Department of Pharmacology, School of Pharmacy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
J Environ Public Health. 2021 Apr 22;2021:6631721. doi: 10.1155/2021/6631721. eCollection 2021.
Novel coronavirus first appeared in Wuhan, China, in December 2019, and it speedily expanded globally. Some medications which are used to treat other diseases seem to be effective in treating COVID-19 even without explicit support. The existing drugs that are summarized in this review primarily focused on therapeutic agents that possessed activity against other RNA viruses such as MERS-CoV and SARS-CoV. Drug repurposing or repositioning is a promising field in drug discovery that identifies new therapeutic opportunities for existing drugs such as corticosteroids, RNA-dependent RNA polymerase inhibitors, interferons, protease inhibitors, ivermectin, melatonin, teicoplanin, and some others. A search for new drug/drug targets is underway. Thus, blocking coronavirus structural protein, targeting viral enzyme, dipeptidyl peptidase 4, and membrane fusion blocker (angiotensin-converting enzyme 2 and CD147 inhibitor) are major sites based on molecular targets for the management of COVID-19 infection. The possible impact of biologics for the management of COVID19 is promising and includes a wide variety of options such as cytokines, nucleic acid-based therapies targeting virus gene expression, bioengineered and vectored antibodies, and various types of vaccines. This review demonstrates that the available data are not sufficient to suggest any treatment for the eradication of COVID-19 to be used at the clinical level. This article aims to review the roles of existing drugs and drug targets for COVID-19 treatment.
新型冠状病毒于 2019 年 12 月首次在中国武汉出现,并迅速在全球范围内蔓延。一些用于治疗其他疾病的药物似乎对治疗 COVID-19 有效,即使没有明确的支持。本综述中总结的现有药物主要集中在对其他 RNA 病毒(如 MERS-CoV 和 SARS-CoV)具有活性的治疗剂上。药物再利用或重新定位是药物发现中一个有前途的领域,它为现有药物(如皮质类固醇、RNA 依赖性 RNA 聚合酶抑制剂、干扰素、蛋白酶抑制剂、伊维菌素、褪黑素、替考拉宁等)确定了新的治疗机会。正在寻找新的药物/药物靶点。因此,基于分子靶点,阻断冠状病毒结构蛋白、靶向病毒酶、二肽基肽酶 4 和膜融合抑制剂(血管紧张素转化酶 2 和 CD147 抑制剂)是管理 COVID-19 感染的主要部位。生物制剂在 COVID19 管理方面的可能影响是有希望的,包括多种选择,如细胞因子、针对病毒基因表达的核酸疗法、生物工程和载体抗体,以及各种类型的疫苗。本文旨在综述现有药物和药物靶点在 COVID-19 治疗中的作用。
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