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Computational Design of Peptide Inhibitors Targeting the SARS-CoV-2Main Protease 针对 SARS-CoV-2 主蛋白酶的多肽抑制剂的计算设计
Pub Date : 2024-06-13 DOI: 10.2174/0126667975319992240612053235
Chainee Das, V. S. Mattaparthi
The novel coronavirus disease also known as COVID-19 was first detectedin December 2019 in Wuhan, China and was caused by the severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) and its effect can still be seen in some parts of the world due to the lack ofeffective antiviral drugs and vaccines for treatment and controlling the pandemic. Chymotrypsin-likeprotease (3CLpro), also known as the main protease (Mpro) of SARS-CoV-2 plays a vital role duringits replication process of the pathogen’s lifecycle and is therefore considered a potential drug targetfor COVID-19. Hence, targeting the Mpro is an appealing approach for drug development because ofits significant role in viral replication and transcription and therefore can act as an attractive drugtarget to combat COVID-19 as confirmed by researchers through numerous studies so far. Althoughsmall molecules dominate the field of drug market so far, peptide inhibitors still represent a class ofpromising candidates because of their similarity to endogenous ligands, high affinity, and low toxicity.It has been validated that therapeutic peptides can effectively and selectively inhibit the proteinproteininteractions in viruses. Hence, it is necessary to design potential peptide inhibitors in order toinhibit the impact of the disease.To design peptide inhibitors against the SARS-CoV-2 Main Protease using computationalmethodsThis study involves the development of potential target peptides that can act against theMpro in a competitive mode against histone deacetylase (HDAC2) which had a high-confidenceinteraction with Mpro. Based on the interaction between Mpro and HDAC2, 13 peptides were designedout of which based on toxicity, binding affinity and binding site prediction, two peptides(peptide2 and peptide4) were screened and subjected to MD simulation.Our study shows that the two peptides bind to the active site of the Mpro and it attains ahigher stability upon binding to the peptides. We also found out that the Mpro has a strong bindingaffinity with both the peptides (GBTOT = -72.85 kcal/mol for Mpro-peptide2 complex and GBTOT = -46.36 kcal/mol for the Mpro-peptide4 complex).Even though declaring those peptides as future potent drug candidates would requiremore analysis and trials, our analysis will surely add value to the future findings and these findingscould aid in the development of novel SARS-CoV-2 Mpro peptide inhibitors. These findings couldaid in the development of novel SARS-CoV-2 Mpro peptide inhibitors.
新型冠状病毒病又称COVID-19,于2019年12月在中国武汉首次发现,由严重急性呼吸系统综合征冠状病毒2(SARS-CoV-2)引起,由于缺乏有效的抗病毒药物和疫苗用于治疗和控制大流行,其影响仍在世界一些地区显现。糜蛋白酶样蛋白酶(3CLpro)又称 SARS-CoV-2 的主蛋白酶(Mpro),在病原体生命周期的复制过程中起着至关重要的作用,因此被认为是 COVID-19 的潜在药物靶点。因此,靶向 Mpro 是一种有吸引力的药物开发方法,因为它在病毒复制和转录过程中起着重要作用,因此可以作为抗击 COVID-19 的一个有吸引力的药物靶点,研究人员迄今已通过大量研究证实了这一点。虽然迄今为止小分子药物在药物市场上占主导地位,但多肽抑制剂因其与内源性配体相似、亲和力强、毒性低等特点,仍是一类前景广阔的候选药物。利用计算方法设计针对 SARS-CoV-2 主要蛋白酶的多肽抑制剂这项研究涉及开发潜在的靶肽,这些靶肽能以竞争模式对抗组蛋白去乙酰化酶(HDAC2),而 HDAC2 与 Mpro 有高可信度的相互作用。根据 Mpro 与 HDAC2 之间的相互作用,我们设计了 13 种多肽,并根据毒性、结合亲和力和结合位点预测,筛选出两种多肽(多肽 2 和多肽 4)并对其进行了 MD 模拟。我们还发现,Mpro 与这两种肽具有很强的结合亲和力(Mpro-肽2 复合物的 GBTOT = -72.85 kcal/mol ,Mpro-肽4 复合物的 GBTOT = -46.36 kcal/mol)。尽管将这些肽宣布为未来的强效候选药物还需要更多的分析和试验,但我们的分析肯定会为未来的研究结果增添价值,这些发现可能有助于新型 SARS-CoV-2 Mpro 肽抑制剂的开发。这些发现有助于开发新型 SARS-CoV-2 Mpro 肽抑制剂。
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引用次数: 0
A Review on Mpox: Diagnosis, Prevention and Treatments 关于麻疹的综述:诊断、预防和治疗
Pub Date : 2024-06-13 DOI: 10.2174/0126667975301557240604113752
