Hussain Shahid, Xie Ya-Jia, Li Dan, Malik Shaukat Iqbal, Hou Jin-Cai, Leung Elaine Lai-Han, Fan Xing-Xing
State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, SAR China.
Department of Bioinformatics and Biosciences, Capital University of Science and Technology, Islamabad, Pakistan.
Chin Med. 2020 Jul 9;15:70. doi: 10.1186/s13020-020-00353-7. eCollection 2020.
Coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) recently was declared a pandemic by world health organization (WHO) Due to sudden outbreaks, currently, no completely effective vaccine or drug is clinically approved. Several therapeutic strategies can be envisaged to prevent further mortality and morbidity. Based on the past contribution of traditional Chinese medicines (TCM) and immune-based therapies as a treatment option in crucial pathogen outbreaks, we aimed to summarize potential therapeutic strategies that could be helpful to stop further spread of SARS-CoV-2 by effecting its structural components or modulation of immune responses. Several TCM with or without modification could be effective against the structural protein, enzymes, and nucleic acid should be tested from available libraries or to identify their immune-stimulatory activities to enhance several antiviral biological agents for effective elimination of SARS-CoV-2 from the host. TCM is not only effective in the direct inhibition of virus attachment and internalization in a cell but can also prevent their replication and can also help to boost up host immune response. Immune-modulatory effects of TCMs may lead to new medications and can guide us for the scientific validity of drug development. Besides, we also summarized the effective therapies in clinical for controlling inflammation. This review will be not only helpful for the current situation of COVID-19, but can also play a major role in such epidemics in the future.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的冠状病毒病(COVID-19)最近被世界卫生组织(WHO)宣布为大流行病。由于突然爆发,目前临床上尚无完全有效的疫苗或药物被批准使用。可以设想几种治疗策略来预防进一步的死亡和发病。基于传统中药(TCM)和基于免疫的疗法在关键病原体爆发中作为治疗选择的过去贡献,我们旨在总结可能有助于通过影响其结构成分或调节免疫反应来阻止SARS-CoV-2进一步传播的潜在治疗策略。几种经过或未经修饰的中药对结构蛋白、酶和核酸可能有效,应从现有文库中进行测试,或确定其免疫刺激活性,以增强几种抗病毒生物制剂,从而有效地从宿主体内清除SARS-CoV-2。中药不仅能直接抑制病毒在细胞中的附着和内化,还能阻止其复制,还能帮助增强宿主免疫反应。中药的免疫调节作用可能会带来新的药物,并能指导我们进行药物开发的科学验证。此外,我们还总结了临床上控制炎症的有效疗法。这篇综述不仅对COVID-19的现状有帮助,而且在未来此类疫情中也能发挥重要作用。