Jayachandran Swaminathan K, Anusuyadevi Muthuswamy, Essa Musthafa Mohamed, Qoronfleh M Walid
Drug Discovery and Molecular Cardiology Lab, Department of Bioinformatics, School of Life Sciences, Bharathidasan University, Tiruchirappalli, 620204, India.
Molecular Gerontology Lab, Department of Biochemistry, School of Life Sciences, Bharathidasan University, Tiruchirappalli, 620204, India.
Inform Med Unlocked. 2021;22:100486. doi: 10.1016/j.imu.2020.100486. Epub 2020 Nov 27.
To date, no effective preventive or curative medical interventions exist against COVID-19, caused by Severe Acute Respiratory Syndrome corona virus 2 (SARS CoV-2). The available interventions are only supportive and palliative in nature. Popular among the emerging explanations for the mortality from COVID-19 is "cytokine storm", attributed to the body's aggressive immune response to this novel pathogen. In less than a year the disease has spread to almost all countries, though the mortality rates have varied significantly from country to country based on factors such as the demographical mix of the population, prevalence of comorbidities, as well as prior exposure to viruses from the corona family. This review examines the current literature on mortality rates across the globe, explores the possible reasons, thereby decoding variations. COVID-19 researchers have noted unique characteristics in the structural and host-pathogen interaction and identified several possible target proteins and sites that could exhibit control over the entry of SARS CoV-2 into the host, which this paper reviews in detail. Identification of new targets, both in the virus and the host, may accelerate the search for effective vaccines and curative drugs against COVID-19. Further, the ontological approach of this review is likely to provide insights for researchers to anticipate and be ready for future mutant viruses that may emerge in future.
迄今为止,针对由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的COVID-19,尚无有效的预防或治疗性医学干预措施。现有的干预措施本质上只是支持性和姑息性的。在关于COVID-19死亡原因的各种新解释中,“细胞因子风暴”很常见,这是由于人体对这种新型病原体产生了强烈的免疫反应。在不到一年的时间里,这种疾病已传播到几乎所有国家,不过基于人口的人口结构、合并症的患病率以及先前接触冠状病毒家族病毒等因素,各国的死亡率差异很大。本综述研究了全球范围内关于死亡率的现有文献,探讨了可能的原因,从而解读这些差异。COVID-19研究人员已经注意到病毒结构和宿主-病原体相互作用中的独特特征,并确定了几个可能对SARS-CoV-2进入宿主具有控制作用的靶蛋白和位点,本文将对此进行详细综述。在病毒和宿主中识别新的靶点可能会加速针对COVID-19的有效疫苗和治疗药物的研发。此外,本综述的本体论方法可能会为研究人员提供见解,以便他们预测未来可能出现的突变病毒并做好准备。