Department of Pharmaceutics, Delhi Institute of Pharmaceutical Sciences and Research, Sector-3, MB Road, Pushp Vihar, Delhi, 110017 India.
IITR Hospital, Indian Institute of Technology Roorkee (IITR), Roorkee, Uttarakhand, 247667 India.
Mini Rev Med Chem. 2021;21(20):3191-3202. doi: 10.2174/1389557521666210225114733.
Corona Virus Disease-2019 (COVID-19), caused by the SARS CoV-2 virus, has been announced as a pandemic by the World Health Organization. COVID-19 has affected people globally, infecting more than 39.8 million people and claiming up to 1.11 million lives, yet there is no effective treatment strategy to cure this disease. As vaccine development is a time-consuming process, currently, efforts are being made to develop alternative plans for the timely and effective management of this disease. Drug repurposing always fascinated researchers and can be utilized as the most acceptable alternative to develop the therapeutics for COVID-19 using the pre-approved drugs. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has shown resemblance with distinctive enzyme targets, such as 3CLpro/Mpro, RdRp, Cathepsin L, and TMPRSS2 present in SARS CoV and MERS CoV. Therefore, the drugs that have shown efficacy in these viruses can also be used for the treatment of COVID-19. This review focuses on why repurposing could provide a better alternative in COVID- 19 treatment. The similarity in the structure and progression of infection of SARS CoV and MERS viruses offers a direction and validation to evaluate the drugs approved for SARS and MERS against COVID-19. It has been indicated that multiple therapeutic options that demonstrate efficacy against SARS CoV 2 are available to mitigate the potential emergence of COVID-19 infection.
新型冠状病毒病(COVID-19)是由 SARS-CoV-2 病毒引起的,世界卫生组织已宣布其为大流行。COVID-19 已在全球范围内影响到人们,感染了超过 3980 万人,并导致多达 111 万人死亡,但目前尚无有效的治疗方法可以治愈这种疾病。由于疫苗的开发是一个耗时的过程,因此目前正在努力制定替代方案,以实现对这种疾病的及时有效管理。药物重定位一直吸引着研究人员的兴趣,并且可以利用已批准的药物作为开发 COVID-19 治疗方法的最可接受的替代方法。严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)与 SARS-CoV 和 MERS-CoV 中存在的独特酶靶标(如 3CLpro/Mpro、RdRp、Cathepsin L 和 TMPRSS2)具有相似性。因此,在这些病毒中显示出疗效的药物也可用于治疗 COVID-19。这篇综述重点介绍了为什么重新定位可能是 COVID-19 治疗的更好选择。SARS-CoV 和 MERS 病毒在结构和感染进展方面的相似性为评估针对 SARS 和 MERS 批准的药物对 COVID-19 的疗效提供了方向和验证。已经表明,有多种针对 SARS-CoV-2 具有疗效的治疗选择可用于减轻 COVID-19 感染的潜在出现。