溴甲胺在COVID-19管理中的潜在作用:破译和真正的游戏规则改变者

H. Al-kuraishy, M. Al-Niemi, Nawar R. Hussain, Ali I. Al-Gareeb, C. Lugnier
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引用次数: 2

摘要

导致Covid-19的SARS-CoV-2(新型冠状病毒或2019-nCoV)的原发性感染通过与血管紧张素转换酶2 (ACE2)受体结合的病毒结构刺突(S)蛋白靶向特定细胞,如鼻、支气管上皮细胞和肺细胞。此外,宿主细胞中存在的2型跨膜丝氨酸蛋白酶(TMPRSS2)通过切割ACE2和触发SARS-CoV-2 S蛋白来促进病毒摄取,从而促进SARS-CoV-2进入宿主细胞。其中一种在肺组织中分布能力较大的TMPRSS2抑制剂是盐酸溴克辛,它可以减弱SARS-CoV-2的进入和增殖。溴甲基辛是一种靶向ACE2/ TMPRSS2通路治疗Covid-19肺炎的有效药物。然而,建议前瞻性和对照临床试验来证实这一观察结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The potential role of Bromhexine in the management of COVID-19: Decipher and a real game-changer
Primary infection of SARS-CoV-2 (novel coronavirus or 2019-nCoV), which leads to Covid-19, targets specific cells, such as nasal, bronchial epithelial and pneumocytes, through the viral structural spike (S) protein that binds to the angiotensin-converting enzyme 2 (ACE2) receptor. Also, type 2 transmembrane serine protease (TMPRSS2) present in the host cell promotes viral uptake by cleaving ACE2 and triggering the SARS-CoV-2 S protein, which facilitates SARS-CoV-2 entry into host cells. One of the TMPRSS2 inhibitors with a greater distribution capacity into the lung tissue is bromhexine hydrochloride which attenuates the entry and proliferation of SARS-CoV-2. Bromhexine is an effective drug in the management and treatment of Covid-19 pneumonia via targeting ACE2/ TMPRSS2 pathway. However, prospective and controlled clinical trials are recommended to confirm this observation.
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