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Role of Protease Inhibitors to Treat HIV 蛋白酶抑制剂在治疗HIV中的作用
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.13.E231
Suriya Chekkal
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引用次数: 0
Current Therapeutics and Prophylactics against COVID-19 当前针对COVID-19的治疗和预防方法
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.13.207
Madhu Rai, Yuvraj Kc, R. Gaur
Coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It has been declared as a pandemic by the World Health Organization (WHO) on March 11, 2020. Due to the lack of complete understanding of SARS-CoV-2, the disease continues to accelerate at a fast pace affecting millions around the globe. But inspiringly, unanimous efforts by researchers globally, have led to repurposing of several antiviral drugs that have proven successful in saving millions of lives. This review sheds light upon SARS-CoV-2 viral pathogenesis and describes clinically favorable drugs currently being used in the treatment of infected patients. In addition, it gives a comprehensive insight of the current status of different types of vaccines under trial worldwide that might help us to tide over the pandemic.
2019冠状病毒病(COVID-19)是由一种新型冠状病毒——严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的。2020年3月11日,世界卫生组织宣布新冠肺炎为大流行。由于对SARS-CoV-2缺乏完全的了解,这种疾病继续以快速的速度加速,影响全球数百万人。但令人鼓舞的是,全球研究人员的一致努力,已经导致了几种抗病毒药物的重新用途,这些药物已被证明成功地挽救了数百万人的生命。本文综述了SARS-CoV-2病毒的发病机制,并介绍了目前用于治疗感染患者的临床有利药物。此外,它还全面了解了世界各地正在试验的不同类型疫苗的现状,这可能有助于我们渡过大流行。
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引用次数: 0
Advantages and Limitations of Bacteriophages 噬菌体的优点和局限性
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.S21.E004
S. Asher
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引用次数: 1
Avian Influenza (H5N1) and its Pandemic Potential 禽流感(H5N1)及其大流行潜力
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.S17.002
S. A. Bhat, B. Bhat, G. Gora
Avian influenza or bird flu, a highly contagious, transboundary, viral respiratory disease of birds and sporadically infecting humans. The disease is caused by Avian Influenza type A Virus (AIV), belonging to the family Orthomyxoviridae. These are enveloped, single-stranded, negative sense RNA viruses with segmented genome (8 segments), coding for 12 major proteins. The virus sub-typing is done based on the two important viral surface glycoproteins such as Hemagglutinin (HA) and Neuraminidase (NA). The HA is involved in virus entry into the cell and NA in its release from the cell, thus playing an important role in influenza virus replication cycle. Till date, 16 HA and 9NA subtypes have been detected in birds, thus AIV can reemerge into 144 possible combinations [1]. Wild Aquatic birds act as natural reservoirs of influenza virus worldwide and the main source of infection to domestic poultry.
