Department of Pharmacy, Abasyn University Peshawar, Pakistan.
Department of Pharmacy, Abasyn University Peshawar, Pakistan.
Biomed Pharmacother. 2021 Oct;142:112015. doi: 10.1016/j.biopha.2021.112015. Epub 2021 Aug 5.
COVID-19, an infectious disease, has emerged as one of the leading causes of death worldwide, making it one of the severe public health issues in recent decades. nCoV, the novel SARS coronavirus that causes COVID-19, has brought together scientists in the quest for possible therapeutic and preventive measures. The development of new drugs to manage COVID-19 effectively is a challenging and time-consuming process, thus encouraging extensive investigation of drug repurposing and repositioning candidates. Several medications, including remdesivir, hydroxychloroquine, chloroquine, lopinavir, favipiravir, ribavirin, ritonavir, interferons, azithromycin, capivasertib and bevacizumab, are currently under clinical trials for COVID-19. In addition, several medicinal plants with considerable antiviral activities are potential therapeutic candidates for COVID-19. Statistical data show that the pandemic is yet to slow down, and authorities are placing their hopes on vaccines. Within a short period, four types of vaccines, namely, whole virus, viral vector, protein subunit, and nucleic acid (RNA/DNA), which can confer protection against COVID-19 in different ways, were already in a clinical trial. SARS-CoV-2 variants spread is associated with antibody escape from the virus Spike epitopes, which has grave concerns for viral re-infection and even compromises the effectiveness of the vaccines. Despite these efforts, COVID-19 treatment is still solely based on clinical management through supportive care. We aim to highlight the recent trends in COVID-19, relevant statistics, and clinical findings, as well as potential therapeutics, including in-line treatment methods, preventive measures, and vaccines to combat the prevalence of COVID-19.
新型冠状病毒肺炎(COVID-19)是一种传染病,已成为全球主要死因之一,是近几十年来严重的公共卫生问题之一。引起 COVID-19 的新型严重急性呼吸综合征冠状病毒 2 型(nCoV)促使科学家们共同寻求可能的治疗和预防措施。开发有效管理 COVID-19 的新药是一个具有挑战性和耗时的过程,因此鼓励广泛研究药物重定位和再定位的候选药物。几种药物,包括瑞德西韦、羟氯喹、氯喹、洛匹那韦、法匹拉韦、利巴韦林、利托那韦、干扰素、阿奇霉素、卡匹维仑和贝伐珠单抗,目前正在进行 COVID-19 的临床试验。此外,几种具有相当抗病毒活性的药用植物是 COVID-19 的潜在治疗候选药物。统计数据表明,大流行尚未放缓,当局希望依靠疫苗。在短时间内,已经有四种类型的疫苗,即全病毒、病毒载体、蛋白亚单位和核酸(RNA/DNA),它们可以以不同的方式提供对 COVID-19 的保护,已经进入临床试验。SARS-CoV-2 变体的传播与病毒刺突表位的抗体逃逸有关,这对病毒再次感染甚至疫苗的有效性构成严重关切。尽管做出了这些努力,但 COVID-19 的治疗仍然仅基于通过支持性护理进行临床管理。我们旨在强调 COVID-19 的最新趋势、相关统计数据和临床发现,以及潜在的治疗方法,包括在线治疗方法、预防措施和疫苗,以对抗 COVID-19 的流行。