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探索大流行头两年后 SARS-CoV-2 治疗的未来:替代疗法的比较研究。

Exploring the future of SARS-CoV-2 treatment after the first two years of the pandemic: A comparative study of alternative therapeutics.

机构信息

Department of Chemistry, Purdue University, West Lafayette, IN, USA.

Department of Microbiology and Cell Science, University of Florida, Gainsville, FL, USA.

出版信息

Biomed Pharmacother. 2023 Sep;165:115099. doi: 10.1016/j.biopha.2023.115099. Epub 2023 Jun 30.

Abstract

One of the most pressing challenges associated with SARS-CoV-2 treatment is the emergence of new variants that may be more transmissible, cause more severe disease, or be resistant to current treatments and vaccines. The emergence of SARS-CoV-2 has led to a global pandemic, resulting in millions of deaths worldwide. Various strategies have been employed to combat the virus, including neutralizing monoclonal antibodies (mAbs), CRISPR/Cas13, and antisense oligonucleotides (ASOs). While vaccines and small molecules have proven to be an effective means of preventing severe COVID-19 and reducing transmission rates, the emergence of new virus variants poses a challenge to their effectiveness. Monoclonal antibodies have shown promise in treating early-stage COVID-19, but their effectiveness is limited in severe cases and the emergence of new variants may reduce their binding affinity. CRISPR/Cas13 has shown potential in targeting essential viral genes, but its efficiency, specificity, and delivery to the site of infection are major limitations. ASOs have also been shown to be effective in targeting viral RNA, but they face similar challenges to CRISPR/Cas13 in terms of delivery and potential off-target effects. In conclusion, a combination of these strategies may provide a more effective means of combating SARS-CoV-2, and future research should focus on improving their efficiency, specificity, and delivery to the site of infection. It is evident that the continued research and development of these alternative therapies will be essential in the ongoing fight against SARS-CoV-2 and its potential future variants.

摘要

与 SARS-CoV-2 治疗相关的最紧迫挑战之一是新变体的出现,这些新变体可能更具传染性、导致更严重的疾病,或者对当前的治疗方法和疫苗具有耐药性。SARS-CoV-2 的出现导致了全球大流行,导致全球数百万人死亡。已经采用了各种策略来对抗该病毒,包括中和单克隆抗体 (mAbs)、CRISPR/Cas13 和反义寡核苷酸 (ASOs)。尽管疫苗和小分子已被证明是预防严重 COVID-19 和降低传播率的有效手段,但新病毒变体的出现对其有效性构成了挑战。单克隆抗体在治疗早期 COVID-19 方面显示出了希望,但在严重病例中其效果有限,而且新变体的出现可能会降低其结合亲和力。CRISPR/Cas13 已显示出靶向病毒关键基因的潜力,但它的效率、特异性和递送至感染部位的能力是主要限制。ASOs 也已被证明可有效靶向病毒 RNA,但在递送至感染部位和潜在的脱靶效应方面,它们与 CRISPR/Cas13 面临着相似的挑战。总之,这些策略的结合可能为对抗 SARS-CoV-2 提供更有效的手段,未来的研究应集中于提高其效率、特异性和递送至感染部位的能力。显然,这些替代疗法的持续研究和开发对于与 SARS-CoV-2 及其潜在未来变体的持续斗争至关重要。

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