Department of Interdisciplinary Medicine, Section of Dental Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Unit of Anesthesia and Resuscitation, Department of Emergencies and Organ Transplantations, Aldo Moro University, 70121 Bari, Italy.
Int J Mol Sci. 2022 Jul 30;23(15):8485. doi: 10.3390/ijms23158485.
The recent COVID-19 pandemic produced a significant increase in cases and an emergency state was induced worldwide. The current knowledge about the COVID-19 disease concerning diagnoses, patient tracking, the treatment protocol, and vaccines provides a consistent contribution for the primary prevention of the viral infection and decreasing the severity of the SARS-CoV-2 disease. The aim of the present investigation was to produce a general overview about the current findings for the COVID-19 disease, SARS-CoV-2 interaction mechanisms with the host, therapies and vaccines' immunization findings.
A literature overview was produced in order to evaluate the state-of-art in SARS-CoV-2 diagnoses, prognoses, therapies, and prevention.
Concerning to the interaction mechanisms with the host, the virus binds to target with its Spike proteins on its surface and uses it as an anchor. The Spike protein targets the ACE2 cell receptor and enters into the cells by using a special enzyme (TMPRSS2). Once the virion is quietly accommodated, it releases its RNA. Proteins and RNA are used in the Golgi apparatus to produce more viruses that are released. Concerning the therapies, different protocols have been developed in observance of the disease severity and comorbidity with a consistent reduction in the mortality rate. Currently, different vaccines are currently in phase IV but a remarkable difference in efficiency has been detected concerning the more recent SARS-CoV-2 variants.
Among the many questions in this pandemic state, the one that recurs most is knowing why some people become more seriously ill than others who instead contract the infection as if it was a trivial flu. More studies are necessary to investigate the efficiency of the treatment protocols and vaccines for the more recent detected SARS-CoV-2 variant.
最近的 COVID-19 大流行导致病例显著增加,并在全球范围内引发了紧急状态。目前关于 COVID-19 疾病的诊断、患者追踪、治疗方案和疫苗的知识为病毒感染的初级预防和降低 SARS-CoV-2 疾病的严重程度提供了持续的贡献。本研究的目的是对 COVID-19 疾病的当前发现、SARS-CoV-2 与宿主的相互作用机制、疗法和疫苗免疫接种结果进行综合概述。
进行文献综述,以评估 SARS-CoV-2 诊断、预后、疗法和预防的最新研究进展。
就与宿主的相互作用机制而言,病毒通过其表面的刺突蛋白与靶标结合,并将其用作锚点。刺突蛋白靶向 ACE2 细胞受体,并通过一种特殊的酶(TMPRSS2)进入细胞。一旦病毒颗粒被悄悄容纳,它就会释放其 RNA。蛋白质和 RNA 在高尔基器中被用于产生更多被释放的病毒。关于疗法,根据疾病的严重程度和合并症制定了不同的方案,死亡率一致降低。目前,不同的疫苗目前处于第四阶段,但针对最近发现的 SARS-CoV-2 变体,其效率存在显著差异。
在这种大流行状态下,出现频率最高的问题之一是,为什么有些人比其他人更容易患病,而后者感染病毒时就像得了轻微流感一样。需要进一步研究以调查针对最近发现的 SARS-CoV-2 变体的治疗方案和疫苗的效率。