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关于 COVID-19 可能治疗方法的进展综述。

Advances in the possible treatment of COVID-19: A review.

机构信息

Academy of Scientific & Innovative Research (AcSIR), Ghaziabad, 201002, India; PK-PD Toxicology and Formulation Division, CSIR-Indian Institute of Integrative Medicine, Canal Road, Jammu, Jammu and Kashmir, 180001, India.

Academy of Scientific & Innovative Research (AcSIR), Ghaziabad, 201002, India; PK-PD Toxicology and Formulation Division, CSIR-Indian Institute of Integrative Medicine, Canal Road, Jammu, Jammu and Kashmir, 180001, India.

出版信息

Eur J Pharmacol. 2020 Sep 15;883:173372. doi: 10.1016/j.ejphar.2020.173372. Epub 2020 Jul 17.

Abstract

The emergence of the global pandemic caused by novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has put a challenge to identify or derive the therapeutics for its prevention and treatment. Despite the unprecedented advances in the modern medicinal system, currently, there are no proven effective therapies. However, rapid research on SARS-CoV-2 epidemiology help unveiling some new targets for potential drug therapies. Many drugs have been screened, and even their clinical trials are going on at an exceptional pace. Amongst these RNA-dependent RNA polymerase inhibitors (favipiravir and remdesivir) and steroids especially dexamethasone showed promising effects. The biological agents like tocilizumab, interferons, and convalescent plasma prove to be beneficial in viral clearance. Moreover, many immunomodulatory and viral S protein targeting vaccines have their ongoing clinical trials. The establishment of various in vitro and in vivo models for preclinical studies can additionally help the current research. The volume and the pace of the clinical trials launched to evaluate the safety and efficacy of various agents against coronavirus disease 2019 (COVID-19) reflect the need for high-quality evidence for various therapies to be practiced by clinicians. This study aims to sum up all the current advances in the global medicinal system against the COVID-19.

摘要

新型严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 引发的全球大流行对其预防和治疗的治疗方法的鉴定或推导提出了挑战。尽管现代医学体系取得了前所未有的进步,但目前尚无经过证实的有效疗法。然而,对 SARS-CoV-2 流行病学的快速研究有助于揭示一些新的潜在药物治疗靶点。许多药物已经过筛选,甚至正在以异常快的速度进行临床试验。其中,RNA 依赖性 RNA 聚合酶抑制剂(法匹拉韦和瑞德西韦)和类固醇(特别是地塞米松)显示出有希望的效果。生物制剂如托珠单抗、干扰素和恢复期血浆被证明对清除病毒有益。此外,许多免疫调节剂和病毒 S 蛋白靶向疫苗正在进行临床试验。建立各种用于临床前研究的体外和体内模型也可以帮助当前的研究。为评估针对 2019 年冠状病毒病 (COVID-19) 的各种药物的安全性和疗效而启动的临床试验数量和速度反映了临床医生需要高质量的证据来实施各种治疗方法。本研究旨在总结全球医学体系针对 COVID-19 的所有最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d4a/7366101/73289f15c0d6/fx1_lrg.jpg

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