Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576106, Karnataka State, India; Gottfried Schatz Research Centre for Cell Signalling, Metabolism and Aging, Medical University of Graz, Graz, Austria.
Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576106, Karnataka State, India.
Life Sci. 2020 Sep 1;256:117883. doi: 10.1016/j.lfs.2020.117883. Epub 2020 Jun 1.
The present pandemic of SARS-CoV-2 has been a tough task for the whole world to deal with. With the absence of specific drugs or vaccines against SARS-CoV-2, the situation is very difficult to control. Apart from the absence of specific therapies, the lack of knowledge about potential therapeutic targets and individual perception is adding to the complications. The present review describes the novel SARS-CoV-2 structure, surface proteins, asymptomatic and symptomatic transmission in addition to the genotype and phenotype of SARS-CoV-2 along with genetic strains and similarity between SARS, MERS and SARS-CoV-2. Therapeutic strategies such as inhibition of the endocytic pathway and suppressing RNA polymerase activity by metal ions, which could be quite beneficial for controlling COVID-19, are outlined. The drug repurposing for SARS-CoV-2 is discussed in detail along with therapeutic classes such as antivirals, antibiotics, and amino quinolones and their probable role in suppressing SARS-CoV-2 with reference to case studies. The ongoing clinical trials both with respect to drug repurposing and vaccines are summarized along with a brief description. The recent advancements and future perspective of ongoing research for therapy and detection of SARS-CoV-2 are provided. The review, in brief, summarizes epidemiology, therapy and the current scenario for combating SARS-CoV-2.
目前的 SARS-CoV-2 大流行对全世界来说都是一项艰巨的任务。由于缺乏针对 SARS-CoV-2 的特异性药物或疫苗,因此情况非常难以控制。除了缺乏特异性疗法外,对潜在治疗靶点和个体认识的缺乏也增加了复杂性。本综述描述了新型 SARS-CoV-2 结构、表面蛋白、无症状和有症状传播以及 SARS-CoV-2 的基因型和表型、遗传株以及 SARS、MERS 和 SARS-CoV-2 之间的相似性。概述了抑制内吞途径和金属离子抑制 RNA 聚合酶活性等治疗策略,这些策略对于控制 COVID-19 可能非常有益。详细讨论了针对 SARS-CoV-2 的药物再利用以及治疗类别,如抗病毒药物、抗生素和氨基喹诺酮类药物,并参考案例研究讨论了它们在抑制 SARS-CoV-2 方面的可能作用。总结了正在进行的药物再利用和疫苗的临床试验,并作了简要说明。提供了 SARS-CoV-2 治疗和检测的最新进展和未来展望。总的来说,该综述总结了 SARS-CoV-2 的流行病学、治疗和当前防治情况。