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针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的潜在治疗和药理学策略。

Potential therapeutic and pharmacological strategies for SARS-CoV2.

作者信息

Ghareeb Doaa A, Saleh Samar R, Nofal Mohammed S, Kaddah Mohamed M Y, Hassan Salma F, Seif Inas K, El-Zahaby Sally A, Khedr Shaimaa M, Kenawy Marwa Y, Masoud Aliaa A, Soudi Salma A, Sobhy Ahmed A, Sery Jaillan G, El-Wahab Miral G Abd, Elmoneam Alshimaa A Abd, Al-Mahallawi Abdulaziz Mohsen, El-Demellawy Maha A

机构信息

Biological Screening and Preclinical Trial Laboratory, Department of Biochemistry, Faculty of Science, Alexandria University, Alexandria, Egypt.

Pharmaceutical and Fermentation Industries Development Centre (PFIDC), City of Scientific Research and Technological Applications (SRTA-City), Borg Al-Arab, Alexandria Egypt.

出版信息

J Pharm Investig. 2021;51(3):281-296. doi: 10.1007/s40005-021-00520-4. Epub 2021 Mar 5.

Abstract

BACKGROUND

At the end of 2019, the new Coronavirus disease 2019 (COVID-19) strain causing severe acute respiratory syndrome swept the world. From November 2019 till February 2021, this virus infected nearly 104 million, with more than two million deaths and about 25 million active cases. This has prompted scientists to discover effective drugs to combat this pandemic.

AREA COVERED

Drug repurposing is the magic bullet for treating severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). Therefore, several drugs have been investigated in silico, in vitro, as well as through human trials such as anti-SARS-CoV2 agents, or to prevent the complications resulting from the virus. In this review, the mechanisms of action of different therapeutic strategies are summarized. According to the WHO, different classes of drugs can be used, including anti-malarial, antiviral, anti-inflammatory, and anti-coagulant drugs, as well as angiotensin-converting enzyme inhibitors, antibiotics, vitamins, zinc, neutralizing antibodies, and convalescent plasma therapy. Recently, there are some vaccines which are approved against SARS-CoV2.

EXPERT OPINION

A complete understanding of the structure and function of all viral proteins that play a fundamental role in viral infection, which contribute to the therapeutic intervention and the development of vaccine in order to reduce the mortality rate.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40005-021-00520-4.

摘要

背景

2019年底,导致严重急性呼吸综合征的新型冠状病毒病2019(COVID-19)毒株席卷全球。从2019年11月到2021年2月,这种病毒感染了近1.04亿人,导致200多万人死亡,约2500万人仍为活跃病例。这促使科学家们去发现有效的药物来对抗这一疫情。

涵盖领域

药物重新利用是治疗严重急性呼吸综合征冠状病毒2(SARS-CoV2)的良方。因此,已经在计算机模拟、体外实验以及人体试验中对几种药物进行了研究,比如抗SARS-CoV2药物,或者用于预防该病毒引发的并发症。在这篇综述中,总结了不同治疗策略的作用机制。根据世界卫生组织的说法,可以使用不同类别的药物,包括抗疟疾药物、抗病毒药物、抗炎药物、抗凝血药物,以及血管紧张素转换酶抑制剂、抗生素、维生素、锌、中和抗体和恢复期血浆疗法。最近,有一些针对SARS-CoV2的疫苗已获批准。

专家观点

全面了解在病毒感染中起关键作用的所有病毒蛋白的结构和功能,这有助于进行治疗干预和开发疫苗,以降低死亡率。

补充信息

网络版包含可在10.1007/s40005-021-00520-4获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ef9/7933375/ff68bcd7bc08/40005_2021_520_Fig1_HTML.jpg

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