Himanshu Sharma, Siddhant Jai Tyagi, Prakhar Varshney, Neha Pathak, Rashmi Pathak
Mpox is a zoonotic disease caused by the orthopox virus, and its signs and symptoms aresimilar to those of smallpox in humans. As public health organizations try to end the present epidemic,healthcare professionals across the globe place a high premium on their education on the manyclinical symptoms and possible treatments for this virus. For those who are affected, there is currentlyno cure. However, due to the smallpox outbreak, specialists are now looking at vaccinia immuneglobulin (IVG), tecovirimat, and cidofovir as potential remedies for Mpox. In severe cases, tecovirimatand supportive care may be used with drugs to aid with symptom alleviation. The World HealthOrganization (WHO) reports that the EMA acknowledged tecovirimat as a secure and reliable therapyfor Mpox in 2023. The effectiveness of these therapies is fiercely contested since there are clearguidelines for decreasing these symptoms. Moreover, by examining elements such as the quantity ofconfirmed, probable, and possible cases, the median age at presentation, the fatality rate, and thegeographic distribution of the disease, we hoped to understand the epidemiology of Mpox better as itwas changing throughout this study. In light of recent widespread outbreaks, this page provides anupdated analysis of Mpox and the medical remedies that are now accessible.
天花是一种由天花病毒引起的人畜共患疾病,其症状和体征与人类天花相似。在公共卫生组织试图终止目前的流行病时,全球各地的医疗保健专业人员都非常重视对他们进行有关这种病毒的多种临床症状和可能治疗方法的教育。对于那些感染者来说,目前还没有治愈的方法。不过,由于天花疫情的爆发,专家们目前正在将疫苗免疫球蛋白(IVG)、替考韦瑞(tecovirimat)和西多福韦(cidofovir)作为治疗麻腮风的潜在疗法。在严重的病例中,可使用替考韦利马特和支持性护理,并用药物缓解症状。世界卫生组织(WHO)报告称,欧洲药品管理局(EMA)于 2023 年承认替考韦瑞是治疗麻腮风的安全可靠的疗法。这些疗法的有效性引起了激烈的争论,因为有明确的准则来减轻这些症状。此外,通过研究确诊病例、疑似病例和可能病例的数量、发病时的中位年龄、病死率和地理分布等要素,我们希望更好地了解麻风腮流行病学在整个研究过程中的变化。鉴于最近痘病的广泛爆发,本页提供了对痘病的最新分析以及目前可以获得的医疗补救措施。
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引用次数: 0
Changes in the Global Mortality Rate Over Time in Association with the COVID-19 Pandemic Until 2032 2032 年前 COVID-19 大流行随时间推移造成的全球死亡率变化
Pub Date : 2024-06-13 DOI: 10.2174/0126667975303261240605043658
Seyedahmad Seyedalinaghi, Fatemeh Khajeh Akhtaran, Faezeh Abbaspour, E. Mehraeen, O. Dadras
To shed light on the potential trajectories in the global mortality rate, thecentral question posed is the trajectory of global death rates in the years to comeThis study was aneffort to predict the trend of the global mortality rate following the COVID-19 pandemic until 2032and, based on it, an attempt to contemplate potential solutions available for decision-making andplanning.We employed a time series model to predict future mortality rates based on global mortalityrate data. Although several forecasting methods exist for time series data, this study utilized theAutoregressive method. This approach facilitatedregression and prediction based on past mortalitynumbers. To predict mortality rates from 2023 to 2032, we applied an autoregressive model on mortalityrate data spanning 1980 to 2022.The predicted global mortality rate in the next 10 years (post-pandemic era) appeared to behigher than the 10 years before COVID-19 (pre-pandemic era). This projection indicates that despitea declining trend in mortality rates since 2023, the mortality rate from 2023 to 2032 exceeds that ofthe pre-COVID-19 years. We predict that the ongoing COVID-19 outbreak, although transitioningout of a crisis state, will result in an approximate increase in the global mortality rate over the next10 years.Our results indicate a noteworthy increase in the global mortality rate following theemergence of COVID-19. Furthermore, our findings suggest that the mortality rates will remain highin the future. Further research is necessary to attain more accurate insights into this matter.
