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干扰素诱导抗病毒药物:抗击 COVID-19 的潜在候选药物。

Interferon-inducer antivirals: Potential candidates to combat COVID-19.

机构信息

Pharmaceutical Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Pharmaceutical Biotechnology, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran; Cellular and Molecular Medicine Student Research Group, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Pharmaceutical Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Pharmaceutical Biotechnology, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int Immunopharmacol. 2021 Feb;91:107245. doi: 10.1016/j.intimp.2020.107245. Epub 2020 Dec 1.

Abstract

Coronavirus disease 2019 (COVID-19) is an infective disease generated by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Given the pandemic urgency and lack of an effective cure for this disease, drug repurposing could open the way for finding a solution. Lots of investigations are ongoing to test the compounds already identified as antivirals. On the other hand, induction of type I interferons are found to play an important role in the generation of immune responses against SARS-CoV-2. Therefore, it was opined that the antivirals capable of triggering the interferons and their signaling pathway, could rationally be beneficial for treating COVID-19. On this basis, using a database of antivirals, called drugvirus, some antiviral agents were derived, followed by searches on their relevance to interferon induction. The examined list included drugs from different categories such as antibiotics, immunosuppressants, anti-cancers, non-steroidal anti-inflammatory drugs (NSAID), calcium channel blocker compounds, and some others. The results as briefed here, could help in finding potential drug candidates for COVID-19 treatment. However, their advantages and risks should be taken into account through precise studies, considering a systemic approach. Even though the adverse effects of some of these drugs may overweight their benefits, considering their mechanisms and structures may give a clue for designing novel drugs in the future. Furthermore, the antiviral effect and IFN-modifying mechanisms possessed by some of these drugs might lead to a synergistic effect against SARS-CoV-2, which deserve to be evaluated in further investigations.

摘要

新型冠状病毒肺炎(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的传染病。鉴于这种疾病的紧急情况和缺乏有效的治疗方法,药物再利用可能为寻找解决方案开辟道路。许多研究正在进行中,以测试已被确定为抗病毒药物的化合物。另一方面,诱导 I 型干扰素被发现对产生针对 SARS-CoV-2 的免疫反应起着重要作用。因此,有人认为能够触发干扰素及其信号通路的抗病毒药物,可能合理地有益于治疗 COVID-19。在此基础上,利用抗病毒药物数据库(称为 drugvirus),衍生出一些抗病毒药物,然后搜索它们与干扰素诱导的相关性。检查的列表包括来自不同类别的药物,如抗生素、免疫抑制剂、抗癌药、非甾体抗炎药(NSAID)、钙通道阻滞剂化合物等。这里介绍的结果可以帮助寻找治疗 COVID-19 的潜在药物候选物。然而,应该通过精确的研究,考虑系统性方法,考虑到它们的优势和风险。尽管这些药物中的一些可能会产生不良反应,超过其益处,但考虑到它们的机制和结构可能为未来设计新型药物提供线索。此外,这些药物中的一些具有抗病毒作用和 IFN 修饰机制,可能对 SARS-CoV-2 产生协同作用,值得进一步研究。

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