使用重塑药物有效治疗 COVID-19 感染:病例报告。

IF 1.5 4区 医学 Q4 IMMUNOLOGY
Viral immunology Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI:10.1089/vim.2024.0034
Abraham M Enyeji, Amit Arora, Harpal S Mangat
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引用次数: 0

摘要

由于缺乏针对严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)的有效抗病毒疗法,COVID-19 大流行的应对工作受到了阻碍。以前仅通过疫苗来预防 COVID-19 的方法之所以失败,可能是因为对 SARS-CoV-2 病毒的快速演变缺乏了解。鉴于目前还没有针对该病毒的特效疗法,人们一直在努力探索治疗方案。药物再利用包括为已批准的药物确定新的治疗用途,事实证明这是一种节省时间且失败风险最小的策略。在本研究中,我们报告了在 COVID-19 患者中成功使用多药疗法的情况。多药疗法的成功应用已有报道,如羟氯喹和阿奇霉素、强力霉素和伊维菌素或伊维菌素、强力霉素和阿奇霉素的组合。多种药物疗法之所以有效,是因为这些药物的作用机制各不相同,而且还可以减少耐药 SARS-CoV-2 株的出现。这些药物是洛匹那韦/利托那韦(Kaletra)、巴拉尼单抗(Bamlanivimab)(单克隆抗体)、甘珀酸福莫特罗(Bevespi)、环索奈德(Alvesco)、法莫替丁(Pepcid)和苯海拉明(Benadryl)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effective Treatment of COVID-19 Infection with Repurposed Drugs: Case Reports.

The COVID-19 pandemic response has been hindered by the absence of an efficient antiviral therapy for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The reason why the previous preventative approach to COVID-19 solely through vaccines has failed could be a lack of understanding of how quickly the SARS-CoV-2 virus evolves. Given the absence of specific treatments for the virus, efforts have been underway to explore treatment options. Drug repurposing involves identifying new therapeutic uses for approved drugs, proving to be a time-saving strategy with minimal risk of failure. In this study, we report the successful use of a multidrug approach in patients with COVID-19. Successful administration of multidrug therapy, such as combinations of hydroxychloroquine and azithromycin, doxycycline and ivermectin, or ivermectin, doxycycline, and azithromycin, has been reported. Multidrug therapy is effective because of the differing mechanisms of action of these drugs, and it may also mitigate the emergence of drug-resistant SARS-CoV-2 strains. The medicines were lopinavir/ritonavir (Kaletra), bamlanivimab (monoclonal antibody), glycopyrrolate-formoterol (Bevespi), ciclesonide (Alvesco), famotidine (Pepcid), and diphenhydramine (Benadryl).

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来源期刊
Viral immunology
Viral immunology 医学-病毒学
CiteScore
3.60
自引率
0.00%
发文量
84
审稿时长
6-12 weeks
期刊介绍: Viral Immunology delivers cutting-edge peer-reviewed research on rare, emerging, and under-studied viruses, with special focus on analyzing mutual relationships between external viruses and internal immunity. Original research, reviews, and commentaries on relevant viruses are presented in clinical, translational, and basic science articles for researchers in multiple disciplines. Viral Immunology coverage includes: Human and animal viral immunology Research and development of viral vaccines, including field trials Immunological characterization of viral components Virus-based immunological diseases, including autoimmune syndromes Pathogenic mechanisms Viral diagnostics Tumor and cancer immunology with virus as the primary factor Viral immunology methods.
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