Hanna Reem, Dalvi Snehal, Sălăgean Tudor, Pop Ioana Delia, Bordea Ioana Roxana, Benedicenti Stefano
Department of Surgical Sciences and Integrated Diagnostics, Laser Therapy Centre, University of Genoa, Genoa, Italy.
Department of Oral Surgery, Dental Institute, King's College Hospital NHS Foundation Trust, London, UK.
J Inflamm Res. 2021 Jan 7;14:13-56. doi: 10.2147/JIR.S282213. eCollection 2021.
Initially, the SARS-CoV-2 virus was considered as a pneumonia virus; however, a series of peer reviewed medical papers published in the last eight months suggest that this virus attacks the brain, heart, intestine, nervous and vascular systems, as well the blood stream. Although many facts remain unknown, an objective appraisal of the current scientific literature addressing the latest progress on COVID-19 is required. The aim of the present study was to conduct a critical review of the literature, focusing on the current molecular structure of SARS-CoV-2 and prospective treatment modalities of COVID-19. The main objectives were to collect, scrutinize and objectively evaluate the current scientific evidence-based information, as well to provide an updated overview of the topic that is ongoing. The authors underlined potential prospective therapies, including vaccine and phototherapy, as a monotherapy or combined with current treatment modalities. The authors concluded that this review has produced high quality evidence, which can be utilized by the clinical scientific community for future reference, as the knowledge and understanding of the SARS-CoV-2 virus are evolving, in terms of its epidemiological, pathogenicity, and clinical manifestations, which ultimately map the strategic path, towards an effective and safe treatment and production of a reliable and potent vaccine.
最初,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)被认为是一种肺炎病毒;然而,在过去八个月发表的一系列经过同行评审的医学论文表明,这种病毒会攻击大脑、心脏、肠道、神经和血管系统以及血流。尽管许多事实仍不为人知,但需要对当前涉及新冠病毒(COVID-19)最新进展的科学文献进行客观评估。本研究的目的是对文献进行批判性综述,重点关注SARS-CoV-2的当前分子结构以及COVID-19的前瞻性治疗方式。主要目标是收集、审查并客观评估当前基于科学证据的信息,同时提供该正在进行的主题的最新概述。作者强调了潜在的前瞻性疗法,包括疫苗和光疗,作为单一疗法或与当前治疗方式联合使用。作者得出结论,本次综述产生了高质量的证据,随着对SARS-CoV-2病毒在流行病学、致病性和临床表现方面的认识和理解不断发展,临床科学界可将其用于未来参考,这最终为有效、安全的治疗以及生产可靠、有效的疫苗规划了战略路径。