Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), School of Basic Medical Sciences, Shanghai Frontiers Science Center of Pathogenic Microbes and Infection, Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.
J Med Virol. 2023 Jan;95(1):e28143. doi: 10.1002/jmv.28143. Epub 2022 Sep 22.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of the currently ongoing coronavirus disease 2019 (COVID-19) pandemic, has posed a serious threat to global public health. Recently, several SARS-CoV-2 variants of concern (VOCs) have emerged and caused numerous cases of reinfection in convalescent COVID-19 patients, as well as breakthrough infections in vaccinated individuals. This calls for the development of broad-spectrum antiviral drugs to combat SARS-CoV-2 and its VOCs. Pan-coronavirus fusion inhibitors, targeting the conserved heptad repeat 1 (HR1) in spike protein S2 subunit, can broadly and potently inhibit infection of SARS-CoV-2 and its variants, as well as other human coronaviruses. In this review, we summarized the most recent development of pan-coronavirus fusion inhibitors, such as EK1, EK1C4, and EKL1C, and highlighted their potential application in combating current COVID-19 infection and reinfection, as well as future emerging coronavirus infectious diseases.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是导致目前正在流行的 2019 年冠状病毒病(COVID-19)大流行的病原体,对全球公共卫生构成了严重威胁。最近,一些引起关注的 SARS-CoV-2 变体(VOC)已经出现,并导致大量 COVID-19 康复患者再次感染,以及接种疫苗的个体突破性感染。这就需要开发广谱抗病毒药物来对抗 SARS-CoV-2 及其 VOC。针对刺突蛋白 S2 亚单位保守的七肽重复 1(HR1)的泛冠状病毒融合抑制剂,可以广泛而有效地抑制 SARS-CoV-2 及其变体以及其他人类冠状病毒的感染。在这篇综述中,我们总结了泛冠状病毒融合抑制剂的最新进展,例如 EK1、EK1C4 和 EKL1C,并强调了它们在对抗当前 COVID-19 感染和再感染以及未来新发冠状病毒传染病中的潜在应用。