Pathogenetic treatment of influenza patients with aerosolized form of aprotinin, a protease inhibitor

Abstract

Therapeutic and antiviral efficacies of inhalations of aerosolized aprotinin, a protease inhibitor, which blocks a stage of influenza virus proteolytic activation, were studied. This clinical study was performed during winter-spring outbreak caused with pandemic Influenza H1N1pdm09. Aprotinin (a natural low molecular weight antiprotease polypeptide) is known to be a chemotherapeutic antiviral drug, which inhibits influenza virus proteolytic activation accomplished by host respiratory proteases. Patients inhaled 2 aerosol doses of aprotinin (160 Kallikrein-inhibiting Units (KIU)) each 2 hours for 5 days. In comparison group, patients were treated with ingavirin (a synthetic peptidoamine with unknown antiviral target), 90 mg per day for 5 days. About 10-fold decrease of virus load in aprotinin patients were determined in comparison to ingavirin patients. Duration of clinical symptoms, such as rhinorrhea, weakness, headache, sore throat, cough, sore thorax, fever, was 1 -2 days shorter in aprotinin then in ingavirin group. Side effects and patient discomfort were not revealed in aprotinin group patients. Aerosolized form of aprotinin can be recommended as a pathogenetic antiviral drug against Influenza caused by different viruses, including seasonal H1N1, H2N2, H3N2, swine-like H1N1pdm09, and avian-like H7N9 viruses.

Keywords

• influenza
• pathogenesis
• aprotinin
• chemotherapeutic compound
• therapy
• proteolytic activation
• грипп
• патогенез
• апротинин
• химиопрепарат
• лечение
• протеолитическая активация