. EIDD-1931 m&aacute; 4-kr&aacute;t v&auml;&#269;&scaron;&iacute; inhibi&#269;n&yacute; &uacute;&#269;inok proti v&iacute;rusu ako Molnupiravir (EC50 0,09 oproti 0,4 &mu;M) a percento cytotoxicity je o nie&#269;o ni&#382;&scaron;ie (2,3% vs. 3,8% pri 100 &mu;M) <sup>[15]<\/sup>. N4-hydroxycytid&iacute;n je tie&#382; &uacute;&#269;inne absorbovan&yacute; or&aacute;lnou cestou <sup>[3]<\/sup>, &#269;o bolo pri v&yacute;voji EIDD-2801 (Molnupiravir) bagatelizovan&eacute;. Tento scen&aacute;r je identick&yacute; so scen&aacute;rom GS-441524 vs. Remdesivir, pri&#269;om pre komercializ&aacute;ciu bol vybran&yacute; druh&yacute; z nich &ndash; Remdesivir, aj ke&#271; s&uacute;&#269;asn&yacute; v&yacute;skum nazna&#269;uje, &#382;e najlep&scaron;&iacute;m kandid&aacute;tom by bol GS-441524<sup>[17]<\/sup>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Referencie<\/h2>\n\n\n\n<ol class=\"has-small-font-size wp-block-list\"><li>Painter GR, Natchus MG, Cohen O, Holman W, Painter WP. Developing a direct acting, orally available antiviral agent in a pandemic: the evolution of molnupiravir as a potential treatment for COVID-19 [published online ahead of print, 2021 Jun 18]. Curr Opin Virol. 2021;50:17-22. doi:10.1016\/j.coviro.2021.06.003<\/li><li>Halford B. An emerging antiviral takes aim at COVID-19. c&amp;en topics. 2020. https:\/\/cen.acs.org\/pharmaceuticals\/drug-development\/emerging-antiviral-takes-aim-COVID19\/98\/web\/2020\/05.<\/li><li>Painter GR, Richard A. Bowend RA, Bluemling GR et al. The prophylactic and therapeutic activity of a broadly active ribonucleoside analog in a murine model of intranasal Venezuelan equine encephalitis virus infection. Antiviral Res. 2019, 171:104597<\/li><li>Costantini, V.P., Whitaker, T., Barclay, L., Lee, D., McBrayer, T.R., Schinazi, R.F., Vinje,J., 2012. Antiviral activity of nucleoside analogues against norovirus. Antivir. Ther.17 (6), 981&ndash;991. https:\/\/doi.org\/10.3851\/imp2229.<\/li><li>Ehteshami, M., Tao, S., Zandi, K., Hsiao, H.M., Jiang, Y., Hammond, E., Amblard, F., Russell, O.O., Merits, A., Schinazi, R.F., 2017. Characterization of beta-d-N(4)-hydroxycytidine as a novel inhibitor of chikungunya virus. Antimicrob. Agents Chemother. 61 (4) e02395-02316. https:\/\/doi.org\/10.1128\/aac.02395-16.<\/li><li>Stuyver, L.J., Whitaker, T., McBrayer, T.R., Hernandez-Santiago, B.I., Lostia, S., Tharnish, P.M., Ramesh, M., Chu, C.K., Jordan, R., Shi, J., Rachakonda, S., Watanabe, K.A., Otto, M.J., Schinazi, R.F., 2003. Ribonucleoside analogue that blocks replication of bovine viral diarrhea and hepatitis C viruses in culture. Antimicrob. Agents Chemother. 47 (1), 244&ndash;254.<\/li><li>Yoon J., Toots M, Lee S, Lee ME, et al., 2018. Orally efficacious broad-spectrum ribonucleoside analog inhibitor of influenza and respiratory syncytial viruses. Antimicrob. Agents Chemother. 2018, 62(8): https:\/\/doi.org\/10.1128\/aac.00766-18<\/li><li>Urakova N, Kuznetsova V, Crossman DK, Sokratian A, Guthrie DB, Kolykhalov AA, et al. &beta;-d-N4Hydroxycytidine is a potent anti-alphavirus compound that induces a high level of mutations in the viral genome. J Virol. 2018, 92:e01965&ndash;e01917. doi: 10.1128\/JVI.01965-17.<\/li><li>Pyrc, K., Bosch, B.J., Berkhout, B., Jebbink, M.F., Dijkman, R., Rottier, P., van der Hoek,L., 2006. Inhibition of human coronavirus NL63 infection at early stages of the replication cycle. Antimicrob. Agents Chemother. 