Noor Rashed
Department of Microbiology, School of Life Sciences, Independent University Bangladesh, Dhaka, Bangladesh.
Tzu Chi Med J. 2020 Aug 25;33(1):7-12. doi: 10.4103/tcmj.tcmj_100_20. eCollection 2021 Jan-Mar.
So far, lots of analyses have been conducted to invent the appropriate therapeutic targets for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The category and the strategies for treating the virus are described in this review together with mentioning some specific drugs. Of them, saikosaponin possesses affinity of the drug toward nonstructural protein 15 and the spike glycoprotein of the SARS-CoV-2. The nucleotide inhibitors such as sofosbuvir, ribavirin, galidesivir, remdesivir, favipiravir, cefuroxime, tenofovir, and hydroxychloroquine (HCHL), setrobuvir, YAK, and IDX-184 were found to be effective in binding to SARS-CoV-2 RNA-dependent RNA polymerase. From the antimalarial and anti-inflammatory category, chloroquine and its derivative HCHL have already been approved by the U.S. Food and Drug Administration for emergency treatment of SARS-CoV-2 infection. The other drugs such as favipiravir and lopinavir/ritonavir under the antiviral category, the angiotensin-converting enzyme 2 (the renin-angiotensin system inhibitors), remdesivir (RNA polymerase inhibitor) from antiviral category, cepharanthine from anti-inflammatory category, etc., have been pointed based on the previous literature published. Besides, the assessment of the drug repositioning candidates with the related targets is also significant for the viral mitigation.
到目前为止,已经进行了大量分析以寻找针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的合适治疗靶点。本综述描述了治疗该病毒的类别和策略,并提及了一些特定药物。其中,柴胡皂苷对SARS-CoV-2的非结构蛋白15和刺突糖蛋白具有药物亲和力。发现核苷酸抑制剂,如索磷布韦、利巴韦林、加利地韦、瑞德西韦、法匹拉韦、头孢呋辛、替诺福韦和羟氯喹(HCHL)、塞布布韦、YAK和IDX-184,在与SARS-CoV-2 RNA依赖性RNA聚合酶结合方面有效。在抗疟疾和抗炎类别中,氯喹及其衍生物HCHL已被美国食品药品监督管理局批准用于SARS-CoV-2感染的紧急治疗。根据先前发表的文献指出了其他药物,如抗病毒类别的法匹拉韦和洛匹那韦/利托那韦、抗病毒类别的血管紧张素转换酶2(肾素-血管紧张素系统抑制剂)、瑞德西韦(RNA聚合酶抑制剂)、抗炎类别的千金藤素等。此外,对具有相关靶点的药物重新定位候选物进行评估对于减轻病毒感染也很重要。