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现有药物及药物靶点在新冠肺炎治疗中的作用。

Roles of existing drug and drug targets for COVID-19 management.

作者信息

Ayele Akeberegn Gorems, Enyew Engidaw Fentahun, Kifle Zemene Demelash

机构信息

Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.

Department of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, Gondar, Ethiopia.

出版信息

Metabol Open. 2021 Sep;11:100103. doi: 10.1016/j.metop.2021.100103. Epub 2021 Jun 29.

Abstract

In December 2019, a highly transmissible, pneumonia epidemic caused by a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), erupted in China and other countries, resulting in devastation and health crisis worldwide currently. The search and using existing drugs support to curb the current highly contagious viral infection is spirally increasing since the pandemic began. This is based on these drugs had against other related RNA-viruses such as MERS-Cov, and SARS-Cov. Moreover, researchers are scrambling to identify novel drug targets and discover novel therapeutic options to vanquish the current pandemic. Since there is no definitive treatment to control Covid-19 vaccines are remain to be a lifeline. Currently, many vaccine candidates are being developed with most of them are reported to have positive results. Therapeutic targets such as helicases, transmembrane serine protease 2, cathepsin L, cyclin G-associated kinase, adaptor-associated kinase 1, two-pore channel, viral virulence factors, 3-chymotrypsin-like protease, suppression of excessive inflammatory response, inhibition of viral membrane, nucleocapsid, envelope, and accessory proteins, and inhibition of endocytosis were identified as a potential target against COVID-19 infection. This review also summarizes plant-based medicines for the treatment of COVID-19 such as and some others. Thus, this review aimed to focus on the most promising therapeutic targets being repurposed against COVID-19 and viral elements that are used in COVID-19 vaccine candidates.

摘要

2019年12月,一种由新型冠状病毒严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的高传染性肺炎疫情在中国及其他国家爆发,目前已在全球范围内造成破坏和健康危机。自疫情开始以来,寻找和使用现有药物来抑制当前这种高传染性病毒感染的需求呈螺旋式上升。这是基于这些药物对中东呼吸综合征冠状病毒(MERS-CoV)和严重急性呼吸综合征冠状病毒(SARS-CoV)等其他相关RNA病毒有效。此外,研究人员正在竞相确定新的药物靶点并发现新的治疗方法以战胜当前的疫情。由于尚无控制新冠病毒病的确切治疗方法,疫苗仍然是一条生命线。目前,许多候选疫苗正在研发中,据报道其中大多数都有阳性结果。诸如解旋酶、跨膜丝氨酸蛋白酶2、组织蛋白酶L、细胞周期蛋白G相关激酶、衔接蛋白相关激酶1、双孔通道、病毒毒力因子、3-糜蛋白酶样蛋白酶、抑制过度炎症反应、抑制病毒膜、核衣壳、包膜和辅助蛋白以及抑制内吞作用等治疗靶点被确定为对抗新冠病毒感染的潜在靶点。本综述还总结了用于治疗新冠病毒病的植物性药物,如以及其他一些药物。因此,本综述旨在聚焦于针对新冠病毒病重新利用的最有前景的治疗靶点以及用于新冠候选疫苗的病毒成分。

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