禽流感或禽流感是一种高度传染性、跨界的鸟类病毒性呼吸道疾病,偶尔感染人类。该疾病是由禽流感A型病毒(AIV)引起的,属于正粘病毒科。它们是包膜、单链、负义RNA病毒,具有分段基因组(8段),编码12种主要蛋白质。病毒分型是基于两种重要的病毒表面糖蛋白,如血凝素(HA)和神经氨酸酶(NA)。HA参与病毒进入细胞,NA参与病毒从细胞释放,在流感病毒复制周期中发挥重要作用。迄今为止,在鸟类中已检测到16种HA和9NA亚型,因此AIV可以重新出现144种可能的组合[1]。野生水禽是全球流感病毒的天然宿主,也是家禽感染的主要来源。
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引用次数: 0
The Emerging Strains of SARS-CoV-2 and Current Vaccine Strategies: A Systemic Review 新出现的SARS-CoV-2毒株和当前的疫苗策略:系统综述
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.S20.001
Tanay Chakrovarty, Ali Ahsan Setu, Sourav Dutta Dip, Md Shazid Hasan, Md. Tanvir Islam
The ongoing ravaging pandemic caused by SARS-CoV-2 continues to emerge by acquiring new mutations. Several recent mutations under different clades render the virus to bind more efficiently to the human ACE-2 (Angiotensin Converting Enzyme-2) with its spike protein. Detection inefficiency due to mutation in the spike protein (deletion of Δ69-Δ70 amino acid residues) misleads the flawless result of the COVID-19 test is also a significant concern. Several vaccine candidates have been designed to diminish this pandemic, from which four have been authorized due to exigency and more candidates are in the pipeline. The prime revealing mutations from different lineages (lineage B.1.177, B.1.1.7, B.1.351, and B.1.1.28 by PANGOLIN) has up risen several questions, including the vaccine efficacy against the mutated strains, alternate detection methods, evading potential of SARS-CoV-2 and clade lineage as well. The new variants recent incarnation has proved to have high transmissibility rather than the previous D614G variant and also indicates the latest outbreak of the mutated strain in an uncontrollable state. This review study aims to reveal these mutations along with discussing several vaccine strategies. The study also aims to describe several alternate detection methods to identify their clade and lineages and try to answer the arising questions from the current situation.
由SARS-CoV-2引起的持续破坏性大流行继续通过获得新的突变而出现。最近在不同分支下发生的几次突变使病毒更有效地结合人类ACE-2(血管紧张素转换酶-2)及其刺突蛋白。由于刺突蛋白的突变(Δ69-Δ70氨基酸残基的缺失)导致检测效率低下,导致新冠病毒检测的完美结果也令人担忧。已经设计了几种候选疫苗来减少这种大流行,由于紧急情况,已经批准了四种候选疫苗,更多的候选疫苗正在筹备中。穿山甲从不同谱系(B.1.177、B.1.1.7、B.1.351和B.1.1.28)中发现的主要突变引发了几个问题,包括疫苗对突变菌株的有效性、替代检测方法、逃避SARS-CoV-2的可能性以及进化谱系。与之前的D614G变体相比,最近出现的新变体被证明具有较高的传播率,也表明突变株的最新爆发处于不可控状态。本综述旨在揭示这些突变,并讨论几种疫苗策略。该研究还旨在描述几种替代的检测方法,以确定它们的分支和血统,并试图回答当前情况下出现的问题。
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引用次数: 0
Seroprevalence of Antivirals and Risks of Acquiring among Quarantined Individuals in North West Ethiopia: A Survey Study 埃塞俄比亚西北部隔离人群中抗病毒药物的血清阳性率和感染风险的调查研究
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.13.230
Fassikaw Kebede, Tsehay Kebede, B. Kebede, Agumas Fentahun Ayalew
Novel coronavirus 2019 (COVID-19) is a worldwide spreading pandemic respiratory disease caused by a positive single strand (RNA) virus. The efforts for preventing COVID-19 pandemic remain fruitless and ineffective. So this study aims to assess Seroprevalence, Knowledge and Practice of COVID-19 prevention among quarantined individual in North West Ethiopia. Methods: Institutional-based survey was conducted on COVID-19 suspected quarantined individuals from 21 April-30 December 2020. The collected data were edited and enter into EPI-DATA 3.1 version, then export to STATA/R-14 (SE) software for analysis. Results: Of 4233 quarantined individuals who received the SARS-CoV-2 IgG antibody test, 4230/99.78% were interviewed with a 99.82% response rate. The overall seroprevalence of COVID-19 symptom suspected quarantined individuals in North West Ethiopia was found 5.11, 95% CI (4.4-5.87). The overall knowledge and practice of prevention towards COVID-19 infection on isolated individuals were found 86.17 %( 95%CI: 85.1-87.2), and 62.82%; 95% CI: 60.75-63.8). Conclusion: The sero-prevalence of the quarantined population was high as compared with previously reported. The majority of the respondents know how to prevent themselves from the COVID-19, but changing this prevention knowledge into the practice of tackling was great gap.
