The Use of the Available Research Evidence to Crack the Padlock of Sars-CoV-2

Aamir Jalal Al-Mosawi
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引用次数: 5

Abstract

It was known earlier that although, SARS-CoV was controlled more than a decade ago, more SARS-like coronaviruses which have been isolated in bats can use the human angiotensin converting enzyme-2 (ACE2) receptor to replicate to high levels in primary human airway, and they had the potential to cause new epidemics. Now, we should remember that it was concluded from earlier experiences that the first and most effective line of defense against a new viral pandemic in the early phases, are antiviral drugs not vaccines developed after rather a lengthy time. The unexpected high mortality associated with the ongoing SARS-CoV-2 in countries like the United States and the United Kingdom confirmed the earlier scientific prediction of the inadequate preparedness of the world to victoriously combat a new virus pandemic. The rational scientific approach to face a potentially fatal viral pandemic with no known effective specific therapies dictate the early use of all the useful preliminary research evidence with prioritizing emphasis on safety to avoid making more harm than good in such situation. We have previously published an evidence-based keys to the therapeutic challenge associated with the emergence of SARS-CoV-2 pandemic. The aim of this paper is to provide and important updates to keys to the therapeutic challenge which are hoped to help in cracking the padlock of SARS-CoV-2.
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利用现有研究证据破解新冠病毒的“挂锁
早前人们就知道,尽管sars冠状病毒在十多年前就得到了控制,但在蝙蝠中分离出的更多sars样冠状病毒可以利用人类血管紧张素转换酶-2 (ACE2)受体在初级人类气道中复制到高水平,并且它们有可能引起新的流行病。现在,我们应该记住,从早期的经验中得出的结论是,在早期阶段,对抗新病毒大流行的第一道也是最有效的防线是抗病毒药物,而不是经过相当长时间才开发出来的疫苗。在美国和英国等国,与持续的SARS-CoV-2相关的意外高死亡率证实了早先的科学预测,即世界没有做好充分的准备,无法胜利地抗击一场新的病毒大流行。面对没有已知有效的特定疗法的潜在致命病毒大流行,理性的科学方法要求及早使用所有有用的初步研究证据,优先强调安全性,以避免在这种情况下弊大于利。我们之前发表了一份以证据为基础的解决SARS-CoV-2大流行相关治疗挑战的关键。本文的目的是为治疗挑战的关键提供重要的更新,希望有助于破解SARS-CoV-2的挂锁。
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