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SARS-CoV-2大流行中的免疫功能障碍与多种治疗方式:失控的赛跑汗水之种种?

Immune Dysfunction and Multiple Treatment Modalities for the SARS-CoV-2 Pandemic: Races of Uncontrolled Running Sweat?

作者信息

Kothari Ashish, Singh Vanya, Nath Uttam Kumar, Kumar Sandeep, Rai Vineeta, Kaushal Karanvir, Omar Balram Ji, Pandey Atul, Jain Neeraj

机构信息

Department of Microbiology, All India Institute of Medical Sciences, Rishikesh 249203, India.

Department of Medical Oncology & Hematology, All India Institute of Medical Sciences, Rishikesh 249203, India.

出版信息

Biology (Basel). 2020 Aug 24;9(9):243. doi: 10.3390/biology9090243.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic threat with more than 11.8 million confirmed cases and more than 0.5 million deaths as of 3 July 2020. Given the lack of definitive pharmaceutical interventions against SARS-CoV-2, multiple therapeutic strategies and personal protective applications are being used to reduce the risk of high mortality and community spread of this infection. Currently, more than a hundred vaccines and/or alternative therapeutic regimens are in clinical trials, and some of them have shown promising results in improving the immune cell environment and controlling the infection. In this review, we discussed high-performance multi-directory strategies describing the uncontrolled deregulation of the host immune landscape associated with coronavirus disease (COVID-19) and treatment strategies using an anti-neoplastic regimen. We also followed selected current treatment plans and the most important on-going clinical trials and their respective outcomes for blocking SARS-CoV-2 pathogenesis through regenerative medicine, such as stem cell therapy, chimeric antigen receptors, natural killer (NK) cells, extracellular vesicular-based therapy, and others including immunomodulatory regimens, anti-neoplastic therapy, and current clinical vaccine therapy.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发了全球大流行威胁,截至2020年7月3日,确诊病例超过1180万例,死亡人数超过50万。鉴于缺乏针对SARS-CoV-2的确定性药物干预措施,目前正在采用多种治疗策略和个人防护措施来降低这种感染导致高死亡率和社区传播的风险。目前,有一百多种疫苗和/或替代治疗方案正在进行临床试验,其中一些在改善免疫细胞环境和控制感染方面已显示出有前景的结果。在本综述中,我们讨论了高性能多目录策略,描述了与冠状病毒病(COVID-19)相关的宿主免疫格局的失控失调以及使用抗肿瘤方案的治疗策略。我们还跟踪了当前选定的治疗方案以及通过再生医学(如干细胞疗法、嵌合抗原受体、自然杀伤(NK)细胞、基于细胞外囊泡的疗法等)以及包括免疫调节方案、抗肿瘤疗法和当前临床疫苗疗法在内的其他疗法来阻断SARS-CoV-2发病机制的最重要的正在进行的临床试验及其各自结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d9/7563789/396e9e888593/biology-09-00243-g001.jpg

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