Bharadwaj Alok, Kaur Rasanpreet, Gupta Saurabh
Department of Biotechnology, GLA University, Mathura, 281406, UP, India.
Curr Mol Med. 2024;24(4):435-448. doi: 10.2174/1566524023666230417112543.
In the present scenario, the SARS-CoV-2 virus has imposed enormous damage on human survival and the global financial system. It has been estimated that around 111 million people all around the world have been infected, and about 2.47 million people died due to this pandemic. The major symptoms were sneezing, coughing, cold, difficulty breathing, pneumonia, and multi-organ failure associated 1with SARS-CoV-2. Currently, two key problems, namely insufficient attempts to develop drugs against SARSCoV-2 and the lack of any biological regulating process, are mostly responsible for the havoc caused by this virus. Henceforth, developing a few novel drugs is urgently required to cure this pandemic. It has been noticed that the pathogenesis of COVID-19 is caused by two main events: infection and immune deficiency, that occur during the pathological process. Antiviral medication can treat both the virus and the host cells. Therefore, in the present review, the major approaches for the treatment have been divided into "target virus" and "target host" groups. These two mechanisms primarily rely on drug repositioning, novel approaches, and possible targets. Initially, we discussed the traditional drugs per the physicians' recommendations. Moreover, such therapeutics have no potential to fight against COVID-19. After that, detailed investigation and analysis were conducted to find some novel vaccines and monoclonal antibodies and conduct a few clinical trials to check their effectiveness against SARSCoV- 2 and mutant strains. Additionally, this study presents the most successful methods for its treatment, including combinatorial therapy. Nanotechnology was studied to build efficient nanocarriers to overcome the traditional constraints of antiviral and biological therapies.
在当前情况下,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒对人类生存和全球金融体系造成了巨大破坏。据估计,全球约有1.11亿人感染了该病毒,约247万人死于这场大流行。主要症状包括打喷嚏、咳嗽、感冒、呼吸困难、肺炎以及与SARS-CoV-2相关的多器官功能衰竭。目前,针对SARS-CoV-2研发药物的尝试不足以及缺乏任何生物调节过程这两个关键问题,是该病毒造成严重破坏的主要原因。因此,迫切需要研发几种新型药物来治愈这场大流行。已经注意到,2019冠状病毒病(COVID-19)的发病机制是由病理过程中发生的两个主要事件引起的:感染和免疫缺陷。抗病毒药物可以治疗病毒和宿主细胞。因此,在本综述中,主要的治疗方法分为“靶向病毒”和“靶向宿主”两类。这两种机制主要依赖于药物重新定位、新方法和可能的靶点。最初,我们按照医生的建议讨论了传统药物。此外,这类疗法没有对抗COVID-19的潜力。之后,进行了详细的调查和分析,以寻找一些新型疫苗和单克隆抗体,并进行了一些临床试验,以检验它们对SARS-CoV-2及其突变株的有效性。此外,本研究还介绍了最成功的治疗方法,包括联合治疗。研究了纳米技术以构建高效的纳米载体,以克服抗病毒和生物疗法的传统局限性。