Department of Medical Biotechnology, School of Paramedicine, Guilan University of Medical Sciences, Rasht, Iran.
Eur Rev Med Pharmacol Sci. 2020 Jul;24(14):7816-7825. doi: 10.26355/eurrev_202007_22286.
Currently, the outbreak and spread of coronavirus disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), are increasing worldwide. Furthermore, it has been considered as a major challenge, which threatens human beings and affects all aspects of their life. Understanding the cellular and molecular pathophysiology of the disease is currently under the focus of investigations. Accordingly, this turns the human scientific community attention to find a solution for addressing the challenge. The development of vaccines and efficient therapeutic modality is critical. So, both primary and clinical scientists are not only trying to decipher the structure of SARS-CoV-2, but also attempting to understand the underlying molecular mechanisms that cause tissues and cell injuries. SARS-CoV and SARS-CoV2 are highly homologous and share a highly similar function and behavior patterns. Therefore, this might guide us toward decoding the molecular mechanisms that are behind the SARS-CoV2 pathologic effects. It is noteworthy to mention that, the undesired host immune reactions play important roles in the pathophysiology of the disease, and it also seems that, renin-angiotensin signaling (RAS) is a key contributor in this regard. In this review, we provided a vision, highlight as well as discussing on potential therapeutic targets that might be considered to address the COVID-19 challenge.
目前,由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)的爆发和传播在全球范围内正在增加。此外,它已被认为是一个主要挑战,威胁着人类并影响着他们生活的方方面面。了解疾病的细胞和分子病理生理学是目前研究的重点。因此,人类科学界的注意力转向寻找解决这一挑战的方法。疫苗和有效的治疗方法的发展至关重要。因此,基础和临床科学家不仅试图破译 SARS-CoV-2 的结构,还试图了解导致组织和细胞损伤的潜在分子机制。SARS-CoV 和 SARS-CoV2 高度同源,具有高度相似的功能和行为模式。因此,这可能有助于我们解码 SARS-CoV2 病理效应背后的分子机制。值得一提的是,宿主免疫反应失调在疾病的病理生理学中起着重要作用,似乎肾素-血管紧张素信号(RAS)在这方面是一个关键贡献者。在这篇综述中,我们提供了一个视角,强调并讨论了可能被认为是应对 COVID-19 挑战的潜在治疗靶点。