新型冠状病毒2019 (COVID-19)是一种由单链阳性病毒(RNA)引起的全球传播的大流行性呼吸道疾病。预防新冠肺炎大流行的努力仍然毫无成效。因此,本研究旨在评估埃塞俄比亚西北部被隔离个体的COVID-19血清阳性率、预防知识和实践。方法:对2020年4月21日- 12月30日的COVID-19疑似隔离人员进行机构调查。将采集到的数据进行编辑,输入EPI-DATA 3.1版本,导出到STATA/R-14 (SE)软件进行分析。结果:接受SARS-CoV-2 IgG抗体检测的4233名被隔离者中,有4230/99.78%的人接受了面谈,应答率为99.82%。埃塞俄比亚西北部疑似COVID-19症状被隔离个体的总体血清阳性率为5.11,95% CI(4.4-5.87)。隔离个体对COVID-19感染的整体预防知识和行为为86.17% (95%CI: 85.1-87.2)和62.82%;95% ci: 60.75-63.8)。结论:被隔离人群血清流行率高于以往报道。大多数受访者知道如何预防自己感染COVID-19,但将这些预防知识转化为应对实践存在很大差距。
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引用次数: 0
Anaesthetic Management for Emergent Caesarean Delivery in a Parturient with Recent Diagnosis of COVID-19 新近诊断为COVID-19的产妇紧急剖宫产的麻醉管理
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.13.206
M. Tayyeb, M. Owais, M. Abbas, W. Ahmad, Syed Arshad Ullah, Ayub Jadoon, H. Khan
To-date humans suffered from a different pandemic disease which causes great loss. At the end of 2019, a few cases of high contagious flu were reported in the Wuhan, China. The death ratio is very high. Some common high-risk patients are cardiovascular disease patients, cancer patients, pregnant women, and foetuses. Ultra-Care is necessary for those pregnant women who are admitted for caesarean section surgery. Society of Obstetric Anesthesia and Perinatology revealed that in elective caesarean surgery the pregnant women should be a screen for the symptoms of COVID-19 before the procedure. During surgery along with other management, anaesthetic drugs are a key priority element. Among pregnant women, the safest anesthesia for caesarean with COVID-19 is Combine Spinal Epidural Anesthesia (CSEA). In emergency, caesarean surgery of COVID-19 patient general anesthesia with rapid sequence induction and the endotracheal tube is administered. It is recommended that pregnant women should be properly examined for symptoms of COVID-19 before surgery. The healthcare staff should wear proper PPE to avoid the spread of the virus. It is concluded that patient with other disease has increased the morbidity rate up to three-fold. The spinal and epidural anesthesia are safe for elective surgery of pregnant women.
迄今为止,人类遭受了另一种造成巨大损失的大流行疾病。2019年底,中国武汉报告了几例高传染性流感病例。死亡率非常高。一些常见的高危患者是心血管疾病患者、癌症患者、孕妇和胎儿。对于那些接受剖腹产手术的孕妇来说,超护理是必要的。产科麻醉和围产期学会透露,在选择性剖腹产手术中,孕妇在手术前应筛查COVID-19症状。在手术和其他管理中,麻醉药物是一个关键的优先因素。在孕妇中,合并COVID-19的剖宫产最安全的麻醉是脊髓硬膜外联合麻醉(CSEA)。急诊情况下对COVID-19患者行剖宫产手术,采用快速序贯诱导全麻加气管插管。建议孕妇在手术前适当检查COVID-19症状。医护人员应佩戴适当的个人防护装备,避免病毒传播。结果表明,合并其他疾病的患者使发病率增加了3倍。腰麻和硬膜外麻醉对孕妇择期手术是安全的。
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引用次数: 1
