Valipour Mehdi, Irannejad Hamid, Keyvani Hossein
Razi Drug Research Center, Iran University of Medical Sciences, Tehran 1134845764, Iran.
Department of Medicinal Chemistry, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari 48157-33971, Iran.
ACS Pharmacol Transl Sci. 2023 Aug 16;6(9):1248-1265. doi: 10.1021/acsptsci.3c00121. eCollection 2023 Sep 8.
The appearance of several coronavirus pandemics/epidemics during the last two decades (SARS-CoV-1 in 2002, MERS-CoV in 2012, and SARS-CoV-2 in 2019) indicates that humanity will face increasing challenges from coronaviruses in the future. The emergence of new strains with similar transmission characteristics as SARS-CoV-2 and mortality rates similar to SARS-CoV-1 (∼10% mortality) or MERS-CoV (∼35% mortality) in the future is a terrifying possibility. Therefore, getting enough preparations to face such risks is an inevitable necessity. The present study aims to review the drug achievements and challenges in the fight against SARS-CoV-2 with a combined perspective derived from pharmacology, pharmacotherapy, and medicinal chemistry insights. Appreciating all the efforts made during the past few years, there is strong evidence that the desired results have not yet been achieved and research in this area should still be pursued seriously. By expressing some pessimistic possibilities and concluding that the drug discovery and pharmacotherapy of COVID-19 have not been successful so far, this short essay tries to draw the attention of responsible authorities to be more prepared against future coronavirus epidemics/pandemics.
在过去二十年中出现了几次冠状病毒大流行/疫情(2002年的严重急性呼吸综合征冠状病毒1型、2012年的中东呼吸综合征冠状病毒和2019年的严重急性呼吸综合征冠状病毒2型),这表明人类未来将面临来自冠状病毒的越来越多的挑战。未来出现具有与严重急性呼吸综合征冠状病毒2型相似传播特征且死亡率与严重急性呼吸综合征冠状病毒1型(死亡率约10%)或中东呼吸综合征冠状病毒(死亡率约35%)相似的新毒株是一种可怕的可能性。因此,做好充分准备以应对此类风险是必然的必要举措。本研究旨在从药理学、药物治疗学和药物化学见解的综合角度回顾抗击严重急性呼吸综合征冠状病毒2型的药物成果与挑战。尽管认识到过去几年所做的所有努力,但有充分证据表明尚未取得预期成果,该领域的研究仍应认真推进。通过阐述一些悲观的可能性并得出结论,即到目前为止新型冠状病毒肺炎的药物研发和药物治疗尚未成功,这篇短文试图引起相关当局的注意,以便为未来的冠状病毒疫情/大流行做好更充分的准备。