Siam Md Hasanul Banna, Nishat Nahida Hannan, Ahmed Ahsan, Hossain Mohammad Sorowar
Biomedical Research Foundation (BRF), Dhaka, Bangladesh.
Department of Microbiology, University of Dhaka, Dhaka, Bangladesh.
J Pathog. 2020 Oct 18;2020:9121429. doi: 10.1155/2020/9121429. eCollection 2020.
With the continued spread of COVID-19 across the world, rapid diagnostic tools, readily available respurposable drugs, and prompt containment measures to control the SARS-CoV-2 infection are of paramount importance. Examples of recent advances in diagnostic tests are CRISPR technology, IgG assay, spike protein detection, and use of artificial intelligence. The gold standard reverse transcription polymerase chain (RT-PCR) has also been upgraded with point-of-care rapid tests. Supportive treatment, mechanical ventilation, and extracorporeal membrane oxygenation (ECMO) remain the primary choice, while therapeutic options include antivirals, antiparasitics, anti-inflammatories, interferon, convalescent plasma, monoclonal antibody, hyperimmunoglobulin, RNAi, and mesenchymal stem cell therapy. Different types of vaccines such as RNA, DNA, and lentiviral, inactivated, and viral vector are in clinical trials. Moreover, rapidly deployable and easy-to-transport innovative vaccine delivery systems are also in development. As countries have started easing down on the lockdown measures, the chance for a second wave of infection demands strict and rational control policies to keep fatalities minimized. An improved understanding of the advances in diagnostic tools, treatments, vaccines, and control measures for COVID-19 can provide references for further research and aid better containment strategies.
随着新冠病毒在全球的持续传播,快速诊断工具、随时可用的可重复使用药物以及控制新冠病毒感染的迅速遏制措施至关重要。诊断测试的最新进展包括CRISPR技术、IgG检测、刺突蛋白检测以及人工智能的应用。金标准逆转录聚合酶链反应(RT-PCR)也已通过即时快速检测得到升级。支持性治疗、机械通气和体外膜肺氧合(ECMO)仍然是主要选择,而治疗选择包括抗病毒药物、抗寄生虫药物、抗炎药、干扰素、康复期血浆、单克隆抗体、高免疫球蛋白、RNA干扰和间充质干细胞疗法。不同类型的疫苗,如RNA疫苗、DNA疫苗、慢病毒疫苗、灭活疫苗和病毒载体疫苗,正在进行临床试验。此外,快速部署且易于运输的创新疫苗递送系统也在研发中。随着各国开始放宽封锁措施,第二波感染的可能性要求实施严格且合理的控制政策,以尽量减少死亡人数。更好地了解新冠病毒的诊断工具、治疗方法、疫苗和控制措施方面的进展可为进一步研究提供参考,并有助于制定更好的遏制策略。