Non-Randomized Clinical Trial to Interrupt Vertical Hepatitis B Viral Infection 阻断乙型肝炎垂直病毒感染的非随机临床试验
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.S20.003
K. Ali, A. Hasab, Noha M Awad, Y. Abed
Background: Hepatitis is an inflammation of the liver, can be self-limiting or progress to fibrosis, cirrhosis, or hepatocellular carcinoma, HB occurs as a result of parenteral contact with infected body fluids, could be vertical from mother to baby or horizontal. Aim of the study: To assess the effectiveness of HB vaccine alone versus HBIG combined with HB vaccine in the interruption of neonatal HB viral infection. Methods: A Non-randomized clinical trial was conducted, 228 subjects distributed into two groups, the control group: newborns of mothers with inactive HBV infection were given HBIG and HB vaccine and, the intervention group: Newborns of mothers with inactive HBV infection were given HB vaccine alone. Results: showed that the two immunization regimens were effective in preventing HB vertical infection, GMT of the infants who vaccinated with HB vaccine alone (207.64 IU/L) higher than the infants who vaccinated with HB vaccine combined with HBIG (180.87 IU/L), the overall non-protective rate was 6.6% (15/228), (7.89%) among the control group compared to (5.26%) among the intervention group, RR 2.63, HBV incidence rate was zero. Conclusion: HB vaccine alone completely prevents HBV vertical infection and it`s not inferior to HB vaccine combined with HBIG.
背景:肝炎是肝脏的一种炎症,可自限性或进展为纤维化、肝硬化或肝细胞癌,HB可因经肠外接触感染的体液而发生,可由母亲垂直传染给婴儿或水平传染。研究目的:评估单独使用乙肝疫苗与HBIG联合乙肝疫苗在阻断新生儿乙肝病毒感染中的有效性。方法:采用非随机临床试验,将228例受试者分为两组,对照组:HBV感染不活跃的母亲的新生儿接种HBIG和HB疫苗,干预组:HBV感染不活跃的母亲的新生儿单独接种HB疫苗。结果:两种免疫方案均可有效预防HB垂直感染,单独接种HB疫苗的婴儿GMT (207.64 IU/L)高于乙肝疫苗联合HBIG疫苗的婴儿GMT (180.87 IU/L),总体无保护率为6.6%(15/228),对照组(7.89%)高于干预组(5.26%),RR 2.63, HBV发病率为零。结论:单独接种HB疫苗对HBV垂直感染的预防作用完全,不逊于HB疫苗联合HBIG。
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引用次数: 0
Covid-19 Pandemic and Vaccine Prospect: Lessons Learnt from HIV/AIDS Covid-19大流行和疫苗前景:从艾滋病毒/艾滋病中吸取的教训
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.13.209
G. Ghosh
Recent media reported in India those weeks after first vaccine dose during the trial, a Minister got Covid-19. It may have hogged the headline in regard to India’s Covaxin produced by Bharat Biotech. But, the company soon issued a statement defending itself on this count stating, “Covaxin clinical trials are based on a two-dose schedule, given 28 days apart, and the vaccine has been designed to be efficacious when subjects receive both doses.”
