瑞德西韦:一种可能治愈Covid-19的药物

S. Tiwari, S. Talreja
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引用次数: 1

摘要

目前的世界形势非常严峻,因为全球新冠肺炎大流行正在逼近。它夺去了数百万人的生命,并对数百万人的健康产生了不利影响。COVID-19是一种由新型冠状病毒引起的传染病。这种疾病具有高度传染性,因此被世界卫生组织列为全球大流行病。有许多研究正在寻找疫苗或治疗这种致命疾病的方法。Remdesivir就是其中一种被认为可能治愈COVID-19的药物。这种药物在过去被证明对治疗埃博拉病毒感染和中东呼吸综合征(MERS)感染有效;因此,人们对这种药物进行了研究,希望它能成为一种潜在的治疗方法。在这一领域进行的许多研究中发现,当给感染者服用瑞德西韦时,与没有服用这种药物的人相比,感染者的恢复速度更快。本文详细论述了药物瑞德西韦;从它的发现、在人体内的作用到它的化学成分。还讨论了所做的研究和药物的临床结果,这些结果都指向了这种药物可能有助于治疗冠状病毒病的方向。抗病毒研究这些任何病毒冠状病毒,甚至黄病毒科的一些病毒登革热和寨卡病毒。临床研究:已对瑞德西韦进行了各种临床研究,以证明其治疗COVID-19等疾病的有效性和潜力。这些研究也描述了这些药物的任何副作用。下面将提到其中一些研究。已经看到,体外和体内动物模型已被证明有助于证明瑞德西韦对SARS-CoV-2和其他类似冠状病毒的有效性。最近对瑞德西韦进行了体外研究,以测定其对SARS-CoV2的抗病毒活性。本研究旨在描述770 nM的ic50和等于1,760 nM的ic90以及超过100 mM的细胞毒性浓度。[15]与此同时,Sheahan等人进行了另一项研究。De Wit等人。表明瑞德西韦有足够的潜力阻止这种冠状病毒的复制和减少病毒病理。本研究显示了瑞德西韦的体内疗效。这些研究以及瑞德西韦在埃博拉病毒临床试验中的安全性,有助于评估瑞德西韦作为一种潜在的治疗药物,在当前的大流行疫情中降低SARS-CoV-2的影响。[16]研究发现,瑞德西韦药物对来自各种病毒科的人畜共患和人类病原体具有很强的体外抗病毒活性。但对丝状病毒科、冠状病毒科、肺炎病毒科等病毒科的抗病毒活性研究结果一致。Remdesivir含有三种与呼吸道疾病和其他类型相关的HCoV毒株
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A Review on Remdesivir: A Probable Cure for Covid-19
The current scenario of the world is very critical as there is a global Pandemic of COVID-19 looming around in the world. It has claimed lives of millions of people and has adversely affected the health of millions. COVID-19 is an infectious disease caused by the novel corona virus. This disease is highly contagious in nature and hence it was regarded as the global pandemic by World Health Organization. There are many researches going on to either find a vaccine or find a cure for this deadly disease. Remdesivir is one such medicine which is proposed to be a probable cure for COVID-19. This medicine proved effective in the past for treatment of the ebola virus infection and the Middle East respiratory syndrome (MERS) infection; due to this researches on this medicine to be a potential cure were done. In a number of researches done in this area it was found that when remdesivir was administered to the infected individuals the recovery rate of the infected people was faster when they were given this medicine as compared to those who were not. This paper discusses about the medicine remdesivir in detail; from its discovery, functioning in human body to its chemical composition. The researches done and the clinical results of the medicines are also discussed which all point in the direction that this medicine could pose to be an aid in curing the corona virus disease. anti-viral research these any viruses coronavirus and even some of the viruses of flaviviridae family dengue and zika virus. Clinical Studies: Various clinical studies have been carried out on the remdesivir drug to prove its efficiency and potential in treating diseases like COVID-19. Also such studies depict any side-effects from such drugs. Some of these studies are mentioned below. It has been seen that the in vitro and in vivo animal models have been proved useful in proving the effectiveness of remdesivir against SARS-CoV-2 and other similar coronaviruses. A recent in vitro study was conducted on remdesivir drug to measure the antiviral activity against SARS-CoV2. This study aimed to depict an IC 50 of 770 nM and an IC 90 equal to 1,760 nM along with the cytotoxic concentration of more than 100 mM. [15] Along with this another study conducted by Sheahan et al . and De Wit et al . illustrated that Remdesivir had the enough potential in halting the replication and reducing viral pathology against such Coronaviruses. This study showcased in vivo efficacy of Remdesivir. Such studies along with the safety profile of Remdesivir in the clinical trials against Ebolavirus aid in the assessment of remdesivir as a potential therapeutic drug for reducing effects of SARS-CoV-2 I this current pandemic outbreak. [16] In the study it was found that remdesivir drug showed huge in vitro anti-viral activity against zoonotic and human pathogens coming from families of various viruses. However the anti-viral activity of this drug has consistent results when studied against Filoviridae, Coronaviridae, Pneumoviridae and virus family. Remdesivir contains three HCoV strains linked with respiratory illness also other types
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