本研究试图预测 COVID-19 大流行后至 2032 年的全球死亡率趋势,并在此基础上思考可供决策和规划使用的潜在解决方案。虽然时间序列数据有多种预测方法,但本研究采用了自回归法。这种方法有助于根据过去的死亡率进行回归和预测。为了预测 2023 年至 2032 年的死亡率,我们对 1980 年至 2022 年的死亡率数据采用了自回归模型。预测的未来 10 年(大流行后)全球死亡率似乎高于 COVID-19 之前的 10 年(大流行前)。这一预测表明,尽管自 2023 年以来死亡率呈下降趋势,但 2023 年至 2032 年的死亡率将超过 COVID-19 前的死亡率。我们预测,目前正在爆发的 COVID-19 虽然已经摆脱了危机状态,但仍将在未来 10 年内导致全球死亡率大致上升。此外,我们的研究结果表明,未来的死亡率仍将居高不下。为了更准确地了解这一问题,有必要开展进一步的研究。
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引用次数: 0
Spectrum of Respiratory Viruses Among Returning Iranian Pilgrims with Respiratory Symptoms During the COVID-19 Pandemic: A 2022 Study COVID-19 大流行期间有呼吸道症状的伊朗回国朝圣者的呼吸道病毒谱:2022 年研究
Pub Date : 2024-06-12 DOI: 10.2174/0126667975314752240610042452
S. Malekshahi, N. Shafiei-Jandaghi, Marziyeh Faraji-Zonouz, Negar Mirsalehi, Fatemeh Saadatmand, Elham Zanjani, Saeedeh Mahfoozi, Sevrin Zadheidar, Shirin Kalantari, S. Arshi, J. Yavarian
The overcrowding conditions provide a favorable environment for viraltransmission and increase the risk of respiratory infections among pilgrims. Hence, acute respiratoryinfections (ATIs) that can be transmitted through aerosols, droplets, and close contacts are a majorpublic health concern during mass gathering (MG) events like Hajj.In this study, we reported the prevalence of different respiratory viruses in returning pilgrimsat Tehran airport in August 2022 during the COVID-19 pandemic.In this cross-sectional study, throat and nasal swab samples from pilgrims with respiratorysigns and symptoms were taken. The samples were sent to the National Influenza Center for influenzadetection. We tested the samples for detection of influenza (IFV), SARS-CoV2, HCoV-229E,NL63, HKU1, OC43, human respiratory syncytial virus (HRSV), adenovirus (AdV), and humanrhinovirus (HRV). Real-time RT-PCR was performed to detect all RNA viruses except HRV, andnested PCR was performed to detect AdV and HRV.Of returning pilgrims on arrival at Tehran airport, 10 (38.5%) were positive for at least onerespiratory virus as follows: 2(7.7%) AdV, 3(11.5%) IFVA, which included 1 A/H1N1, 1 A/H3N2,and 1 A/H3N2 and A/H1N1 coinfection, 2 (7.7%) HCoV-229E, 2(7.7%) SARS-CoV2, 1(3.9%)HCoV-OC43, and 1(3.9%) HRV. No HRSV was detected. It is worth noting that the SARS-CoV2-positive sample was co-infected with IFVA/H3N2.This report showed that respiratory viruses remain a possible public health concern forpilgrims during Hajj seasons. We showed the circulation of some respiratory viruses among a smallnumber of pilgrims during the COVID-19 pandemic.
