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Publication : Nirmatrelvir treatment of SARS-CoV-2-infected mice blunts antiviral adaptive immune responses.

First Author  Fumagalli V Year  2023
Journal  EMBO Mol Med Volume  15
Issue  5 Pages  e17580
PubMed ID  36946379 Mgi Jnum  J:336004
Mgi Id  MGI:7481407 Doi  10.15252/emmm.202317580
Citation  Fumagalli V, et al. (2023) Nirmatrelvir treatment of SARS-CoV-2-infected mice blunts antiviral adaptive immune responses. EMBO Mol Med 15(5):e17580
abstractText  Alongside vaccines, antiviral drugs are becoming an integral part of our response to the SARS-CoV-2 pandemic. Nirmatrelvir-an orally available inhibitor of the 3-chymotrypsin-like cysteine protease-has been shown to reduce the risk of progression to severe COVID-19. However, the impact of nirmatrelvir treatment on the development of SARS-CoV-2-specific adaptive immune responses is unknown. Here, by using mouse models of SARS-CoV-2 infection, we show that nirmatrelvir administration blunts the development of SARS-CoV-2-specific antibody and T cell responses. Accordingly, upon secondary challenge, nirmatrelvir-treated mice recruited significantly fewer memory T and B cells to the infected lungs and mediastinal lymph nodes, respectively. Together, the data highlight a potential negative impact of nirmatrelvir treatment with important implications for clinical management and might help explain the virological and/or symptomatic relapse after treatment completion reported in some individuals.
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