正在测试针对covid-19的药物,以减缓其传播并找到有效的治疗方法:一项系统综述。

Arsalan Rasheed, Μalaika Νοοr, Τahir Usman, Rizwana Bilqees, Muhammad Afnan, S. Gul, N. Khan, S. Khattak, Irfan Khattak, A. A. Shah
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引用次数: 0

摘要

背景:SARS-COV-2在大陆之间的传播导致编码蛋白质的病毒基因突变数量增加。因此,靶蛋白的突变为制造抗病毒药物和疫苗提供了重大挑战。本文综述了COVID-19流行病学和正在试验的药物对COVID-19/SARS-COV-2的作用。还讨论了这些药物的剂量以及相关的挑战。方法:在PubMed, NIH, Elsevier, Scopus, Web of Science, Science Direct和谷歌Scholar数据库中进行全面检索后进行系统评价。45项与COVID-19相关的药物研究符合纳入标准,入选本综述。结果:FDA只接受了治疗SARS-COV-2的Remdesivir药物,因为住院患者服用后恢复很快。抗病毒药物EIDD-2801已被发现通过引起病毒RNA的遗传修饰使SARS-COV-2无法感染细胞。同样,Nitazoxanide在初级干预和严重情况(包括妊娠)中似乎对SARS-COV-2有益,对新生儿没有不良影响。病情轻微的儿童可以通过适当的照顾来处理。结论:尽管在重症病例中推荐使用瑞德西韦和地塞米松,但仍在进行临床试验,以研究其他可能的治疗方法,如单抗和COVID-19恢复期血浆抗体。研究人员也没有对旧药物(通常用于治疗其他疾病)进行充分的测试,以确定它们是否对COVID-19有效。进一步的测试对于验证上述任何可能的治疗方法是否有助于治疗COVID-19至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Drugs being tested against covid-19 to slow down its spread and find effective treatment: A systematic review.
Background: The SARS-COV-2's spread from continent to the continent has resulted in an increased number of mutations in the viral gene encoding proteins. As a result, mutations in target proteins provide a significant challenge in creating antiviral drugs and vaccines. The present review discussed the COVID-19 epidemiology and the effects of drugs being tested against COVID-19/SARS-COV-2. Dosage of these drugs along with associated challenges was also discussed. Methodology: Systematic review was conducted after a thorough search in the "PubMed, NIH, Elsevier, Scopus, Web of Science, Science Direct, and Google Scholar database. 45 studies on drugs associated with COVID-19 fulfilled the inclusion criteria and were selected for this review. Results: The FDA only accepted the Remdesivir drug against SARS-COV-2, as the hospitalized patients recovered very quickly by taking it. Antiviral EIDD-2801 has been found to make the SARS-COV-2 unable to infect cells by causing genetic modifications in the virus RNA. Similarly, Nitazoxanide appeared beneficial against SARS-COV-2 in a primary intervention and severe conditions (including pregnancy) without undesirable effects on the newborns. Children with mild cases can be handled solely by proper caring. Conclusion: Although Remdesivir and Dexamethasone are recommended in severe cases, clinical trials are ongoing to investigate other possible therapies like MAb and Convalescent Plasma antibodies for COVID-19. Older drugs (usually used to treat other conditions) are also under-tested by researchers to see if they are effective for COVID-19. Further tests are essential to validate whether any of the mentioned above possible therapies would be helpful for COVID-19 treatment.
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