School of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou, China.
Key Laboratory of Tropical Biological Resources of Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, Hainan, China.
Med Res Rev. 2021 May;41(3):1775-1797. doi: 10.1002/med.21776. Epub 2021 Jan 3.
The outbreak of coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, has become a global crisis. As of November 9, COVID-19 has already spread to more than 190 countries with 50,000,000 infections and 1,250,000 deaths. Effective therapeutics and drugs are in high demand. The structure of SARS-CoV-2 is highly conserved with those of SARS-CoV and Middle East respiratory syndrome-CoV. Enzymes, including RdRp, M /3CL , and PL , which play important roles in viral transcription and replication, have been regarded as key targets for therapies against coronaviruses, including SARS-CoV-2. The identification of readily available drugs for repositioning in COVID-19 therapy is a relatively rapid approach for clinical treatment, and a series of approved or candidate drugs have been proven to be efficient against COVID-19 in preclinical or clinical studies. This review summarizes recent progress in the development of drugs against SARS-CoV-2 and the targets involved.
新型冠状病毒病(COVID-19)的爆发是由严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)感染引起的,现已成为全球性危机。截至 11 月 9 日,COVID-19 已传播到 190 多个国家/地区,感染人数达 5000 万,死亡人数达 125 万。目前急需有效的治疗方法和药物。SARS-CoV-2 的结构与 SARS-CoV 和中东呼吸综合征-CoV 高度保守。在病毒转录和复制中起重要作用的酶,包括 RdRp、M /3CL 和 PL,被认为是治疗冠状病毒(包括 SARS-CoV-2)的关键靶标。寻找可重新用于 COVID-19 治疗的现成药物是一种相对快速的临床治疗方法,一系列已批准或候选药物已在临床前或临床试验中被证明对 COVID-19 有效。本综述总结了针对 SARS-CoV-2 的药物开发和涉及的靶点的最新进展。