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激酶抑制剂作为治疗新冠病毒病的潜在治疗药物

Kinase Inhibitors as Potential Therapeutic Agents in the Treatment of COVID-19.

作者信息

Naik Rajashri R, Shakya Ashok K, Aladwan Safwan M, El-Tanani Mohamed

机构信息

Department of Biopharmaceutics and Clinical Pharmacy, Al-Ahliyya Amman University, Faculty of Pharmacy, Amman, Jordan.

Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, Amman, Jordan.

出版信息

Front Pharmacol. 2022 Apr 4;13:806568. doi: 10.3389/fphar.2022.806568. eCollection 2022.

Abstract

Corona virus is quickly spreading around the world. The goal of viral management is to disrupt the virus's life cycle, minimize lung damage, and alleviate severe symptoms. Numerous strategies have been used, including repurposing existing antivirals or drugs used in previous viral outbreaks. One such strategy is to repurpose FDA-approved kinase inhibitors that are potential chemotherapeutic agents and have demonstrated antiviral activity against a variety of viruses, including MERS, SARS-CoV-1, and others, by inhibiting the viral life cycle and the inflammatory response associated with COVID-19. The purpose of this article is to identify licensed kinase inhibitors that have the ability to reduce the virus's life cycle, from entrance through viral propagation from cell to cell. Several of these inhibitors, including imatinib, ruxolitinib, silmitasertib, and tofacitinib (alone and in conjunction with hydroxychloroquine), are now undergoing clinical studies to determine their efficacy as a possible treatment drug. The FDA approved baricitinib (a Janus kinase inhibitor) in combination with remdesivir for the treatment of COVID-19 patients receiving hospital care in November 2020. While trials with gilteritinib, fedratinib, and osimertinib are encouraging, further research is necessary before these inhibitors may be used to treat COVID-19 patients.

摘要

冠状病毒正在全球迅速传播。病毒管理的目标是破坏病毒的生命周期,将肺部损伤降至最低,并缓解严重症状。人们已经采用了多种策略,包括重新利用现有的抗病毒药物或以往病毒爆发时使用的药物。其中一种策略是重新利用美国食品药品监督管理局(FDA)批准的激酶抑制剂,这些抑制剂是潜在的化疗药物,通过抑制病毒生命周期以及与新冠肺炎相关的炎症反应,已证明对包括中东呼吸综合征(MERS)、严重急性呼吸综合征冠状病毒1型(SARS-CoV-1)等多种病毒具有抗病毒活性。本文的目的是确定具有从病毒进入到细胞间传播整个过程中减少病毒生命周期能力的已获许可的激酶抑制剂。其中几种抑制剂,包括伊马替尼、鲁索替尼、西利美替尼和托法替布(单独使用以及与羟氯喹联合使用),目前正在进行临床研究,以确定它们作为可能的治疗药物的疗效。2020年11月,FDA批准巴瑞替尼(一种Janus激酶抑制剂)与瑞德西韦联合用于治疗正在接受住院治疗的新冠肺炎患者。虽然吉列替尼、非格司亭和奥希替尼的试验结果令人鼓舞,但在这些抑制剂可用于治疗新冠肺炎患者之前,还需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b53/9014181/796d85d0d5af/fphar-13-806568-g001.jpg

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