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瑞德西韦:对其发现与研发历程的综述,该历程促成了其用于治疗新冠病毒病的紧急使用授权

Remdesivir: A Review of Its Discovery and Development Leading to Emergency Use Authorization for Treatment of COVID-19.

作者信息

Eastman Richard T, Roth Jacob S, Brimacombe Kyle R, Simeonov Anton, Shen Min, Patnaik Samarjit, Hall Matthew D

机构信息

National Center for Advancing Translational Sciences, National Institutes of Health, Rockville, Maryland 20850, United States.

Albert Einstein College of Medicine, New York, New York 10461, United States.

出版信息

ACS Cent Sci. 2020 May 27;6(5):672-683. doi: 10.1021/acscentsci.0c00489. Epub 2020 May 4.

Abstract

The global pandemic of SARS-CoV-2, the causative viral pathogen of COVID-19, has driven the biomedical community to action-to uncover and develop antiviral interventions. One potential therapeutic approach currently being evaluated in numerous clinical trials is the agent remdesivir, which has endured a long and winding developmental path. Remdesivir is a nucleotide analogue prodrug that perturbs viral replication, originally evaluated in clinical trials to thwart the Ebola outbreak in 2014. Subsequent evaluation by numerous virology laboratories demonstrated the ability of remdesivir to inhibit coronavirus replication, including SARS-CoV-2. Here, we provide an overview of remdesivir's discovery, mechanism of action, and the current studies exploring its clinical effectiveness.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是冠状病毒病(COVID-19)的致病病毒病原体,其全球大流行促使生物医学界采取行动——去发现和开发抗病毒干预措施。目前正在众多临床试验中评估的一种潜在治疗方法是瑞德西韦,它经历了漫长而曲折的研发历程。瑞德西韦是一种核苷酸类似物前药,可干扰病毒复制,最初在2014年的临床试验中用于抗击埃博拉疫情。随后,众多病毒学实验室的评估表明,瑞德西韦能够抑制包括SARS-CoV-2在内的冠状病毒复制。在此,我们概述了瑞德西韦的发现、作用机制以及目前探索其临床疗效的研究情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c67/7256947/fd79dc691452/oc0c00489_0001.jpg

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