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2019年冠状病毒病的特征及相关治疗选择

Characteristics of the Coronavirus Disease 2019 and related Therapeutic Options.

作者信息

Huang Boxuan, Ling Rongsong, Cheng Yifan, Wen Jieqi, Dai Yarong, Huang Wenjie, Zhang Siyan, Lu Xifeng, Luo Yifeng, Jiang Yi-Zhou

机构信息

Institute for Advanced Study, Shenzhen University, Shenzhen 518052, Guangdong, China.

Department of Physiology, Shenzhen University Health Science Center, Shenzhen Key Laboratory of Metabolism and Cardiovascular Homeostasis, Shenzhen University, Shenzhen 518071, China.

出版信息

Mol Ther Methods Clin Dev. 2020 Jun 24;18:367-375. doi: 10.1016/j.omtm.2020.06.013. eCollection 2020 Sep 11.

Abstract

The coronavirus disease 2019 (COVID-19) is a new type of pneumonia caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. COVID-19 is affecting millions of patients, and the infected number keeps increasing. SARS-CoV-2 is highly infectious, has a long incubation period, and causes a relatively high death rate, resulting in severe health problems all over the world. Currently there is no effective proven drug for the treatment of COVID-19; therefore, development of effective therapeutic drugs to suppress SARS-CoV-2 infection is urgently needed. In this review, we first summarize the structure and genome features of SARS-CoV-2 and introduce its infection and replication process. Then, we review the clinical symptoms, diagnosis, and treatment options of COVID-19 patients. We further discuss the potential molecular targets and drug development strategies for treatment of the emerging COVID-19. Finally, we summarize clinical trials of some potential therapeutic drugs and the results of vaccine development. This review provides some insights for the treatment of COVID-19.

摘要

2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的一种新型肺炎。COVID-19正在影响数百万患者,且感染人数持续增加。SARS-CoV-2具有高度传染性,潜伏期长,导致的死亡率相对较高,在全球范围内引发了严重的健康问题。目前尚无经证实有效的治疗COVID-19的药物;因此,迫切需要开发有效的治疗药物来抑制SARS-CoV-2感染。在本综述中,我们首先总结SARS-CoV-2的结构和基因组特征,并介绍其感染和复制过程。然后,我们回顾COVID-19患者的临床症状、诊断和治疗选择。我们进一步讨论治疗新出现的COVID-19的潜在分子靶点和药物开发策略。最后,我们总结了一些潜在治疗药物的临床试验和疫苗开发结果。本综述为COVID-19的治疗提供了一些见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/7341055/ab8f6044f909/fx1.jpg

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