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治疗 SARS-CoV-2 的药物:现状和展望。

Therapeutic drugs for SARS-CoV-2 treatment: Current state and perspective.

机构信息

Dalian Institute of Chemical Physics, Chinese Academy of Sciences, Dalian, China; University of Chinese Academy of Sciences, Beijing 100049, China.

Institute of Botany, Chinese Academy of Sciences, Beijing, China; University of Chinese Academy of Sciences, Beijing 100049, China.

出版信息

Int Immunopharmacol. 2021 Jan;90:107228. doi: 10.1016/j.intimp.2020.107228. Epub 2020 Nov 27.

Abstract

The disease caused by viral pneumonia called severe acute respiratory syndrome coronavirus type-2 (SARS-CoV-2) declared by the World Health Organization is a global pandemic that the world has witnessed since the last Ebola epidemic, SARS and MERS viruses. Many chemical compounds with antiviral activity are currently undergoing clinical investigation in order to find treatments for SARS-CoV-2 infected patients. On-going drug-drug interaction examinations on new, existing, and repurposed antiviral drugs are yet to provide adequate safety, toxicological, and effective monitoring protocols. This review presents an overview of direct and indirect antiviral drugs, antibiotics, and immune-stimulants used in the management of SARS-CoV-2. It also seeks to outline the recent development of drugs with anti-coronavirus effects; their mono and combination therapy in managing the disease vis-à-vis their biological sources and chemistry. Co-administration of these drugs and their interactions were discussed to provide significant insight into how adequate monitoring of patients towards effective health management could be achieved.

摘要

世界卫生组织宣布,由病毒性肺炎引起的疾病被称为严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2),这是自上次埃博拉疫情、非典和中东呼吸综合征病毒以来,全球范围内所见证的一次大流行。目前,许多具有抗病毒活性的化合物正在进行临床研究,以期为感染 SARS-CoV-2 的患者找到治疗方法。正在进行的新型、现有和重新利用的抗病毒药物的药物相互作用检查尚未提供充分的安全性、毒理学和有效监测方案。本综述概述了直接和间接抗病毒药物、抗生素和免疫刺激剂在 SARS-CoV-2 管理中的应用。它还试图概述具有抗冠状病毒作用的药物的最新发展;它们在治疗疾病方面的单一和联合治疗,以及它们的生物来源和化学性质。讨论了这些药物的联合应用及其相互作用,为如何通过适当监测患者来实现有效的健康管理提供了重要的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d665/7691844/5d038eff1f48/ga1_lrg.jpg

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