过度拥挤的条件为病毒传播提供了有利环境,增加了朝圣者呼吸道感染的风险。因此,可通过气溶胶、飞沫和密切接触传播的急性呼吸道感染(ATIs)是朝觐等大规模集会(MG)活动期间的主要公共卫生问题。在本研究中,我们报告了 2022 年 8 月 COVID-19 大流行期间德黑兰机场返程朝圣者中不同呼吸道病毒的流行情况。这些样本被送往国家流感中心进行流感检测。我们对样本进行了流感病毒 (IFV)、SARS-CoV2、HCoV-229E、NL63、HKU1、OC43、人类呼吸道合胞病毒 (HRSV)、腺病毒 (AdV) 和人鼻病毒 (HRV) 检测。对除 HRV 以外的所有 RNA 病毒进行了实时 RT-PCR 检测,对 AdV 和 HRV 进行了嵌套 PCR 检测:在抵达德黑兰机场的回国朝圣者中,有 10 人(38.5%)至少有一种呼吸道病毒呈阳性,具体情况如下:2 人(7.7%)感染 AdV;3 人(11.5%)感染 IFVA(包括 1 例 A/H1N1 感染、1 例 A/H3N2 感染和 1 例 A/H3N2 和 A/H1N1 合并感染);2 人(7.7%)感染 HCoV-229E;2 人(7.7%)感染 SARS-CoV2;1 人(3.9%)感染 HCoV-OC43;1 人(3.9%)感染 HRV。没有检测到 HRSV。值得注意的是,SARS-CoV2 阳性样本同时感染了 IFVA/H3N2。在 COVID-19 大流行期间,我们发现一些呼吸道病毒在少数朝圣者中传播。
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引用次数: 0
A Systematic Review on Artificial Intelligence (AI) Assisted Drug & Vaccine Development against SARS-CoV-2 人工智能(AI)辅助开发抗 SARS-CoV-2 药物和疫苗的系统综述
Pub Date : 2024-06-07 DOI: 10.2174/0126667975309811240530114325
Vishal Singha, Suvendu Ghosh, P. Singha, Sutapa Datta, D. Ghosh
Adaptation and application of Artificial Intelligence (AI) technology for thedevelopment of drugs against the deadly and continuously mutating Severe Acute Respiratory SyndromeCoronavirus 2 (SARS-CoV-2) virus has been extremely beneficial, cost-effective, and timesaving for the scientific community. A systematic review is necessary for complete picturization ofthe overall AI assistance in developing drugs and vaccines against SARS-CoV-2.A systematic analysis and review of the research literature available on theapplication of AI in the development of drugs and vaccines against SARS-CoV-2 from variousonline platforms has been performed, and relevant full papers have been selected on certain selectioncriteria and have been used for this review.Utilization of AI tools has enabled the selection, modification, evaluation, and prediction ofthe effectiveness of drug formulations against coronavirus disease (COVID-19) in a very rapid andefficient manner. Vaccine development against the deadly SARS-CoV-2 virus has also been aidedand benefited immensely by using AI tools and techniques.Thousands of studies regarding the development of effective drugs and vaccines againstthe constantly evolving, mutating, and prevailing SARS-CoV-2 virus have been conducted, and severalthousands are still being conducted around the world.AI is a powerful tool, and its application has been highly beneficial in developing effectivedrugs and vaccines against the deadly SARS-CoV-2 in a cost-effective and time-effective frame.This systematic review briefs the findings and achievements till the date of writing this article in thefield of AI-assisted drug and vaccine development against COVID-19.
