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An antiviral drug used to treatCOVID-19may be drive the virus that induce the disease to develop , a new study suggests .
But is this concerning , or particularly surprising ? Not at this point , and not really , experts state Live Science .
Molnupiravir, pictured above, is an antiviral drug that works by preventing SARS-CoV-2, the virus that causes COVID-19, from replicating.
Scientists analyzed more than 15 million SARS - CoV-2 genomes — genic cloth from the computer virus that causes COVID-19 — and find oneself thatmolnupiravirinduces a " mutational touch " that , if the virus is n’t completely blot out by a course of the drug , can be transmitted to other people . Molnupirivar works by make mutation in the SARS - CoV-2 genome that prevent the virus from replicating .
" antecedently people had raised the mutagenic effect of molnupiravir on viruses as a theoretic risk , " bailiwick confidential information authorTheo Sanderson , a researcher at the Francis Crick Institute in London , told Live Science in an email . " Our piece of work make this more concrete because we have found that molnupiravir can give rise to extensively - mutated viruses that stay transmissible , " he said . What ’s more , some of the mutations that cropped up repeatedly seem to be one that could help the virus fudge theimmune system , he added .
relate : New antiviral pill halves danger of COVID-19 hospitalization , Merck says
Molnupiravir, pictured above, is approved to treat COVID-19 in many countries worldwide, including in the U.S.
The generator of the work , put out Monday ( Sept. 25 ) in the journalNature , constitute that after molnupiravir ’s rollout , this mutational theme song was common in state that widely used the drug , such as theU.S.andU.K.However , countries where molnupiravir is not licensed , such asCanada , had fewer exemplar of these signatures .
The finding could help regulators to assess the risks and benefits of using the drug , but experts told Live Science that many question persist unanswered .
" We should not be relate with mutation themselves , but rather whether they take into account the computer virus to adapt to infect or transmit better , " saidVaughn Cooper , a prof of microbiology and molecular genetics at the University of Pittsburgh who was not involve in the research . " In this case , we see comparatively little grounds that molnupiravir is fueling more adaption to escape prior exemption or alter infectiousness , " Cooper evidence Live Science in an electronic mail .
Indeed , Sanderson said from this data alone , it is difficult to measure how common it is for molnupiravir - derived lineages of SARS - CoV-2 to disseminate between people . That ’s because , if a undivided sample of the computer virus with this molnupiravir signature shows up in a database but does n’t have any airless relatives , scientist ca n’t easily tell if it came from someone deal with the drug or another mortal infect further down the line .
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The field also did n’t address the possible risks and benefits of using molnupiravir for private patient , Sanderson said . This will be of import to understand , especially for those with subvert immune systems , he said . These patients have ahigher risk of prolonged COVID-19 infectionsthat give the virus more opportunities to pick up lots of mutations .
Future modeling field of study could help predict whether the drug could influence the jeopardy of newvariants of concernemerging — another inquiry that the current study did n’t explore , Sanderson bring .
" We have yet to see evidence of more fit episode spring up from molnupiravir " — imply virus that can more easily distribute and multiply — " but this work certainly provides pause for mentation and should count heavily in considerations around future use of the drug , necessitating at the very least mitigations of the risks of this force , alongside tangible world data point on the effectiveness of the drug,“Aris Katzourakis , a professor of development and genomics at the University of Oxford who was not involved in the research , severalise Live Science in an email .
Mitigation strategy could include selective prescribing and monitoring chronically infect patients for evidence of viral evolution , but these safeguards would involve to be balanced against affected role ' clinical need and the handiness of alternative treatments , he suppose .
This article is for informational purposes only and is not intend to put up aesculapian advice .
