Department of Botany, Ewing Christian College, Prayagraj- 211003, Uttar Pradesh, India.
Molecular and Structural Biophysics Laboratory, Department of Biochemistry, North-Eastern Hill University, Shillong 793022, Meghalaya, India.
Acta Trop. 2021 Feb;214:105778. doi: 10.1016/j.actatropica.2020.105778. Epub 2020 Nov 28.
We are living through an unprecedented crisis with the rapid spread of the new coronavirus disease (COVID-19) worldwide within a short time. The timely availability of thousands of SARS-CoV-2 genomes has enabled the scientific community to study the origin, structures, and pathogenesis of the virus. The pandemic has spurred research publication and resulted in an unprecedented number of therapeutic proposals. Because the development of new drugs is time consuming, several strategies, including drug repurposing and repositioning, are being tested to treat patients with COVID-19. Researchers have developed several potential vaccine candidates that have shown promise in phase II and III trials. As of 12 November 2020, 164 candidate vaccines are in preclinical evaluation, and 48 vaccines are in clinical evaluation, of which four have cleared phase III trials (Pfizer/BioNTech's BNT162b2, Moderna's mRNA-1273, University of Oxford & AstraZeneca's AZD1222, and Gamaleya's Sputnik V vaccine). Despite the acquisition of a vast body of scientific information, treatment depends only on the clinical management of the disease through supportive care. At the pandemic's 1-year mark, we summarize current information on SARS-CoV-2 origin and biology, and advances in the development of therapeutics. The updated information presented here provides a comprehensive report on the scientific progress made in the past year in understanding of SARS-CoV-2 biology and therapeutics.
我们正经历着一场前所未有的危机,新型冠状病毒病(COVID-19)在短时间内在全球迅速传播。数以千计的 SARS-CoV-2 基因组的及时出现使科学界能够研究病毒的起源、结构和发病机制。大流行促使研究出版物大量涌现,并提出了前所未有的治疗方案。由于开发新药需要时间,因此正在测试几种策略,包括药物再利用和重新定位,以治疗 COVID-19 患者。研究人员已经开发出几种有前途的潜在疫苗候选物,这些候选物在 II 期和 III 期试验中显示出了希望。截至 2020 年 11 月 12 日,有 164 种候选疫苗正在临床前评估中,有 48 种疫苗正在临床评估中,其中 4 种已通过 III 期试验(辉瑞/生物技术公司的 BNT162b2、Moderna 的 mRNA-1273、牛津大学和阿斯利康的 AZD1222 以及 Gamaleya 的 Sputnik V 疫苗)。尽管获得了大量的科学信息,但治疗仍仅依赖于通过支持性护理对疾病进行临床管理。在大流行一周年之际,我们总结了目前关于 SARS-CoV-2 起源和生物学以及治疗方法开发方面的信息。这里提供的最新信息全面介绍了过去一年在理解 SARS-CoV-2 生物学和治疗学方面取得的科学进展。