人工智能(AI)技术在开发针对致命且不断变异的严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)病毒的药物方面的适应性和应用为科学界带来了极大的益处、成本效益和时间节省。为了全面展示人工智能在开发抗 SARS-CoV-2 药物和疫苗方面的整体帮助,有必要进行系统的综述。我们从各种在线平台上对有关人工智能在开发抗 SARS-CoV-2 药物和疫苗方面应用的研究文献进行了系统分析和综述,并根据一定的选择标准挑选出相关的完整论文,用于本综述。利用人工智能工具可以非常快速高效地选择、修改、评估和预测针对冠状病毒病(COVID-19)的药物制剂的有效性。针对致命的 SARS-CoV-2 病毒的疫苗开发也得到了人工智能工具和技术的帮助,并从中受益匪浅。针对不断演变、变异和流行的 SARS-CoV-2 病毒开发有效药物和疫苗的研究已经进行了数千次,目前世界各地仍在进行数以千计的研究。人工智能是一种强大的工具,它的应用非常有利于在具有成本效益和时间效益的框架内开发出针对致命的 SARS-CoV-2 的有效药物和疫苗。本系统综述简要介绍了截至本文撰写之日在人工智能辅助开发针对 COVID-19 的药物和疫苗领域取得的研究成果和成就。
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引用次数: 0
Medical records data and in silico analysis provide new insights about COVID-19 in smokers 病历数据和硅学分析提供了有关吸烟者体内 COVID-19 的新见解
Pub Date : 2024-06-07 DOI: 10.2174/0126667975303874240531102404
Luzia Soares Dias, N. Alencar, Felipe Pantoja Mesquita, Daiane Maria da Silva Brito, R. C. Montenegro, Márcio Viana Ramos, Pedro Filho Noronha Souza
Two independent sets of medical records, comprising 441 and 100 patients(50 smokers and 50 non-smokers), respectively, clinically diagnosed with COVID-19, suggestedreduced death among smokers.Medical records from patients were examined to record the biochemical parameters availableand to perform comparisons between smokers and non-smokers. Bioinformatics was used topredict epitopes of tobacco mosaic virus coat protein (TMV-CP) to produce antibodies to SARSCoV-2.Data recorded in 441 medical records indicated no deaths among smoking patients. Deathwas three times higher in non-smokers than smokers in the second group, comprising 50 smokersand 50 non-smokers. However, biochemical parameters were similar among the groups. Bioinformaticsanalysis predicted the presence of B-cell epitopes in TMV-CP, suggesting that the productionof anti-TMV-CP antibodies in smokers could occur, who, although developing severe forms ofCOVID-19, had greater survival in the evaluated groups than did non-smokers.This prospective study suggested that smokers suffer severe effects of SARS-Cov-2infection, associated with inadequate inflammatory reaction. On the other hand, the deaths of patientsin the two groups examined correlated negatively with smokers. Bioinformatics analysis permittedthe exploit an exciting hypothesis that anti-TMV-CP antibodies, potentially present in smokers,might act as an immune agent against SARS-CoV-2 at earlier stages of infection. Although thesedata are sketchy and should be taken carefully, due to the limited set of data, they are helpful forfuture studies to assess COVID-19 in smokers.
两组独立的医疗记录分别包括441名和100名临床诊断为COVID-19的患者(50名吸烟者和50名非吸烟者),结果显示吸烟者的死亡人数减少。生物信息学被用来预测烟草花叶病毒衣壳蛋白(TMV-CP)的表位,以产生针对 SARSCoV-2 的抗体。441 份病历记录的数据显示,吸烟患者中没有死亡病例。在由 50 名吸烟者和 50 名非吸烟者组成的第二组中,非吸烟者的死亡人数是吸烟者的三倍。不过,各组之间的生化指标相似。生物信息学分析预测 TMV-CP 中存在 B 细胞表位,这表明吸烟者可能产生抗 TMV-CP 抗体,他们虽然出现严重的 COVID-19 病症,但在评估组中的存活率高于非吸烟者。这项前瞻性研究表明,吸烟者会受到 SARS-Cov-2 感染的严重影响,这与炎症反应不充分有关。另一方面,接受研究的两组患者的死亡人数与吸烟者呈负相关。生物信息学分析提出了一个令人兴奋的假设,即吸烟者体内可能存在的抗 TMV-CP 抗体可能会在感染的早期阶段起到抵抗 SARS-CoV-2 的免疫作用。由于数据集有限,尽管这些数据还很粗略,应谨慎对待,但它们有助于今后评估吸烟者 COVID-19 感染情况的研究。
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引用次数: 0
