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 language | English |
|---|---|
| Pages (from-to) | 1068-1081 |
| Number of pages | 14 |
| Journal | Trends In Parasitology |
| Volume | 37 |
| Issue number | 12 |
| Early online date | 3 Jul 2021 |
| DOIs | |
| Publication status | Published - 1 Dec 2021 |
Keywords
- drug discovery
- lymphatic filariasis
- onchocerciasis
- Wolbachia