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针对 2019 新型冠状病毒(2019-nCoV)的药物治疗选择。

Drug treatment options for the 2019-new coronavirus (2019-nCoV).

机构信息

Scientific Research Center, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

Department of Infectious Diseases, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

出版信息

Biosci Trends. 2020 Mar 16;14(1):69-71. doi: 10.5582/bst.2020.01020. Epub 2020 Jan 28.

Abstract

As of January 22, 2020, a total of 571 cases of the 2019-new coronavirus (2019-nCoV) have been reported in 25 provinces (districts and cities) in China. At present, there is no vaccine or antiviral treatment for human and animal coronavirus, so that identifying the drug treatment options as soon as possible is critical for the response to the 2019-nCoV outbreak. Three general methods, which include existing broad-spectrum antiviral drugs using standard assays, screening of a chemical library containing many existing compounds or databases, and the redevelopment of new specific drugs based on the genome and biophysical understanding of individual coronaviruses, are used to discover the potential antiviral treatment of human pathogen coronavirus. Lopinavir /Ritonavir, Nucleoside analogues, Neuraminidase inhibitors, Remdesivir, peptide (EK1), abidol, RNA synthesis inhibitors (such as TDF, 3TC), anti-inflammatory drugs (such as hormones and other molecules), Chinese traditional medicine, such ShuFengJieDu Capsules and Lianhuaqingwen Capsule, could be the drug treatment options for 2019-nCoV. However, the efficacy and safety of these drugs for 2019- nCoV still need to be further confirmed by clinical experiments.

摘要

截至 2020 年 1 月 22 日,中国 25 个省(区、市)累计报告新型冠状病毒(2019-nCoV)感染的肺炎病例 571 例。目前,针对人和动物冠状病毒尚无特效疫苗和抗病毒药物,因此尽快鉴定药物治疗选择对于应对 2019-nCoV 疫情至关重要。三种一般方法,包括使用标准检测方法的现有广谱抗病毒药物、包含许多现有化合物的化学文库筛选或基于个别冠状病毒基因组和生物物理的理解重新开发新的特定药物,用于发现人类病原体冠状病毒的潜在抗病毒治疗方法。洛匹那韦/利托那韦、核苷类似物、神经氨酸酶抑制剂、瑞德西韦、肽(EK1)、阿比多尔、RNA 合成抑制剂(如 TDF、3TC)、抗炎药(如激素和其他分子)、中药如疏风解毒胶囊和连花清瘟胶囊,可能是 2019-nCoV 的药物治疗选择。然而,这些药物对 2019-nCoV 的疗效和安全性仍需通过临床试验进一步证实。

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