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针对 2019 年冠状病毒病(COVID-19)的靶向治疗:从细胞和基因治疗到免疫治疗和疫苗的启示。

Targeted therapy in Coronavirus disease 2019 (COVID-19): Implication from cell and gene therapy to immunotherapy and vaccine.

机构信息

Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran; Department of Clinical Biochemistry, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.

出版信息

Int Immunopharmacol. 2022 Oct;111:109161. doi: 10.1016/j.intimp.2022.109161. Epub 2022 Aug 18.

Abstract

Severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) is a highly pathogenic and transmissible virus. Infection caused by SARS-CoV-2 known as Coronavirus disease 2019 (COVID-19) can be severe, especially among high risk populations affected of underlying medical conditions. COVID-19 is characterized by the severe acute respiratory syndrome, a hyper inflammatory syndrome, vascular injury, microangiopathy and thrombosis. Antiviral drugs and immune modulating methods has been evaluated. So far, a particular therapeutic option has not been approved for COVID-19 and a variety of treatments have been studied for COVID-19 including, current treatment such as oxygen therapy, corticosteroids, antiviral agents until targeted therapy and vaccines which are diverse in each patient and have various outcomes. According to the findings of different in vitro and in vivo studies, some novel approach such as gene editing, cell based therapy, and immunotherapy may have significant potential in the treatment of COVID-19. Based on these findings, this paper aims to review the different strategies of treatment against COVID-19 and provide a summary from traditional and newer methods in curing COVID-19.

摘要

严重急性呼吸系统综合症冠状病毒 2 型(SARS-CoV-2)是一种高致病性和高传染性的病毒。由 SARS-CoV-2 引起的感染被称为 2019 年冠状病毒病(COVID-19),可能很严重,尤其是在受潜在医疗条件影响的高危人群中。COVID-19 的特征是严重的急性呼吸系统综合症、过度炎症综合征、血管损伤、微血管病和血栓形成。已经评估了抗病毒药物和免疫调节方法。到目前为止,还没有针对 COVID-19 批准的特定治疗选择,并且已经研究了多种治疗 COVID-19 的方法,包括目前的治疗方法,如氧疗、皮质类固醇、抗病毒药物,直到靶向治疗和疫苗,这些在每个患者中都有所不同,并且有不同的结果。根据不同的体外和体内研究结果,一些新方法,如基因编辑、基于细胞的治疗和免疫疗法,可能在 COVID-19 的治疗中有很大的潜力。基于这些发现,本文旨在综述针对 COVID-19 的不同治疗策略,并从传统和较新的方法中总结治疗 COVID-19 的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7986/9385778/19b9cd2db4b1/gr1_lrg.jpg

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