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治疗冠状病毒病 (COVID-19) 的潜在建议药物综述。

A review of potential suggested drugs for coronavirus disease (COVID-19) treatment.

机构信息

Department of Medical Biotechnology, Faculty of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran.

Department of Pharmacognosy and Pharmaceutical Biotechnology, School of Pharmacy, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Eur J Pharmacol. 2021 Mar 15;895:173890. doi: 10.1016/j.ejphar.2021.173890. Epub 2021 Jan 20.

Abstract

The latest pandemic, coronavirus disease-2019 (COVID-19), is associated with high prevalence and easy transmission, which is expanding globally with no conventional treatment or vaccine. The new virus revealed 79% and 50% genomic similarities with severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), respectively. Accordingly, since the disease resists testing and adopting new therapeutics, repositioning pre-existing drugs may present a fast and attractive strategy with known safety, characteristics, and dosage used. However, they are not specific and targeted. Therefore, several drugs have been investigated for their efficacy and safety in the treatment of COVID-19; most of them are undergoing clinical trials. This article summarizes clinical investigations of potential therapeutic drugs used as COVID-19 therapy. Subsequently, it prepares a pattern of results and therapeutic targets to help further experiment designs. We have investigated drugs as classified in the following three groups; 1) The drugs which computationally showed effectiveness (in silico) but needed further lab confirmations; 2) Emetine, Teicoplanin, and Nelfinavir have shown effectiveness in vitro; 3) The drugs currently under clinical trial.

摘要

最新的大流行病,即 2019 年冠状病毒病(COVID-19),具有高发病率和易传播性,在没有传统治疗方法或疫苗的情况下,正在在全球范围内迅速蔓延。这种新病毒与严重急性呼吸综合征冠状病毒(SARS-CoV)和中东呼吸综合征冠状病毒(MERS-CoV)分别具有 79%和 50%的基因组相似性。因此,由于该疾病抗检测并采用新的治疗方法,重新定位现有的药物可能是一种快速且有吸引力的策略,因为这些药物具有已知的安全性、特性和使用剂量。然而,这些药物并不具有特异性和靶向性。因此,已经有几种药物被用于研究其在治疗 COVID-19 中的疗效和安全性,其中大多数正在进行临床试验。本文总结了用于 COVID-19 治疗的潜在治疗药物的临床研究。随后,本文为进一步的实验设计准备了一个结果和治疗靶点模式。我们将药物分为以下三组进行了研究:1)在计算机上显示出有效性(计算机模拟)但需要进一步实验室确认的药物;2)在体外证明有效的依米丁、替考拉宁和奈非那韦;3)目前正在进行临床试验的药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82e9/7816644/2086767e08ec/gr1_lrg.jpg

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