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2019冠状病毒病(COVID-19)现有抗体疗法综述

A Review of the Currently Available Antibody Therapy for the Treatment of Coronavirus Disease 2019 (COVID-19).

作者信息

Widyasari Kristin, Kim Jinnam

机构信息

Gyeongsang Institute of Health Sciences, Gyeongsang National University, Jinju 52727, Republic of Korea.

Major of Food Science & Nutrition, Pukyong National University, Busan 48513, Republic of Korea.

出版信息

Antibodies (Basel). 2023 Jan 11;12(1):5. doi: 10.3390/antib12010005.


DOI:10.3390/antib12010005
PMID:36648889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9887598/
Abstract

Monoclonal antibodies are a promising treatment for COVID-19. However, the emergence of SARS-CoV-2 variants raised concerns about these therapies' efficacy and long-term viability. Studies reported several antibodies, that received authorization for COVID-19 treatment, are not effective against new variants or subvariants of SARS-CoV-2, hence their distribution has to be paused. Here, the authors reviewed the status of the currently available monoclonal antibodies for COVID-19 treatment, their potential as a therapeutic agent, and the challenges ahead. To address these issues, the authors presented general information on SARS-CoV-2 and how monoclonal antibodies work against SARS-CoV-2. The authors then focus on the antibodies that have been deployed for COVID-19 treatment and their current status, as well as the evidence supporting their potential as an early intervention against COVID-19. Lastly, the authors discussed some leading obstacles that hinder the development and administration of monoclonal antibodies for the treatment of COVID-19.

摘要

单克隆抗体是治疗新冠病毒病(COVID-19)的一种有前景的疗法。然而,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)变体的出现引发了对这些疗法的疗效和长期可行性的担忧。研究报告称,几种已获批准用于COVID-19治疗的抗体对SARS-CoV-2的新变体或亚变体无效,因此它们的分发不得不暂停。在此,作者回顾了目前可用于COVID-19治疗的单克隆抗体的现状、其作为治疗剂的潜力以及未来面临的挑战。为解决这些问题,作者介绍了SARS-CoV-2的一般信息以及单克隆抗体如何对抗SARS-CoV-2。然后,作者重点介绍了已用于COVID-19治疗的抗体及其当前状况,以及支持其作为COVID-19早期干预措施的潜力的证据。最后,作者讨论了一些阻碍用于治疗COVID-19的单克隆抗体的开发和应用的主要障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e88/9887598/8ddb8a915078/antibodies-12-00005-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e88/9887598/553aef127c6c/antibodies-12-00005-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e88/9887598/8ddb8a915078/antibodies-12-00005-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e88/9887598/553aef127c6c/antibodies-12-00005-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e88/9887598/8ddb8a915078/antibodies-12-00005-g002.jpg

相似文献

[1]
A Review of the Currently Available Antibody Therapy for the Treatment of Coronavirus Disease 2019 (COVID-19).

Antibodies (Basel). 2023-1-11

[2]
Monoclonal Antibody Therapy For High-Risk Coronavirus (COVID 19) Patients With Mild To Moderate Disease Presentations (Archived)

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[3]
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[4]
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[5]
Perspectives on monoclonal antibody therapy as potential therapeutic intervention for Coronavirus disease-19 (COVID-19).

Asian Pac J Allergy Immunol. 2020-3

[6]
Antibody resistance of SARS-CoV-2 variants B.1.351 and B.1.1.7.

Nature. 2021-5

[7]
Escape from neutralizing antibodies by SARS-CoV-2 spike protein variants.

Elife. 2020-10-28

[8]
The evaluation of risk factors for prolonged viral shedding during anti-SARS-CoV-2 monoclonal antibodies and long-term administration of antivirals in COVID-19 patients with B-cell lymphoma treated by anti-CD20 antibody.

BMC Infect Dis. 2024-7-22

[9]
SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19.

Cochrane Database Syst Rev. 2021-9-2

[10]
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Cochrane Database Syst Rev. 2022-6-17

引用本文的文献

[1]
Accelerating antibody discovery and optimization with high-throughput experimentation and machine learning.

J Biomed Sci. 2025-5-9

[2]
Effectiveness of Anti-SARS-CoV-2 monoclonal antibodies in real-life: RNAemia and clinical outcomes in high-risk COVID-19 patients.

PLoS One. 2025-4-25

[3]
Analysis of how antigen mutations disrupt antibody binding interactions toward enabling rapid and reliable antibody repurposing.

MAbs. 2025-12

[4]
Nanobodies: From High-Throughput Identification to Therapeutic Development.

Mol Cell Proteomics. 2024-12

[5]
Characterization of therapeutic antibody efficacy against multiple SARS-CoV-2 variants in the hamster model.

Antiviral Res. 2024-10

[6]
From Detection to Protection: Antibodies and Their Crucial Role in Diagnosing and Combatting SARS-CoV-2.

Vaccines (Basel). 2024-4-25

[7]
Anti-SARS-CoV-2 glyco-humanized polyclonal antibody XAV-19: phase II/III randomized placebo-controlled trial shows acceleration to recovery for mild to moderate patients with COVID-19.

Front Immunol. 2024

[8]
SARS-CoV-2 Specific Nanobodies Neutralize Different Variants of Concern and Reduce Virus Load in the Brain of h-ACE2 Transgenic Mice.

Viruses. 2024-1-25

[9]
The α-dystroglycan N-terminus is a broad-spectrum antiviral agent against SARS-CoV-2 and enveloped viruses.

Antiviral Res. 2024-4

[10]
Immunoliposomes As a Promising Antiviral Agent against SARS-CoV-2.

Dokl Biochem Biophys. 2024-2

本文引用的文献

[1]
Tixagevimab/cilgavimab for preventing COVID-19 during the Omicron surge: retrospective analysis of National Veterans Health Administration electronic data.

mBio. 2023-8-31

[2]
Real world effectiveness of tixagevimab/cilgavimab (Evusheld) in the Omicron era.

PLoS One. 2023

[3]
Neutralization Escape by SARS-CoV-2 Omicron Subvariant BA.4.6.

N Engl J Med. 2022-11-17

[4]
Evasion of neutralizing antibody responses by the SARS-CoV-2 BA.2.75 variant.

Cell Host Microbe. 2022-11-9

[5]
IgG-like bispecific antibodies with potent and synergistic neutralization against circulating SARS-CoV-2 variants of concern.

Nat Commun. 2022-10-3

[6]
Further humoral immunity evasion of emerging SARS-CoV-2 BA.4 and BA.5 subvariants.

Lancet Infect Dis. 2022-11

[7]
Broadly neutralizing antibodies to SARS-CoV-2 and other human coronaviruses.

Nat Rev Immunol. 2023-3

[8]
A Critical Analysis of the Use of Cilgavimab plus Tixagevimab Monoclonal Antibody Cocktail (Evusheld™) for COVID-19 Prophylaxis and Treatment.

Viruses. 2022-9-9

[9]
A monoclonal antibody stands out against omicron subvariants: a call to action for a wider access to bebtelovimab.

Lancet Infect Dis. 2022-9

[10]
Omicron mutations enhance infectivity and reduce antibody neutralization of SARS-CoV-2 virus-like particles.

Proc Natl Acad Sci U S A. 2022-8-2

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