2006, 50(6):2000&ndash;2008. https:\/\/doi.org\/10.1128\/aac.01598-05.<\/li><li>Whitfill T. A likely new treatment for Covid-19 was made possible by government-funded innovation. STAT+. https:\/\/www.statnews.com\/2021\/10\/05\/government-funding-backed-molnupiravir-possible-newcovid-19-treatment\/.<\/li><li>Painter, G.R., Guthrie, D.B., Bluemling, G., Natchus, M.G. N4-Hydroxycytidine and Derivatives and Antiviral Uses Related Thereto. US Patent Application, 2016, 2016\/106050 A1.<\/li><li>Merck news release, October 1, 2021. https:\/\/www.merck.com\/news\/merck-and-ridgebacksinvestigational-oral-antiviral-molnupiravir-reduced-the-risk-of-hospitalization-or-death-by-approximately-50percent-compared-to-placebo-for-patients-with-mild-or-moderat\/.<\/li><li>Pedersen NC, Kim Y, Liu H, Galasiti Kankanamalage AC, Eckstrand C, Groutas WC, Bannasch M, Meadows JM, Chang KO. Efficacy of a 3C-like protease inhibitor in treating various forms of acquired feline infectious peritonitis. J Feline Med Surg. 2018, 20(4):378-392.<\/li><li>Pedersen NC, Perron M, Bannasch M, Montgomery E, Murakami E, Liepnieks M, Liu H. efficacy and safety of the nucleoside analog GS-441524 for treatment of cats with naturally occurring feline infectious peritonitis. J Feline Med Surg. 2019, 21(4):271-281.<\/li><li>Cook SE, Vogel H and D. Castillo D. A rational approach to identifying effective combined anticoronaviral therapies against feline coronavirus. 2021. bioRxiv 2020.07.09.195016; doi: https:\/\/doi.org\/10.1101\/2020.07.09.195016<\/li><li>Zhang S. A Much-Hyped COVID-19 Drug Is Almost Identical to a Black-Market Cat Cure. May 8, 2020 Shutterstock \/ The Atlantic, https:\/\/www.theatlantic.com\/science\/archive\/2020\/05\/remdesivir-cats\/611341\/.<\/li><li>Yan VC, Muller FL. Advantages of the Parent Nucleoside GS-441524 over Remdesivir for Covid-19 Treatment. ACS Medicinal Chemistry Letters. 2020, 11 (7):1361-1366 DOI: 10.1021\/acsmedchemlett.0c00316<\/li><li>Murphy BG, Perron M, Murakami E, Bauer K, Park Y, Eckstrand C, Liepnieks M, Pedersen NC. The nucleoside analog GS-441524 strongly inhibits feline infectious peritonitis (FIP) virus in tissue culture and experimental cat infection studies.Vet Microbiol. 2018, 219:226-233.<\/li><li>Common Dreams. Public citizen. Press release, August 4, 2020, https:\/\/www.commondreams.org\/newswire\/2020\/08\/04\/public-citizen-scientists-gilead-and-federalscientists-have-neglected<\/li><li>Dickinson PJ. Coronavirus Infection of the Central Nervous System: Animal Models in the Time of Covid-Front. Vet. Sci. 2020, 23: https:\/\/doi.org\/10.3389\/fvets.2020.584673<\/li><li>Zhou S, Hill CS, Sarkar S, et al., &beta;-d-N4-hydroxycytidine Inhibits SARS-CoV-2 through lethal mutagenesis but Is also mutagenic to mammalian cells. J Infect Dis. 2021, 224:415&ndash;419, https:\/\/doi.org\/10.1093\/infdis\/jiab247.<\/li><li>Cohen J, Piller C. Emails offer look into whistleblower charges of cronyism behind potential COVID-19 drug. ScienceInsider-Health. 2020, https:\/\/www.science.org\/news\/2020\/05\/emails-offer-look-whistleblowercharges-cronyism-behind-potential-covid-19-drug.