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2019冠状病毒病的治疗方法:抗病毒治疗、免疫疗法及新兴干预措施综述

Therapeutic Approaches for COVID-19: A Review of Antiviral Treatments, Immunotherapies, and Emerging Interventions.

作者信息

Alves Maria C S, da Silva Ruana C C, de Leitão-Júnior Sérgio S P, de Balbino Valdir Q

机构信息

Laboratory of Bioinformatics and Evolutionary Biology, Center for Biosciences, Genetics Department, Federal University of Pernambuco, Recife, Pernambuco, 50670-423, Brazil.

Laboratory of Health Sciences Research, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, 79825-070, Brazil.

出版信息

Adv Ther. 2025 May 8. doi: 10.1007/s12325-025-03218-3.

Abstract

The coronavirus disease 2019 (COVID-19) global health crisis, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has presented unprecedented challenges to global healthcare systems, leading to rapid advances in treatment development. This review comprehensively examines the current therapeutic approaches for managing COVID-19, including direct-acting antivirals, immunomodulators, anticoagulants, and adjuvant therapies, as well as emerging and experimental approaches. Direct-acting antivirals target various stages of the viral life cycle, offering specific intervention points, while immunomodulators aim to modulate the host's immune response, reducing disease severity. Anticoagulant therapies address the coagulopathy frequently observed in severe cases, and adjuvant treatments provide supportive care to improve overall outcomes. We also explore the challenges and limitations of implementing these treatments, such as drug resistance, variable patient responses, and access to therapies, especially in resource-limited settings. The review also discusses future perspectives, including the potential of next-generation vaccines, personalized medicine, and global collaboration in shaping future COVID-19 treatment paradigms. Continuous innovation, combined with an integrated and adaptable approach, will be crucial to effectively managing COVID-19 and mitigating the impact of future pandemics.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)全球健康危机给全球医疗系统带来了前所未有的挑战,促使治疗方法迅速取得进展。本综述全面审视了当前管理COVID-19的治疗方法,包括直接作用抗病毒药物、免疫调节剂、抗凝剂和辅助治疗,以及新兴和实验性方法。直接作用抗病毒药物针对病毒生命周期的各个阶段,提供特定的干预点,而免疫调节剂旨在调节宿主的免疫反应,减轻疾病严重程度。抗凝治疗针对重症病例中常见的凝血病,辅助治疗提供支持性护理以改善总体预后。我们还探讨了实施这些治疗的挑战和局限性,如耐药性、患者反应的差异以及治疗的可及性,尤其是在资源有限的环境中。本综述还讨论了未来展望,包括下一代疫苗的潜力、个性化医疗以及全球合作在塑造未来COVID-19治疗模式方面的作用。持续创新,结合综合且适应性强的方法,对于有效管理COVID-19以及减轻未来大流行的影响至关重要。

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