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新型冠状病毒肺炎(COVID-19):严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)变异株概述——当前疫苗和药物研发进展。

COVID-19: An Overview of SARS-CoV-2 Variants-The Current Vaccines and Drug Development.

机构信息

Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Biomed Res Int. 2023 Aug 29;2023:1879554. doi: 10.1155/2023/1879554. eCollection 2023.

Abstract

The world is presently in crisis facing an outbreak of a health-threatening microorganism known as COVID-19, responsible for causing uncommon viral pneumonia in humans. The virus was first reported in Wuhan, China, in early December 2019, and it quickly became a global concern due to the pandemic. Challenges in this regard have been compounded by the emergence of several variants such as B.1.1.7, B.1.351, P1, and B.1.617, which show an increase in transmission power and resistance to therapies and vaccines. Ongoing researches are focused on developing and manufacturing standard treatment strategies and effective vaccines to control the pandemic. Despite developing several vaccines such as Pfizer/BioNTech and Moderna approved by the U.S. Food and Drug Administration (FDA) and other vaccines in phase 4 clinical trials, preventive measures are mandatory to control the COVID-19 pandemic. In this review, based on the latest findings, we will discuss different types of drugs as therapeutic options and confirmed or developing vaccine candidates against SARS-CoV-2. We also discuss in detail the challenges posed by the variants and their effect on therapeutic and preventive interventions.

摘要

目前,世界正面临一场由一种名为 COVID-19 的威胁人类健康的微生物引起的危机,这种病毒能导致人类患上不常见的病毒性肺炎。该病毒于 2019 年 12 月初在中国武汉首次报告,由于其具有大流行的性质,很快引起了全球关注。由于 B.1.1.7、B.1.351、P1 和 B.1.617 等几种变体的出现,这方面的挑战更加复杂,这些变体显示出传播能力增强和对疗法和疫苗的耐药性。目前正在进行的研究集中于开发和制造标准治疗策略和有效疫苗,以控制大流行。尽管已经开发出几种疫苗,例如已获得美国食品和药物管理局 (FDA) 批准的辉瑞/BioNTech 和 Moderna 疫苗以及处于 4 期临床试验阶段的其他疫苗,但仍需要采取预防措施来控制 COVID-19 大流行。在这篇综述中,我们将根据最新发现,讨论治疗方案的不同类型药物以及针对 SARS-CoV-2 的已确认或正在开发的疫苗候选物。我们还详细讨论了变体带来的挑战及其对治疗和预防干预的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c027/10480030/40e2bb190db0/BMRI2023-1879554.001.jpg

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