New treatment for Ebola patients Transfusions of convalescent serum and a potent oral antiviral drug, Brincidofovir, backed up with hydration and balanced levels of electrolytes in the blood, could offer a treatment for Ebola Convalescent serum: Blood of Ebola survivor is centrifuged to remove cellular components Serum carries antibodies of Ebola which can help patient fight virus Blood cells Brincidofovir Also known as CMX001 Molecule of cidofovir Lipid side-chain 1 Cell membrane: Recognises lipid side chain, drug enters infected cell 2 Inside cell: Lipid side-chain detaches, high levels of cidofovir released Cell membrane Cell interior Ebola genome made of RNA --------------- Ebola virus Antibodies: Y-shaped proteins attach to viral envelope and prevent virus from entering cell Virus 3 Phosphorylation: Cell’s own mechanism adds phosphate groups, producing highly active cidofovir diphosphate 4 Viral replication: Cidofovir diphosphate blocks polymerase enzyme that virus uses to make copies of its genome. Ebola replication stops Antiviral in tablet form Sources: Chimerix, Nebraska Medical Centre’s Biocontainment Unit