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针对 SARS-CoV-2 感染的抗病毒药物和疫苗研发中的治疗策略。

Therapeutic Strategies in the Development of Anti-viral Drugs and Vaccines Against SARS-CoV-2 Infection.

机构信息

Department of Human Genetics and Molecular Medicine, School of Health Sciences, Central University of Punjab, Bathinda, India.

Department of Medical Lab Technology, University Institute of Applied Health Sciences, Chandigarh University, Mohali, Punjab, India.

出版信息

Mol Neurobiol. 2020 Nov;57(11):4856-4877. doi: 10.1007/s12035-020-02074-2. Epub 2020 Aug 18.

Abstract

The whole world is currently facing a pandemic of an infectious disease known as novel coronavirus disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) . This outbreak emerged unexpectedly and imposed a potential threat to humans, associated with the social and economic burden on the individual and federal governments. COVID-19, which initially started in Wuhan City of China and then spread to the whole world, has been declared a Public Health Emergency of International Concern. The continuous increase in the number of confirmed cases leads to high mortality across the world. Growing evidence indicates that the mortality rate is very predominant in elderly people and those with preexisting health conditions. However, the potential pathogenesis of SARS-CoV-2 infection in humans is still unknown. The dysregulated/exuberant immune response may have substantially contributed to the SARS-CoV-2-mediated pathology. Nevertheless, there is no clinically approved drug/vaccine currently available that can restrict its pathogenesis. However, several drugs are currently shown to provide some therapeutic benefits for COVID-19 patients, including antiviral drugs that might have a significant role in restricting the current pandemic of COVID-19. In this article, we highlighted the pharmacological treatment strategies for COVID-19 and purposed the therapeutic targets for the development of vaccines or anti-viral drug molecules against SARS-CoV-2 infection in humans.

摘要

目前,全世界正面临一种由严重急性呼吸系统综合征冠状病毒 2 型(SARS-CoV-2)引起的新型冠状病毒病 2019(COVID-19)传染病大流行。这种疾病的爆发出人意料,对人类构成了潜在威胁,给个人和联邦政府带来了社会和经济负担。COVID-19 最初始于中国武汉市,随后蔓延至全世界,并被宣布为国际关注的突发公共卫生事件。确诊病例的持续增加导致全球死亡率居高不下。越来越多的证据表明,死亡率在老年人和有潜在健康状况的人群中非常显著。然而,SARS-CoV-2 感染在人类中的潜在发病机制仍不清楚。失调/过度的免疫反应可能在很大程度上导致了 SARS-CoV-2 介导的病理学。然而,目前尚无临床批准的药物/疫苗可限制其发病机制。尽管如此,目前已有几种药物显示出对 COVID-19 患者具有一定的治疗益处,包括抗病毒药物,这些药物可能在限制当前 COVID-19 大流行方面发挥重要作用。本文重点介绍了 COVID-19 的药物治疗策略,并提出了针对 SARS-CoV-2 感染的疫苗或抗病毒药物分子开发的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af2/7431281/16426c3d7c1d/12035_2020_2074_Fig1_HTML.jpg

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