Estimation of Radiation Dose Parameters of High-Resolution ComputedTomography Chest Examination for COVID-19 Patients: A RetrospectiveStudy COVID-19 患者高分辨率计算机断层胸部检查的辐射剂量参数估计:回顾性研究
Pub Date : 2024-04-18 DOI: 10.2174/0126667975301189240402071941
Mahesh Chandra Bhatt, A. Upmanyu, Subhash Chand Bansal, Ayush Dogra
During the COVID-19 pandemic, high-resolution computed tomographychest examination was widely used to diagnose the coronavirus disease. Thus, radiation dose optimizationis an essential requirement to decrease the risk of radiation hazards.This study aimed to estimate the radiation dose parameters of high-resolution computedtomography chest examination of COVID-19 patients using automatic tube current modulation techniqueand compare the values with various standard diagnostic reference levels (DRLs) available inthe literature.It is a retrospective study conducted on 205 patients with COVID-19, including144 males and 61 females with a median age of 49 years. All patients with clinical and positivelaboratory findings were confirmed by an RT-PCR test. The data were collected from the Departmentof Radiodiagnosis Government Base Hospital Almora (Uttarakhand) from September 2020to May 2021. All patients underwent high-resolution computed tomography chest examination withan automatic tube current modulation technique. Radiation dose parameters, such as Volume ComputedTomography Dose Index (CTDIvol) and Dose Length Product (DLP), were extracted from thedose report, and Effective dose (ED) was calculated.The mean volume computed tomography dose index, dose length product, and effectivedose were 4.36 mGy, 136.29 mGy.cm, and 1.8mSv respectively.Volume computed tomography dose index and dose length product values at the 75thpercentile were well below the various DRLs, which confirmed the usefulness of the automatic tubecurrent modulation technique in high-resolution computed tomography (HRCT) of the chest for doseoptimization at 120 kV.
在 COVID-19 大流行期间,高分辨率计算机断层扫描胸部检查被广泛用于诊断冠状病毒疾病。本研究旨在利用自动管电流调制技术估算 COVID-19 患者高分辨率计算机断层扫描胸部检查的辐射剂量参数,并将其与文献中的各种标准诊断参考水平(DRLs)进行比较。所有临床和实验室检查结果呈阳性的患者均通过 RT-PCR 测试得到确认。数据收集自阿尔莫拉政府基地医院放射诊断部(北阿坎德邦),时间为 2020 年 9 月至 2021 年 5 月。所有患者均接受了采用自动管电流调制技术的高分辨率计算机断层扫描胸部检查。从剂量报告中提取辐射剂量参数,如容积计算机断层扫描剂量指数(CTDIvol)和剂量长度乘积(DLP),并计算有效剂量(ED)。第 75 百分位数的容积计算机断层扫描剂量指数和剂量长度积值远低于不同的 DRL,这证实了在 120 kV 的高分辨率胸部计算机断层扫描(HRCT)中使用自动管电流调制技术进行剂量优化的实用性。
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引用次数: 0
Lactate is Associated with Long-Term Mortality in Hospitalized Patientswith COVID-19: A Retrospective Cohort Study 乳酸与 COVID-19 住院患者的长期死亡率有关:一项回顾性队列研究
Pub Date : 2024-04-15 DOI: 10.2174/0126667975294439240407154234
Pouyan Ebrahimi, Farnaz Fallah, Kimia Pakdaman, H. Shirafkan, Seyed Hassan Abedi
A recent pandemic caused by Coronavirus 2019 (COVID-19) caused mildand severe systemic organ involvement that led to the death of enormous numbers of people. Theprevalence of the disease has declined over the past years, but concerns about upcoming mutationsremain. In this study, the relationship between lactate levels and mortality at different times was investigated.In the present retrospective study, 228 hospitalized patients with COVID-19 were includedaccording to the inclusion and exclusion criteria. A modified National Early Warning