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Targeting Multiple Signal Transduction Pathways of SARS-CoV-2: Approaches to COVID-19 Therapeutic Candidates
Sajad Fakhri1, Zeinab Nouri2, Seyed Zachariah Moradi1,3
1Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah 6734667149, Iran.
Abstract:
Due to the complicated pathogenic pathways of coronavirus disease 2019 (COVID-19), related medicinal therapies have remained a clinical challenge. COVID-19 highlights the urgent need to develop mechanistic pathogenic pathways and effective agents for preventing/treating future epidemics. As a result, the destructive pathways of COVID-19 are in the line with clinical symptoms induced by severe acute coronary syndrome (SARS), including lung failure and pneumonia. Accordingly, revealing the exact signaling pathways, including inflammation, oxidative stress, apoptosis, and autophagy, as well as relative representative mediators such as tumor necrosis factor-α (TNF-α), nuclear factor erythroid 2-related factor 2 (Nrf2), Bax/caspases, and Beclin/LC3, respectively, will pave the road for combating COVID-19. Prevailing host factors and multiple steps of SARS-CoV-2 attachment/entry, replication, and assembly/release would be hopeful strategies against COVID-19. This is a comprehensive review of the destructive signaling pathways and host-pathogen interaction of SARS-CoV-2, as well as related therapeutic targets and treatment strategies, including potential natural products-based candidates.
Insights
Understanding COVID-19 pathogenesis is crucial for developing effective treatments. This review details destructive signaling pathways and host-pathogen interactions, offering insights into therapeutic targets and natural product candidates for combating the disease.
Area of Science:
- Virology
- Immunology
- Pathology
Background:
- Coronavirus disease 2019 (COVID-19) presents complex pathogenic mechanisms, posing significant therapeutic challenges.
- The severe acute respiratory syndrome (SARS) shares clinical similarities with COVID-19, including lung failure and pneumonia.
- Effective strategies against future epidemics necessitate a deep understanding of viral pathogenesis.
Purpose of the Study:
- To comprehensively review the destructive signaling pathways implicated in COVID-19 pathogenesis.
- To explore host-pathogen interactions involving SARS-CoV-2.
- To identify potential therapeutic targets and treatment strategies, including natural products.
Main Methods:
- Literature review focusing on molecular mechanisms of COVID-19.
- Analysis of signaling pathways: inflammation, oxidative stress, apoptosis, and autophagy.
- Examination of host factors and SARS-CoV-2 lifecycle stages (attachment, entry, replication, assembly, release).
Main Results:
- COVID-19 involves key signaling pathways such as inflammation (TNF-α), oxidative stress (Nrf2), apoptosis (Bax/caspases), and autophagy (Beclin/LC3).
- Understanding host factors and viral replication steps offers potential therapeutic avenues.
- Natural products show promise as complementary treatment candidates.
Conclusions:
- Elucidating COVID-19's molecular pathways is vital for developing effective therapies.
- Targeting specific host-pathogen interactions and signaling mediators can combat the disease.
- Further research into natural products may yield novel therapeutic agents for COVID-19 and future epidemics.
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