最近印度媒体报道说,在试验期间首次接种疫苗几周后,一名部长感染了Covid-19。它可能占据了印度巴拉特生物技术公司(Bharat Biotech)生产的Covaxin的头条新闻。但是,该公司很快发表了一份声明为自己辩护,称“Covaxin临床试验是基于两剂计划,间隔28天,疫苗的设计是在受试者接受两剂时有效。”
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引用次数: 0
A Combo Compound Therapy Effectively Reduces SARS-CoV-1 Viral Load in Mouse Lung 复方治疗有效降低小鼠肺中SARS-CoV-1病毒载量
Pub Date : 2021-01-01 DOI: 10.37421/1948-5964.21.13.221
J. Tunac
Objective: SARS-CoV disease caused by SARS-CoV-1 is of multifactorial etiology consisting of upstream and downstream phases. The upstream phase is the physical breach of the cells protective shield by extraneous stressors including the virus and environmental elements (xeno), while the downstream is a sequela of damages (plexic) manifested in various symptoms, herein called xenoplexic diseases. Symptom targeting drugs are ineffective and palliative at best. SARS-CoV is a xenoplexic disease best treated with a combo therapeutic strategy This study evaluates EmbotricinTM (EMB), a multicomponent compound, to treat SARS-CoV. Materials and methods: Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-1), strain Urbani (200300592), obtained from the Centers for Disease Control and Prevention (CDC, Atlanta, GA) was used as the test virus. Female BALB/C mice obtained from Charles River Laboratories (Wilmington, MA) were the animal host. New Chemical Entities (NCE) including FTX-214, FTX-218, and FTX-219 were formulated as a 3-component combo, herein called Embotricin (EMB). Also, a 4-component compound consisting of EMB plus sodium thiosulfate was evaluated. The 3- and 4-combo compounds were administered 2 days prior to infection, given by per os (PO) daily (q.d.) for 5 days. Poly I:C, a known antiviral compound acting as an immunomodulator was used as a comparative control, administered intraperitoneally (IP). Results: EMB at 3.1 mg/kg fixed dose (1:1:1 ratio) combo reduced viral load by 14.4% compared to 11.8% for poly I:C at 10 mg/kg dose. Addition of sodium thiosulfate (4-combo formulation) further boosted the activity to 16.6%. Increasing the 4-combo dosages to 4.65 mg/kg and 6.2 mg/kg further increased activity to 18.2% and 20.9%, respectively. Conclusion: The individual components synergistically targeted the upstream disease etiology and restore in toto the health of the cell to ward off SARS-CoV-1. Thus, combo therapy may well be a universal platform to treat xenoplexic diseases where monotherapies fail. The combo therapy effectively reduced the viral load of SARS-CoV-1, not by directly inhibiting the virus, but most likely due to enhancing the health of the cell.
目的:由SARS-CoV-1引起的SARS-CoV病是由上游和下游两个阶段组成的多因素病因学。上游阶段是外部应激源包括病毒和环境因素(xeno)对细胞保护屏障的物理破坏,下游阶段是损伤的后遗症(plexic),表现为各种症状,这里称为xenoplexic病。针对症状的药物是无效的,充其量只能起到缓解作用。本研究评估了多组分化合物EmbotricinTM (EMB)治疗SARS-CoV的效果。材料与方法:以美国疾病控制与预防中心(CDC, Atlanta, GA)提供的严重急性呼吸综合征冠状病毒(SARS-CoV-1)株Urbani(200300592)为试验病毒。来自Charles River Laboratories (Wilmington, MA)的雌性BALB/C小鼠为动物宿主。包括FTX-214, FTX-218和FTX-219在内的新化学实体(NCE)被配制成三组分组合,在这里称为Embotricin (EMB)。同时,对EMB +硫代硫酸钠组成的4组分化合物进行了评价。3-和4-组合化合物在感染前2天给药,每天(q.d)给药5天。Poly I:C,一种已知的抗病毒化合物,作为免疫调节剂被用作比较对照,腹腔内给药(IP)。结果:EMB以3.1 mg/kg固定剂量(1:1:1)组合降低病毒载量14.4%,而poly I:C以10 mg/kg剂量降低病毒载量11.8%。添加硫代硫酸钠(4-复合配方)进一步将活性提高到16.6%。将4种组合剂量增加到4.65 mg/kg和6.2 mg/kg,活性分别提高到18.2%和20.9%。结论:各组分协同靶向上游病因,全面恢复细胞健康,抵御SARS-CoV-1。因此,在单药治疗无效的情况下,联合治疗很可能是治疗异种神经系统疾病的通用平台。这种联合疗法有效地降低了SARS-CoV-1的病毒载量,不是通过直接抑制病毒,而是很可能通过增强细胞的健康程度。
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引用次数: 0
期刊
Journal of Antivirals & Antiretrovirals
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