Score 2(NEWS2) was used to determine the severity of the patients' conditions. Follow-up of patients, ifdischarged alive, has been done from hospitalization until March, 2022. Data were analyzed usingSPSS version 22, and p < 0.05 was considered significant.Lactate levels (2.88 ± 2.37 in the dead group versus 1.68 ± 1.33 in the living group) have asignificant relationship with mortality at hospitalization (p < 0.001). Furthermore, higher lactate levels during hospitalization (p < 0.001, HR = 2.960, 95%CI =4.255-2.58) and follow-up (p < 0.001, HR= 2.960, 95%CI =4.255 to 2.58) increased the mortality risk ratio by more than two-fold.This study reported that initial lactate levels at admission predict COVID-19 patients'mortality at hospitalization and follow-up. However, further research is needed in this area
最近由冠状病毒 2019(COVID-19)引起的大流行造成了轻微和严重的全身器官受累,导致大量人员死亡。在过去几年中,该疾病的发病率有所下降,但人们仍对即将发生的变异感到担忧。在这项回顾性研究中,根据纳入和排除标准纳入了 228 名 COVID-19 住院患者。在这项回顾性研究中,根据纳入标准和排除标准纳入了 228 名 COVID-19 住院患者,并采用改良的国家早期预警评分 2(NEWS2)来确定患者病情的严重程度。如果患者出院时还活着,则对其进行从住院到 2022 年 3 月的随访。乳酸水平(死亡组为 2.88 ± 2.37,存活组为 1.68 ± 1.33)与住院时的死亡率有显著关系(P < 0.001)。此外,住院期间(P < 0.001,HR = 2.960,95%CI = 4.255-2.58)和随访期间(P < 0.001,HR = 2.960,95%CI = 4.255-2.58)乳酸水平越高,死亡率风险比就会增加两倍多。然而,在这一领域还需要进一步的研究
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引用次数: 0
Efficacy of Melatonin as an Adjunctive Therapy in Hospitalized Patients with Mild to Moderate COVID-19: A Randomized, Double-blind Clinical Trial 褪黑素作为辅助疗法对轻度至中度 COVID-19 住院患者的疗效:随机双盲临床试验
Pub Date : 2024-04-05 DOI: 10.2174/0126667975282054240328072229
Najmeh Davoodian, Farnoosh Sharifimood, D. Salarbashi, S. Elyasi, Farhang Soltani Bejestani, M. Najafzadeh, A. Baniasad
Melatonin has proven antioxidant and anti-inflammatory properties thatmay address the pathophysiology of coronavirus disease 2019 (COVID-19). Therefore, the currentstudy was conducted to evaluate the safety and efficacy of melatonin in COVID-19.In this single-center, randomized, double-blind, placebo-controlled clinical trial, 96 adultshospitalized with mild to moderate COVID-19 were recruited. The participants were allocated intothe melatonin and the placebo groups, randomly (1:1 ratio).The primary outcomes were a reduction in the length of hospital stay, the rate of ICU admissions,intubation/mechanical ventilation, and mortalities within 14 days of starting the treatmentcompared to the placebo group. After two weeks of follow-up, the blood oxygen saturation and therespiratory rate significantly improved in the melatonin group. C-reactive protein, erythrocyte sedimentationrate, lactate dehydrogenase, creatine phosphokinase, Ferritin, and D-dimer levels weresignificantly decreased in the melatonin group. Conversely, these markers were considerably increasedin the placebo group. These serum marker levels also showed a significant difference in between-group comparison. The comparison of clinical endpoints between the two groups showed nosignificant difference.This clinical trial study indicated that the combination of oral melatonin tablets andstandard treatment could substantially improve blood oxygen saturation and inflammatory factors inmild to moderate hospitalized COVID-19 patients.