<\/li><li>Agostini ML, Andres EL, Sims AC, et al. Coronavirus susceptibility to the antiviral remdesivir (GS-5734) is mediated by the viral polymerase and the proofreading exoribonuclease. MBio 2018; 9. DOI:<br>10.1128\/mBio.00221-18.<\/li><li>Szemiel AM, Merits A, Orton RJ, In vitro selection of Remdesivir resistance suggests evolutionary predictability of SARS-CoV-2. Plos Path, 2021,https:\/\/doi.org\/10.1371\/journal.ppat.1009929 .<\/li><li>Martinot M, Jary A, Fafi-Kremer S, et al., Emerging RNA-Dependent RNA Polymerase Mutation in a Remdesivir-Treated B-cell Immunodeficient Patient With Protracted Coronavirus Disease 2019, Clinical Infectious Diseases, 2020;, ciaa1474, https:\/\/doi.org\/10.1093\/cid\/ciaa1474<\/li><li>FIP Warriors CZ\/SK &ndash; EIDD-2801 (Molnupiravir) https:\/\/www.fipwarriors.eu\/en\/eidd-2801-molnupiravir\/<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Beta-d-N4-hydroxycytidine is a small molecule (nucleoside) that was studied in the late 1970s in the former Soviet Union as part of biological weapons research. Today, we know it as the active ingredient of a drug called Molnupiravir, which is proven to be effective in the treatment of Covid19, as well as FIP.<\/p>","protected":false},"author":1,"featured_media":8828,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[191,187,188,190],"tags":[271],"class_list":["post-8803","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dr-pedersen","category-odborne","category-preverejnost","category-preklady","tag-eidd"],"featured_image_urls_v2":{"full":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD.jpg",1920,1080,false],"thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-150x150.jpg",150,150,true],"medium":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-300x169.jpg",300,169,true],"medium_large":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-768x432.jpg",525,295,true],"large":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-1024x576.jpg",525,295,true],"1536x1536":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-1536x864.jpg",1536,864,true],"2048x2048":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD.jpg",1920,1080,false],"trp-custom-language-flag":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-18x10.jpg",18,10,true],"twentyseventeen-featured-image":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD.jpg",1920,1080,false],"twentyseventeen-thumbnail-avatar":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-100x100.jpg",100,100,true],"woocommerce_thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-250x250.jpg",250,250,true],"woocommerce_single":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-350x197.jpg",350,197,true],"woocommerce_gallery_thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD-100x100.jpg",100,100,true]},"post_excerpt_stackable_v2":"<p>Beta-d-N4-hydroxycytid&iacute;n je mal&aacute; molekula (nukleozid), ktor&aacute; bola &scaron;tudovan&aacute; koncom 70. rokov v b&yacute;valom Sovietskom zv&auml;ze ako s&uacute;&#269;as&#357; v&yacute;skumu biologick&yacute;ch zbran&iacute;. Dnes ho pozn&aacute;me ako &uacute;&#269;inn&uacute; l&aacute;tku lieku s n&aacute;zvom Molnupiravir, ktor&yacute; sa ukazuje ako &uacute;&#269;inn&yacute; pri lie&#269;be Covid19, ale i <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Infek&#269;n&aacute; peritonit&iacute;da ma&#269;iek (angl. Feline infectious