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关于植物化学物质作为抗SARS-CoV-2病毒感染抗病毒药物的批判性综述。

A critical review on phytochemicals as antiviral medications for SARS-CoV-2 virus infection.

作者信息

Das Manoja, Panigrahy Namita

机构信息

Department of Biotechnology, GIET University, Gunupur, 765022, Odisha, India.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Mar;398(3):2053-2069. doi: 10.1007/s00210-024-03467-z. Epub 2024 Oct 1.

DOI:10.1007/s00210-024-03467-z
PMID:39352534
Abstract

A pandemic of acute respiratory infection, which was specified as coronavirus disease 2019, was instigated by a different strain of the virulent coronavirus SARS-CoV-2 that first appeared in late 2019. Since viral infections spread fast and there is presently no effective treatment, the use of plants with a long history of use in treating these infections has been explored regularly. The pandemic of coronavirus disease 2019 (COVID-19) has brought to light the dearth of medications with approval to treat acute viral illnesses. Because of this, the illness had a high fatality rate. The mortality rate was initially quite high and varied according to the patient's geographic location. For instance, among Chinese patients, the rate was 3·6%, whereas 1·5% of COVID-19-related deaths were documented outside of China. As of 2020, India has a 1.4% case fatality rate (CFR) of COVID-19 mortality, compared to 2.8% in Brazil and 1.8% in the USA. Many studies are being conducted to create pharmaceutical compounds specifically targeting important SARS-CoV-2 proteins. Several drug discovery initiatives are being undertaken to find powerful inhibitors by combining biochemical assay and computer-aided drug design techniques. Although plant-derived compounds have not had much success in the dominion of antivirals, plants are, however, believed to be a limitless supply of medications for a variety of diseases and clinical conditions. The scientific foundation required for developing novel natural source medications is provided by the chemical characterization and analysis of plant components. Most viral infections treated by ethnobotanical applications and historical literature on ayurveda, and traditional medicine are generally attributed to phytochemicals, which are compounds derived from medicinal plants. In this review, we have described the application of vascular plant-derived chemicals, such as tannins, polyphenols, alkaloids, and flavonoids, as antivirals, especially for managing COVID-19. This article discusses novel bioactive compounds and their molecular structures that target the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as prospective candidates for anti-coronavirus disease drugs. Moreover, to confirm the effectiveness of the phytochemicals that have demonstrated antiviral activity, clinical trials would need to be conducted in addition to the preclinical research that has already been done. To ensure spectacular findings, more applications of the compound would need to be studied to fully understand the effects of those phytochemicals whose clinical usefulness has already been established.

摘要

一场被指定为2019冠状病毒病的急性呼吸道感染大流行,是由一种毒性很强的新型冠状病毒SARS-CoV-2毒株引发的,该毒株于2019年末首次出现。由于病毒感染传播迅速且目前尚无有效治疗方法,人们一直在定期探索使用长期以来用于治疗此类感染的植物。2019冠状病毒病(COVID-19)大流行凸显了获批用于治疗急性病毒性疾病的药物的匮乏。因此,该疾病的死亡率很高。死亡率最初相当高,且因患者地理位置而异。例如,中国患者中的死亡率为3.6%,而在中国境外记录的与COVID-19相关的死亡病例中,这一比例为1.5%。截至2020年,印度COVID-19死亡率的病例 fatality rate(CFR)为1.4%,而巴西为2.8%,美国为1.8%。目前正在进行许多研究以开发专门针对重要SARS-CoV-2蛋白的药物化合物。正在开展多项药物发现计划,通过结合生化测定和计算机辅助药物设计技术来寻找强效抑制剂。尽管植物衍生化合物在抗病毒领域尚未取得太大成功,但植物被认为是治疗各种疾病和临床病症的药物的无尽来源。植物成分的化学表征和分析为开发新型天然来源药物提供了所需的科学基础。大多数通过民族植物学应用和阿育吠陀及传统医学历史文献治疗的病毒感染通常归因于植物化学物质,即源自药用植物的化合物。在本综述中,我们描述了维管植物衍生的化学物质,如单宁、多酚、生物碱和黄酮类化合物作为抗病毒药物的应用,特别是用于管理COVID-19。本文讨论了针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的新型生物活性化合物及其分子结构,作为抗冠状病毒病药物的潜在候选物。此外,为了确认已显示出抗病毒活性的植物化学物质的有效性,除了已经进行的临床前研究之外,还需要进行临床试验。为了确保取得显著成果,需要研究该化合物的更多应用,以充分了解那些临床效用已经确立的植物化学物质的效果。

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