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深入了解新冠病毒及其疫苗对人类健康的生物学影响。

Insight into the biological impact of COVID-19 and its vaccines on human health.

作者信息

Ashwlayan Vrish Dhwaj, Antlash Chanchal, Imran Mohd, Asdaq Syed Mohammed Basheeruddin, Alshammari Mohammed Kanan, Alomani Marwa, Alzahrani Eman, Sharma Divya, Tomar Ritu, Arora Mandeep Kumar

机构信息

Department of Pharmaceutical Technology, Meerut Institute of Engineering and Technology, NH-58 Meerut-Delhi Bypass, Bagpat Crossing, Meerut 250005, Uttar Pradesh, India.

Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Northern Border University, Rafha, Saudi Arabia.

出版信息

Saudi J Biol Sci. 2022 May;29(5):3326-3337. doi: 10.1016/j.sjbs.2022.02.010. Epub 2022 Feb 12.

Abstract

COVID-19 (coronavirus disease-2019) is a contagious illness that has been declared a global epidemic by the World Health Organization (WHO). The coronavirus causes diseases ranging in severity from the common cold to severe respiratory diseases and death. Coronavirus primarily affects blood pressure by attaching to the angiotensin converting enzyme 2 (ACE 2) receptor. This virus has an impact on multiple organ systems, including the central nervous system, immune system, cardiovascular system, peripheral nervous system, gastrointestinal tract, endocrine system, urinary system, skin, and pregnancy. For the prevention of COVID-19, various vaccines such as viral-like particle vaccines, entire inactivated virus vaccines, viral vector vaccines, live attenuated virus vaccines, subunit vaccines, RNA vaccines, and DNA vaccines are now available. Some of the COVID-19 vaccines are reported to cause a variety of adverse effects that range from mild to severe in nature. SARS-CoV-2 replication is controlled by the RNA-Dependent RNA-Polymerase enzyme (RdRp). The availability of FDA-approved anti-RdRp drugs (Ribavirin, Remdesivir, Sofosbuvir, Galidesivir, and Tenofovir) as potent drugs against SARS-CoV-2 that tightly bind to its RdRp may aid in the treatment of patients and reduce the risk of the mysterious new form of COVID-19 viral infection. RdRp inhibitors, such as remdesivir (an anti-Ebola virus experimental drug) and favipiravir (an anti-influenza drug), inhibit RdRp and thus slow the progression of COVID-19 and associated clinical symptoms, as well as significantly shorten recovery time. Molnupiravir, an orally active RdRp inhibitor and noval broad spectrum antiviral agent, is an isopropyl pro-drug of EIDD-1931 for emergency use. Galidesivir's in vitro and in vivo activities are limited to RNA of human public health concern. Top seeds for antiviral treatments with high potential to combat the SARS-CoV-2 strain include guanosine derivatives (IDX-184), setrobuvir, and YAK. The goal of this review is to compile scattered information on available COVID-19 vaccines and other treatments for protecting the human body from their harmful effects and to provide options for making better choices in a timely manner.

摘要

新型冠状病毒肺炎(COVID-19,即2019冠状病毒病)是一种传染性疾病,已被世界卫生组织(WHO)宣布为全球大流行疾病。冠状病毒可引发从普通感冒到严重呼吸道疾病甚至死亡等一系列严重程度不同的疾病。冠状病毒主要通过附着于血管紧张素转换酶2(ACE 2)受体来影响血压。这种病毒会对包括中枢神经系统、免疫系统、心血管系统、外周神经系统、胃肠道、内分泌系统、泌尿系统、皮肤以及妊娠在内的多个器官系统产生影响。为预防COVID-19,目前已有多种疫苗可供使用,如病毒样颗粒疫苗、全灭活病毒疫苗、病毒载体疫苗、减毒活病毒疫苗、亚单位疫苗、RNA疫苗和DNA疫苗。据报道,一些COVID-19疫苗会引发从轻微到严重的各种不良反应。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的复制由RNA依赖性RNA聚合酶(RdRp)控制。美国食品药品监督管理局(FDA)批准的作为强效抗SARS-CoV-2药物的抗RdRp药物(利巴韦林、瑞德西韦、索磷布韦、加利地韦和替诺福韦)可紧密结合其RdRp,这可能有助于治疗患者并降低新型COVID-19病毒感染的风险。RdRp抑制剂,如瑞德西韦(一种抗埃博拉病毒的实验性药物)和法匹拉韦(一种抗流感药物),可抑制RdRp,从而减缓COVID-19的进展及其相关临床症状,还能显著缩短康复时间。莫努匹拉韦是一种口服活性RdRp抑制剂和新型广谱抗病毒药物,是用于紧急治疗的EIDD-1931的异丙基前药。加利地韦的体外和体内活性仅限于对人类公共卫生有影响的RNA。具有高潜力对抗SARS-CoV-2毒株的抗病毒治疗的热门药物包括鸟苷衍生物(IDX-184)、塞曲布韦和YAK。本综述的目的是汇总关于现有COVID-19疫苗及其他治疗方法的零散信息,以保护人体免受其有害影响,并及时提供更好选择的方案。

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本文引用的文献

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Innovations and development of Covid-19 vaccines: A patent review.Covid-19 疫苗的创新和发展:专利审查。
J Infect Public Health. 2022 Jan;15(1):123-131. doi: 10.1016/j.jiph.2021.10.021. Epub 2021 Oct 23.
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COVID-19 pandemic and the skin: what should dermatologists know?COVID-19 大流行与皮肤:皮肤科医生应该了解哪些知识?
Clin Dermatol. 2020 Nov-Dec;38(6):785-787. doi: 10.1016/j.clindermatol.2020.03.012. Epub 2020 Mar 24.
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COVID-19: A Multidisciplinary Review.新型冠状病毒肺炎(COVID-19):多学科综述。
Front Public Health. 2020 Jul 29;8:383. doi: 10.3389/fpubh.2020.00383. eCollection 2020.
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COVID-19 (SARS-CoV-2) Infection in Pregnancy: A Systematic Review.妊娠期 COVID-19(SARS-CoV-2)感染:系统评价。
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