Anti-Wolbachia drugs for filariasis

Kelly Johnston, W. David Hong, Joseph Turner, Paul M. O'Neill, Steve Ward, Mark Taylor

Research output: Contribution to journalReview articlepeer-review

33 Citations (Scopus)

Abstract

The mutualistic association between Wolbachia endosymbionts and their filarial nematode hosts has been exploited as a validated drug target delivering macrofilaricidal outcomes. Limitations of existing antibiotics to scale-up have driven the search for new drugs, which are effective in shorter regimens of 7 days or less. Here, we review the last 14 years of anti-Wolbachia drug discovery by the anti-Wolbachia (A·WOL) consortium, which has screened more than two million compounds, delivering thousands of hit compounds. Refined screening models integrated with robust pharmacokinetic/pharmacodynamic (PK/PD) driven optimisation and selection strategies have delivered the first two drug candidates specifically designed to target Wolbachia. AWZ1066S and ABBV-4083 are currently progressing through clinical trials with the aim of delivering safe and effective macrofilaricides to support the elimination of onchocerciasis and lymphatic filariasis.

Original languageEnglish
Pages (from-to)1068-1081
Number of pages14
JournalTrends In Parasitology
Volume37
Issue number12
Early online date3 Jul 2021
DOIs
Publication statusPublished - 1 Dec 2021

Keywords

  • drug discovery
  • lymphatic filariasis
  • onchocerciasis
  • Wolbachia

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