Assessment of the therapeutic effect of the drug Molixan in the treatment of Syrian hamsters experimentally infected with the SARS-CoV-2 virus

M. Gulyaeva, L. Shestopalova, X. Din, A. Alekseev, A. G. Markhaev, А. Y. Filippova, V. G. Antonov, A. P. Trashkov, A. M. Shestopalov
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Abstract

Background. Studying the characteristics of the course of coronavirus infection caused by SARS-CoV-2 remains relevant due to the high mutagenicity of the virus and the prevalence of the disease in the world. The search for new drugs to eliminate clinical manifestations of COVID-19, as well as against its agent, is essential. During the pandemic caused by SARS-CoV-2, dexamethasone was recognized as the only effective anti-inflammatory drug for the treatment of patients with severe form of the disease, but its use leads to a large number of side effects.The aim. To study the therapeutic effect of the drug Molixan in the treatment of coronavirus infection in model animals – Syrian hamsters.Methods. To assess the effectiveness of the drug Molixan, we carried out a visual assessment of the condition of the lungs using light microscopy and the morphometry of the lung tissue of experimentally infected Syrian hamsters on the day 6 after infection under different Molixan treatment regimens and during dexamethasone therapy. The test drug was administered using three different doses (22.2 mg/kg, 44.4 mg/kg and 88.8 mg/kg, which are equivalent to doses of 3 mg/kg, 6 mg/kg and 12 mg/kg of human body weight) once daily or dividing the dose into two within 12 h interval in case of multiple (5 days) intramuscular administration. Dexamethasone (comparison drug) was administered at a dose of 20 mg/kg once daily for 5 days.Results. The studies showed statistically significant effectiveness of using Molixan at a dose of 44.4 mg/kg, divided into two doses, during 5 days. When compared with untreated hamsters, this treatment regimen reduces the degree of generalization and severity of the inflammatory process in the lungs; and the pathomorphological picture is similar to that observed during treatment with Dexamethasone.Conclusion. The studied drug Molixan is effective as an anti-inflammatory drug in the treatment of the disease caused by SARS-CoV-2.
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评估药物 Molixan 对实验性感染 SARS-CoV-2 病毒的叙利亚仓鼠的治疗效果
背景。由于 SARS-CoV-2 病毒的高度突变性和该疾病在全球的流行,研究该病毒引起的冠状病毒感染过程的特征仍然具有现实意义。寻找消除 COVID-19 临床表现的新药以及针对其病原体的新药至关重要。在由 SARS-CoV-2 引起的大流行期间,地塞米松被认为是治疗重症患者唯一有效的抗炎药物,但使用地塞米松会导致大量副作用。研究莫立善(Molixan)药物在治疗模型动物叙利亚仓鼠冠状病毒感染中的疗效。为了评估药物 Molixan 的疗效,我们在实验感染的叙利亚仓鼠感染后第 6 天,在不同的 Molixan 治疗方案和地塞米松治疗期间,使用光学显微镜和肺组织形态测量法对肺部状况进行了直观评估。试验药物采用三种不同的剂量(22.2 毫克/千克、44.4 毫克/千克和 88.8 毫克/千克,相当于人体体重 3 毫克/千克、6 毫克/千克和 12 毫克/千克的剂量),每天给药一次,或在多次(5 天)肌肉注射的情况下将剂量分成两次,每次间隔 12 小时。地塞米松(对比药物)的剂量为 20 毫克/千克,每天一次,连用 5 天。研究结果表明,莫利克散的剂量为 44.4 毫克/千克,分两次给药,疗程为 5 天。与未经治疗的仓鼠相比,该治疗方案降低了肺部炎症过程的泛化程度和严重程度;其病理形态学表现与使用地塞米松治疗期间观察到的病理形态学表现相似。所研究的药物莫利克散作为一种抗炎药物,在治疗由 SARS-CoV-2 引起的疾病方面效果显著。
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