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治疗 COVID-19 的治疗靶点和潜在药物。

Therapeutic targets and potential agents for the treatment of COVID-19.

机构信息

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.

出版信息

Med Res Rev. 2021 May;41(3):1775-1797. doi: 10.1002/med.21776. Epub 2021 Jan 3.

Abstract

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.

摘要

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。

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