Department of Physiology, College of Medicine, Gachon University, Incheon, 21999, South Korea.
Int J Nanomedicine. 2021 Jan 26;16:623-649. doi: 10.2147/IJN.S296383. eCollection 2021.
COVID-19, caused by SARS-CoV-2 infection, has been prevalent worldwide for almost a year. In early 2000, there was an outbreak of SARS-CoV, and in early 2010, a similar dissemination of infection by MERS-CoV occurred. However, no clear explanation for the spread of SARS-CoV-2 and a massive increase in the number of infections has yet been proposed. The best solution to overcome this pandemic is the development of suitable and effective vaccines and therapeutics. Fortunately, for SARS-CoV-2, the genome sequence and protein structure have been published in a short period, making research and development for prevention and treatment relatively easy. In addition, intranasal drug delivery has proven to be an effective method of administration for treating viral lung diseases. In recent years, nanotechnology-based drug delivery systems have been applied to intranasal drug delivery to overcome various limitations that occur during mucosal administration, and advances have been made to the stage where effective drug delivery is possible. This review describes the accumulated knowledge of the previous SARS-CoV and MERS-CoV infections and aims to help understand the newly emerged SARS-CoV-2 infection. Furthermore, it elucidates the achievements in developing COVID-19 vaccines and therapeutics to date through existing approaches. Finally, the applicable nanotechnology approach is described in detail, and vaccines and therapeutic drugs developed based on nanomedicine, which are currently undergoing clinical trials, have presented the potential to become innovative alternatives for overcoming COVID-19.
COVID-19,由 SARS-CoV-2 感染引起,在全球范围内流行了近一年。早在 2000 年,就爆发了 SARS-CoV,而在 2010 年初,也发生了类似的 MERS-CoV 感染传播。然而,对于 SARS-CoV-2 的传播和感染病例的大量增加,目前仍没有明确的解释。克服这一大流行病的最佳解决方案是开发合适且有效的疫苗和治疗方法。幸运的是,对于 SARS-CoV-2,其基因组序列和蛋白质结构在短时间内已被公布,这使得预防和治疗方面的研究和开发相对容易。此外,鼻内给药已被证明是治疗病毒性肺病的一种有效给药方法。近年来,基于纳米技术的药物传递系统已被应用于鼻内药物传递,以克服黏膜给药过程中出现的各种限制,并已取得了有效的药物传递进展。这篇综述描述了以前 SARS-CoV 和 MERS-CoV 感染的累积知识,旨在帮助理解新出现的 SARS-CoV-2 感染。此外,它阐述了迄今为止通过现有方法开发 COVID-19 疫苗和治疗方法所取得的成就。最后,详细描述了适用的纳米技术方法,以及基于纳米医学开发的正在进行临床试验的疫苗和治疗药物,它们有可能成为克服 COVID-19 的创新替代方法。
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