褪黑素具有公认的抗氧化和抗炎特性,可用于治疗 2019 年冠状病毒病(COVID-19)的病理生理学。因此,本研究旨在评估褪黑素对 COVID-19 的安全性和有效性。在这项单中心、随机、双盲、安慰剂对照临床试验中,招募了 96 名轻度至中度 COVID-19 的住院成人。主要结果是与安慰剂组相比,开始治疗后 14 天内住院时间、入住重症监护室率、插管/机械通气率和死亡率均有所缩短。随访两周后,褪黑素组的血氧饱和度和呼吸频率明显改善。褪黑素组的 C 反应蛋白、红细胞沉降率、乳酸脱氢酶、肌酸磷酸激酶、铁蛋白和 D-二聚体水平明显下降。相反,安慰剂组的这些指标则显著升高。这些血清标志物水平在组间比较中也有显著差异。这项临床试验研究表明,口服褪黑素片与标准治疗相结合,可大幅改善轻中度 COVID-19 住院患者的血氧饱和度和炎症因子。
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引用次数: 0
The Potential of Traditional Medicine in Combating COVID-19: A Systematic Review and Meta-Analysis 传统医学抗击 COVID-19 的潜力:系统回顾与元分析
Pub Date : 2024-04-04 DOI: 10.2174/0126667975284726240328044546
Tasbir Amin, Amana Hossain, Nusrat Jerin, Shahnewaj Bin Mannan, Noor Jahan Akter, Murad Hossain, Monir Uddin Ahmed, Jinath Sultana, Nayeema Bulbul, Ashrafus Safa, Md. Asaduzzaman, Md. Fakruddin
The aim of the study was to review the existing data on traditional medicine inreducing the symptoms of COVID-19 patients with mild, moderate, and severe symptoms. We alsoinvestigated the adverse impact, patient outcome, source, and mode of action of traditional medicine.A brief comparison was made on adverse impacts and symptom alleviation of the commerciallyavailable drugs as well.We utilized PubMed, Scopus, WHO (GHL), and VHL in order to choose the eligible studiesfor the systematic review between July and August 2022. From a total of 12,263 studies, after aseries of screening, 285 articles were identified in the final sample. The methodological evaluationwas carried out accordingly.There is a growing literature on the usage of traditional medicine for COVID-19. The majorityof the studies have shown positive outcomes even though they were not carried out at diverselocations around the world. We identified that the majority (17.4%) of the traditional medicine wasderived from plants. The average time in the disappearance of the symptoms was 8.8 days, whereasthe disappearance of symptoms using conventional drugs (Remdesevir, Ivermectin, Tocilizumab,Baricitinib, Famotidine, Ensitrelvir and Molnupiravir) was around 12 days. The mode of action oftraditional medicine was mostly the reduction of viral load (50%). In terms of the severity of thepatients, most of the patients (37.5%) had mild symptoms. We also found that no major adverse impactwas reported on administering the traditional medicine among the patients. Further, the majorityof the study was carried out in the Asian region, mostly in China.Apart from expanding the study to different regions of the world, to improve the qualityof data, larger-scale clinical studies in the Asian region are required.
本研究旨在回顾传统药物在减轻 COVID-19 患者轻度、中度和重度症状方面的现有数据。我们利用 PubMed、Scopus、WHO (GHL) 和 VHL 来选择符合条件的研究,以便在 2022 年 7 月至 8 月期间进行系统综述。经过一系列筛选,我们从总共 12,263 篇研究中确定了 285 篇文章作为最终样本。关于使用传统药物治疗 COVID-19 的文献越来越多。关于使用传统医学治疗 COVID-19 的文献越来越多,尽管这些研究并不是在世界各地进行的,但大多数研究都取得了积极的成果。我们发现,大多数(17.4%)传统药物来自植物。症状消失的平均时间为 8.8 天,而使用常规药物(雷米替塞韦、伊维菌素、托昔单抗、巴利替尼、法莫替丁、恩西替雷韦和莫鲁替拉韦)症状消失的平均时间约为 12 天。传统药物的作用方式主要是降低病毒载量(50%)。从患者的严重程度来看,大多数患者(37.5%)症状较轻。我们还发现,服用传统药物对患者没有造成重大不良影响。此外,这项研究大部分是在亚洲地区进行的,主要是在中国。除了将研究扩展到世界不同地区外,为了提高数据质量,还需要在亚洲地区进行更大规模的临床研究。
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引用次数: 0
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Coronaviruses
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