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针对病毒的新型治疗方法及其与 COVID-19 的临床特征相似性。

Novel therapeutic approaches toward virus and its clinical features' similarity with COVID-19.

机构信息

Department of Pharmacology, PGIMER, Chandigarh, India.

出版信息

Indian J Pharmacol. 2020 Sep-Oct;52(5):347-355. doi: 10.4103/ijp.ijp_1001_20.

Abstract

Zoonotic virus spill over in human community has been an intensive area of viral pathogenesis and the outbreak of Hantaan virus and severe acute respiratory syndrome coronavirus 2 (SARS CoV2) after late December 2019 caused a global threat. Hantaan virus is second to the COVID-19 outbreak in China with seven cases positive and one death. Both RNA viruses have opposite sense as in (-) for Hantaan virus and (+) for SARS CoV2 but have similarity in the pathogenesis and relevant clinical features including dry cough, high fever, shortness of breath, and SARS associated with pneumonia and certain reported cases with multiple organ failure. Although COVID-19 has global impact with high death toll, Hantaan virus has varyingly high mortality rate between 1% and 40%. Hence, there is a need to explore novel therapeutic targets in Hantaan virus due to its rapid evolution rate in its genetic makeup which governs virulence and target host cells. This review emphasizes the importance of structural and nonstructural proteins of Hantaan virus with relevant insight from SARS CoV2. The envelope glycoproteins such as Gn, Gc, and nucleocapsid protein (N) direct the viral assembly and replication in host cells. Therapeutic treatment has similarity in using ribavirin and extracorporeal membrane oxygenation but lack of efficacious treatment in both cases of SARAS CoV2 and Hantaan virus. Therefore, potential features regarding therapeutic targets for drug discovery for Hantaan viruses are discussed herewith. The conclusive description highlights that N protein is substantially involved in evoking immune response and induces symptoms and could be precursive target for drug discovery studies.

摘要

人畜共患病毒溢出到人类社区一直是病毒发病机制的一个重点领域,而汉坦病毒和 2019 年 12 月下旬之后的严重急性呼吸综合征冠状病毒 2(SARS CoV2)的爆发造成了全球性威胁。汉坦病毒在中国仅次于 COVID-19 疫情,有 7 例阳性和 1 例死亡。这两种 RNA 病毒的极性相反,汉坦病毒为(-),而 SARS CoV2 为(+),但在发病机制和相关临床特征方面具有相似性,包括干咳、高热、呼吸急促以及与肺炎相关的 SARS 和某些报道的多器官衰竭病例。虽然 COVID-19 具有全球性影响,死亡率很高,但汉坦病毒的死亡率在 1%至 40%之间变化很大。因此,由于其遗传组成中的快速进化率控制着毒力和靶宿主细胞,因此需要探索汉坦病毒的新治疗靶点。这篇综述强调了汉坦病毒的结构和非结构蛋白的重要性,并从 SARS CoV2 中获得了相关的见解。包膜糖蛋白,如 Gn、Gc 和核衣壳蛋白(N),指导病毒在宿主细胞中的组装和复制。治疗方法在使用利巴韦林和体外膜氧合方面具有相似性,但在 SARS CoV2 和汉坦病毒的情况下都缺乏有效的治疗方法。因此,本文讨论了汉坦病毒的药物发现治疗靶点的潜在特征。结论性描述强调了 N 蛋白在引发免疫反应和引起症状方面的重要作用,并且可能是药物发现研究的前导靶标。

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