peritonitis, zau&#382;&iacute;van&aacute; skratka FIP) je infek&#269;n&eacute; ochorenie ma&#269;iek sp&ocirc;sobuj&uacute;ce smr&#357;. N&aacute;zov je mierne zav&aacute;dzaj&uacute;ci, preto&#382;e nejde o z&aacute;pal pobru&scaron;nice (&#269;i&#382;e peritonea), ale o z&aacute;pal ciev (vaskulit&iacute;da). Klinick&eacute; pr&iacute;znaky FIP sa v&scaron;ak &#269;asto prejavuj&uacute; vo forme z&aacute;palu pobru&scaron;nice. V&iacute;rus FIP nap&aacute;da v&scaron;ak aj pohrudnicu &ndash; z toho d&ocirc;vodu je niekedy choroba ozna&#269;ovan&aacute; tie&#382; ako Infek&#269;n&aacute; ma&#269;acia polyserozit&iacute;da (Feline infectious polyserositis).&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/fip\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">FIP<\/a>.<\/p>\n","category_list_v2":"<a href=\"https:\/\/www.fipwarriors.eu\/en\/category\/dr-pedersen\/\" rel=\"category tag\">Dr. Pedersen<\/a>, <a href=\"https:\/\/www.fipwarriors.eu\/en\/category\/odborne\/\" rel=\"category tag\">Odborn\u00e9<\/a>, <a href=\"https:\/\/www.fipwarriors.eu\/en\/category\/preverejnost\/\" rel=\"category tag\">Pre verejnos\u0165<\/a>, <a href=\"https:\/\/www.fipwarriors.eu\/en\/category\/preklady\/\" rel=\"category tag\">Preklady<\/a>","author_info_v2":{"name":"LM","url":"https:\/\/www.fipwarriors.eu\/en\/author\/starman\/"},"comments_num_v2":"0 comments","featured_image_src":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD.jpg","author_info":{"display_name":"L. M.","author_link":"https:\/\/www.fipwarriors.eu\/en\/author\/starman\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dlh\u00e1 hist\u00f3ria Beta-d-N4-hydroxycytid\u00ednu a jeho modern\u00e1 aplik\u00e1cia na lie\u010dbu Covid-19 u \u013eud\u00ed a FIP u ma\u010diek. - FIP Warriors CZ\/SK \u00ae<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fipwarriors.eu\/en\/dlha-historia-beta-d-n4-hydroxycytidinu-a-jeho-moderna-aplikacia-na-liecbu-covid-19-u-ludi-a-fip-u-maciek\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dlh\u00e1 hist\u00f3ria Beta-d-N4-hydroxycytid\u00ednu a jeho modern\u00e1 aplik\u00e1cia na lie\u010dbu Covid-19 u \u013eud\u00ed a FIP u ma\u010diek. - FIP Warriors CZ\/SK \u00ae\" \/>\n<meta property=\"og:description\" content=\"Beta-d-N4-hydroxycytid&iacute;n je mal&aacute; molekula (nukleozid), ktor&aacute; bola &scaron;tudovan&aacute; koncom 70. rokov v b&yacute;valom Sovietskom zv&auml;ze ako s&uacute;&#269;as&#357; v&yacute;skumu biologick&yacute;ch zbran&iacute;. Dnes ho pozn&aacute;me ako &uacute;&#269;inn&uacute; l&aacute;tku lieku s n&aacute;zvom Molnupiravir, ktor&yacute; sa ukazuje ako &uacute;&#269;inn&yacute; pri lie&#269;be Covid19, ale i FIP.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fipwarriors.eu\/en\/dlha-historia-beta-d-n4-hydroxycytidinu-a-jeho-moderna-aplikacia-na-liecbu-covid-19-u-ludi-a-fip-u-maciek\/\" \/>\n<meta property=\"og:site_name\" content=\"FIP Warriors CZ\/SK \u00ae\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/groups\/fipczsk\" \/>\n<meta property=\"article:published_time\" content=\"2021-10-17T21:10:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-07T14:42:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/10\/Molnupiravir2-FHD.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"L. 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