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针对 COVID-19 治疗的靶向 RNA 依赖性 RNA 聚合酶抑制剂的最新进展:前景与挑战。

An update on inhibitors targeting RNA-dependent RNA polymerase for COVID-19 treatment: Promises and challenges.

机构信息

School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China.

The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China.

出版信息

Biochem Pharmacol. 2022 Nov;205:115279. doi: 10.1016/j.bcp.2022.115279. Epub 2022 Oct 6.

Abstract

The highly transmissible variants of SARS-CoV-2, the causative pathogen of the COVID-19 pandemic, bring new waves of infection worldwide. Identification of effective therapeutic drugs to combat the COVID-19 pandemic is an urgent global need. RNA-dependent RNA polymerase (RdRp), an essential enzyme for viral RNA replication, is the most promising target for antiviral drug research since it has no counterpart in human cells and shows the highest conservation across coronaviruses. This review summarizes recent progress in studies of RdRp inhibitors, focusing on interactions between these inhibitors and the enzyme complex, based on structural analysis, and their effectiveness. In addition, we propose new possible strategies to address the shortcomings of current inhibitors, which may guide the development of novel efficient inhibitors to combat COVID-19.

摘要

高度传染性的 SARS-CoV-2 变体是 COVID-19 大流行的病原体,在全球范围内引发了新的感染浪潮。寻找有效的治疗药物来对抗 COVID-19 大流行是全球的迫切需求。RNA 依赖性 RNA 聚合酶(RdRp)是病毒 RNA 复制的必需酶,由于它在人类细胞中没有对应物,并且在冠状病毒中表现出最高的保守性,因此是抗病毒药物研究最有前途的靶标。本综述总结了 RdRp 抑制剂研究的最新进展,重点介绍了基于结构分析的抑制剂与酶复合物之间的相互作用及其有效性。此外,我们还提出了新的可能策略来解决当前抑制剂的缺点,这可能为开发新型有效的抑制剂来对抗 COVID-19 提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c6/9535928/30fef26d5f85/ga1_lrg.jpg

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