抗菌肽:治疗 COVID-19 的可行方法。
Antimicrobial peptides: A plausible approach for COVID-19 treatment.
机构信息
School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, India.
Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria.
出版信息
Expert Opin Drug Discov. 2022 May;17(5):473-487. doi: 10.1080/17460441.2022.2050693. Epub 2022 Mar 9.
INTRODUCTION
Coronavirus disease 2019 (COVID-19), which emerged as a major public health threat, has affected >400 million people globally leading to >5 million mortalities to date. Treatments of COVID-19 are still to be developed as the available therapeutic approaches are not able to combat the virus causing the disease (severe acute respiratory syndrome coronavirus-2; SARS-CoV-2) satisfactorily. However, antiviral peptides (AVPs) have demonstrated prophylactic and therapeutic effects against many coronaviruses (CoVs).
AREAS COVERED
This review critically discusses various types of AVPs evaluated for the treatment of COVID-19 along with their mechanisms of action. Furthermore, the peptides inhibiting the entry of the virus by targeting its binding to angiotensin-converting enzyme 2 (ACE2) or integrins, fusion mechanism as well as activation of proteolytic enzymes (cathepsin L, transmembrane serine protease 2 (TMPRSS2), or furin) are also discussed.
EXPERT OPINION
Although extensively investigated, successful treatment of COVID-19 is still a challenge due to emergence of virus mutants. Antiviral peptides are anticipated to be blockbuster drugs for the management of this serious infection because of their formulation and therapeutic advantages. Although they may act on different pathways, AVPs having a multi-targeted approach are considered to have the upper hand in the management of this infection.
简介
新型冠状病毒病(COVID-19)作为一种主要的公共卫生威胁出现,已在全球范围内影响了超过 4 亿人,导致迄今为止已有超过 500 万人死亡。由于现有的治疗方法无法令人满意地对抗导致疾病的病毒(严重急性呼吸系统综合征冠状病毒 2;SARS-CoV-2),因此仍在开发 COVID-19 的治疗方法。然而,抗病毒肽(AVP)已被证明对许多冠状病毒(CoV)具有预防和治疗作用。
涵盖的领域
本文批判性地讨论了评估用于治疗 COVID-19 的各种类型的 AVP 及其作用机制。此外,还讨论了通过靶向病毒与血管紧张素转换酶 2(ACE2)或整合素的结合、融合机制以及激活蛋白水解酶(组织蛋白酶 L、跨膜丝氨酸蛋白酶 2(TMPRSS2)或弗林)来抑制病毒进入的肽。
专家意见
尽管进行了广泛的研究,但由于病毒突变的出现,成功治疗 COVID-19 仍然是一个挑战。由于其配方和治疗优势,抗病毒肽有望成为治疗这种严重感染的重磅药物。虽然它们可能作用于不同的途径,但具有多靶向方法的 AVP 被认为在这种感染的治疗中具有优势。