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June 9, 2025npj Antimicrobials and Resistance31 citationsOpen Access

Strategies and efforts in circumventing the emergence of antiviral resistance against conventional antivirals

DADaryl Zheng Hao AwDZD. ZhangMVMarco Vignuzzi

Key Result

Current strategies such as combination therapeutics, host-targeted antivirals, and pharmaco-enhancements provide viable options to overcome the emergence of antiviral resistance against conventional direct-acting antivirals.

PICO

P
Population
Viral infections and antiviral resistance
I
Intervention / Comparator
Antiviral strategies (DAAs, HTAs, combinations)

Abstract

Antiviral resistance stemming from rapid viral evolution and adaptation is a major challenge faced in treating viral infections. Here, we describe the mechanisms and factors underlying antiviral resistance and their implications to future drug development. Current improvements to conventional methods provide viable options to overcome antiviral resistance. Ongoing efforts in developing new antiviral strategies are also discussed. Examples from across virology are used to illustrate how virus evolution and antiviral therapy influence each other.

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Cite This Study

Aw et al. (2025) conducted a review in Viral infections and antiviral resistance. Antiviral strategies (DAAs, HTAs, combinations) was evaluated. Current strategies such as combination therapeutics, host-targeted antivirals, and pharmaco-enhancements provide viable options to overcome the emergence of antiviral resistance against conventional direct-acting antivirals.

synapsesocial.com/papers/6a15d223665e751854d11417https://doi.org/10.1038/s44259-025-00125-z
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