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Update on treatment and preventive interventions against COVID-19: an overview of potential pharmacological agents
Yinan Xiao1,2, Hanyue Xu2,3, Wen Guo2,3
1Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041 China.
Abstract:
The outbreak of coronavirus disease 2019 (COVID-19) triggered by the new member of the coronaviridae family, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has created an unprecedented challenge for global health. In addition to mild to moderate clinical manifestations such as fever, cough, and fatigue, severe cases often developed lethal complications including acute respiratory distress syndrome (ARDS) and acute lung injury. Given the alarming rate of infection and increasing trend of mortality, the development of underlying therapeutic and preventive treatment, as well as the verification of its effectiveness, are the top priorities. Current research mainly referred to and evaluated the application of the empirical treatment based on two precedents, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), including antiviral drugs targeting different stages of virus replication, immunotherapy modulating the overactivated inflammation response, and other therapies such as herbal medicine and mesenchymal stem cells. Besides, the ongoing development of inventing prophylactic interventions such as various vaccines by companies and institutions worldwide is crucial to decline morbidity and mortality. This review mainly focused on promising candidates for the treatment of COVID-19 and collected recently updated evidence relevant to its feasibility in clinical practice in the near future.
Insights
This review examines emerging treatments for coronavirus disease 2019 (COVID-19), including antivirals and immunotherapies. It assesses the clinical feasibility of these promising therapeutic and preventive strategies against SARS-CoV-2.
Area of Science:
- * Infectious Diseases and Virology
- * Pulmonology and Critical Care Medicine
Background:
- * The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic presents a significant global health challenge.
- * COVID-19 can lead to severe complications like acute respiratory distress syndrome (ARDS), necessitating urgent therapeutic development.
- * Existing research draws upon precedents from SARS and MERS for treatment strategies.
Purpose of the Study:
- * To review and evaluate promising therapeutic and preventive candidates for COVID-19 treatment.
- * To assess the clinical feasibility of these interventions based on recent evidence.
Main Methods:
- * Literature review of empirical treatments based on SARS and MERS.
- * Analysis of antiviral drugs, immunotherapies, herbal medicine, and mesenchymal stem cells.
- * Inclusion of data on prophylactic interventions, including vaccine development.
Main Results:
- * Various therapeutic avenues are being explored, including antivirals targeting viral replication and immunotherapies for inflammation.
- * Preventive strategies, particularly vaccine development, are crucial for reducing COVID-19 morbidity and mortality.
- * Evidence for the clinical practice feasibility of these treatments is being collected and updated.
Conclusions:
- * A multifaceted approach combining antivirals, immunotherapies, and vaccines is essential for managing COVID-19.
- * Continued research and clinical validation are critical for establishing effective treatments and prevention.
- * The review highlights the importance of evidence-based strategies for future pandemic preparedness.
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