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新型冠状病毒肺炎和急性呼吸窘迫综合征:预防和治疗策略的最新进展。

COVID-19 and ARDS: Update on Preventive and Therapeutic Venues.

机构信息

Department of Biochemistry, Panjab University, Chandigarh-160014, India.

Department of Cardiothoracic Vascular Surgery, Dayanand Medical College & Hospital, Ludhiana, India.

出版信息

Curr Mol Med. 2022;22(4):312-324. doi: 10.2174/1566524021666210408103921.

DOI:10.2174/1566524021666210408103921
PMID:33829971
Abstract

A novel coronavirus SARS-CoV-2, which initially originated in China, has outstretched to all nations and turned out to be an intense global concern for both the governments and the public. In addition to the health concerns, the COVID-19 pandemic has caused a tremendous impact on the economic and political conditions of every nation. Ever since the start of the pandemic, the physicians were constrained to rely on the management strategies due to a lack of clear understanding of the disease pathogenesis caused by SARS-CoV-2 infection. Scientists are working tirelessly to gather maximum information about the deadly virus and come up with various strategies, which can be used against COVID-19 infection in terms of therapeutics and vaccine development. It is quite evident that the virus infection leads to acute respiratory distress syndrome (ARDS), and most of the deaths occur due to respiratory failure. As the virus spreads through respiratory droplets, the strenuous exercise of preventive measures and diagnosis at a large scale has been in practice across the globe to prevent transmission. This review amalgamates the various updates and acts as an umbrella to provide insights on SARS-CoV-2 mediated ARDS pathogenesis, the impact of co-morbidities, diagnostics, current progress in vaccine development, and promising therapeutics and immuno-modulatory strategies, highlighting various concerns and gaps that need to be addressed to fight current and future pandemics effectively.

摘要

一种新型冠状病毒 SARS-CoV-2,最初起源于中国,已经蔓延到所有国家,成为政府和公众都非常关注的一个严重的全球问题。除了对健康的关注外,COVID-19 大流行对每个国家的经济和政治状况都造成了巨大影响。自疫情开始以来,由于对 SARS-CoV-2 感染引起的疾病发病机制缺乏清晰的认识,医生们不得不依赖管理策略。科学家们正在不懈地努力收集有关致命病毒的最大信息,并提出各种策略,以在治疗和疫苗开发方面对抗 COVID-19 感染。很明显,病毒感染会导致急性呼吸窘迫综合征(ARDS),大多数死亡是由于呼吸衰竭引起的。由于病毒通过呼吸道飞沫传播,因此全球范围内一直在大力采取预防措施和大规模诊断,以防止传播。这篇综述综合了各种最新进展,为 SARS-CoV-2 介导的 ARDS 发病机制、合并症的影响、诊断、疫苗开发的当前进展以及有前途的治疗和免疫调节策略提供了全面的见解,突出了为有效应对当前和未来的大流行需要解决的各种关注问题和差距。

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