Our work in mice is very promising and shows that the drug favipiravir can make the virus mutate itself to death
— Armando Arias
Norovirus is the most common cause of gastroenteritis in the UK. For most people, infection causes an unpleasant but relatively short-lived case of vomiting and diarrhoea, but chronic infection can cause major health problems for people with compromised immune systems. In many cases, patients who have weaker immune systems suffer from norovirus infection for months to years, with some patients experiencing gastroenteritis for as many as eight years. Outbreaks can cause significant economic losses – in UK hospitals alone, the cost of treating outbreaks is estimated at over £100 million a year, and foodborne outbreaks in the US lead to economic losses of around $2 billion per year.
The virus is notoriously difficult to study because it will not grow efficiently in the laboratory, therefore scientists often use a mouse norovirus to identify drugs that can inhibit infection. It is one of a class of viruses known as RNA viruses, which have ribonucleic acid (RNA) as their genetic material. Most of the major viruses that have the potential to become epidemics are of this class. RNA viruses replicate and mutate rapidly, making them challenging to develop vaccines or immunity against.
In a study just published in the journal eLife and funded by the Wellcome Trust, a team of researchers led by Professor Ian Goodfellow has shown in mice with a long-term norovirus infection that the experimental drug favipiravir is effective at lowering levels of norovirus in the body, including in both tissue and faeces, which may help in reducing the severity of the disease and onward transmission.
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Image: 3D print of Norwalk virus, a type of norovirus
Credit: NIAID
Reproduced courtesy of the University of Cambridge
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