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COVID-19:正在研发中的抗病毒药物和酶抑制剂/受体阻滞剂。

COVID-19: Antiviral agents and enzyme inhibitors/receptor blockers in development.

机构信息

Brigham and Women's Hospital, Boston, MA 02115, USA.

Maxim Integrated Products Inc., Chandler, AZ 85225, USA.

出版信息

Exp Biol Med (Maywood). 2021 Jul;246(13):1533-1540. doi: 10.1177/1535370221999989. Epub 2021 Mar 23.

Abstract

Novel 2019 coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) and coronavirus disease 2019 (COVID-19), the respiratory syndrome it causes, have shaken the world to its core by infecting and claiming the lives of many people since originating in December 2019 in Wuhan, China. World Health Organization and several states have declared a pandemic situation and state of emergency, respectively. As there is no treatment for COVID-19, several research institutes and pharmaceutical companies are racing to find a cure. Advances in computational approaches have allowed the screening of massive antiviral compound libraries to identify those that may potentially work against SARS-CoV-2. Antiviral agents developed in the past to combat other viruses are being repurposed. At the same time, new vaccine candidates are being developed and tested in preclinical/clinical settings. This review provides a detailed overview of select repurposed drugs, their mechanism of action, associated toxicities, and major clinical trials involving these agents.

摘要

新型 2019 年冠状病毒(严重急性呼吸系统综合征冠状病毒 2 [SARS-CoV-2])和由此引起的呼吸道疾病 2019 年冠状病毒病(COVID-19)自 2019 年 12 月在中国武汉起源以来,通过感染和夺走许多人的生命,使世界受到了严重冲击。世界卫生组织和一些国家分别宣布了大流行情况和紧急状态。由于目前尚无 COVID-19 的治疗方法,几家研究机构和制药公司正在竞相寻找治疗方法。计算方法的进步使得可以筛选大量抗病毒化合物库,以确定那些可能对 SARS-CoV-2 有效的化合物。过去为对抗其他病毒而开发的抗病毒药物正在被重新利用。与此同时,新的疫苗候选物正在临床前/临床环境中开发和测试。本文综述了选择的重新利用药物的详细概述,包括它们的作用机制、相关毒性以及涉及这些药物的主要临床试验。

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