
浏览全部资源
扫码关注微信
400038 重庆,陆军军医大学(第三军医大学)药学与检验医学系微生物与生化药学教研室,国家免疫生物制品工程技术研究中心
[ "邹全明, 博士, 教授, 博士生导师。担任国务院学位委员会学科评议组药学组成员、第十届国家药典委员会委员。主持“十二五”国家科技支撑计划、国家高技术研究发展计划(863计划)、国家科技重大专项等国家及军队重大、重点课题12项。成功主持研制世界首个预防胃病的幽门螺杆菌疫苗并获1类新药证书, 获国家技术发明二等奖。主持研究的国际首个五组分金黄色葡萄球菌疫苗已开展Ⅱ期临床试验。以第一发明人获国家发明专利授权25项, 国际PCT专利4项。目前正在主持研制的原创疫苗5个。以通信作者发表并被SCI收录的论文80余篇, 其中在《柳叶刀》(Lancet)发表论著1篇。主要从事临床微生物、临床免疫、分子免疫学、生物制药方面的研究。E-mail:qmzou2007@163.com" ]
[ "李海波, 博士, 副教授, 硕士生导师, 主要从事微生物与生化药学方面的研究。E-mail:lihaibo@tmmu.edu.cn" ]
[ "曾浩, 博士, 教授, 博士生导师, 主要从事微生物与生化药学方面的研究。E-mail: zeng1109@163.com" ]
收稿:2020-02-29,
修回:2020-03-04,
纸质出版:2020-05-15
移动端阅览
邹全明, 李海波, 曾浩. 新型冠状病毒肺炎治疗药物的研究现状及对策建议[J]. 第三军医大学学报, 2020,42(9):861-866.
Quanming ZOU, Haibo LI, Hao ZENG. Current status and countermeasures for development of drugs to treat coronavirus disease 2019[J]. Journal of Third Military Medical University, 2020, 42(9): 861-866.
邹全明, 李海波, 曾浩. 新型冠状病毒肺炎治疗药物的研究现状及对策建议[J]. 第三军医大学学报, 2020,42(9):861-866. DOI: 10.16016/j.1000-5404.202002233.
Quanming ZOU, Haibo LI, Hao ZENG. Current status and countermeasures for development of drugs to treat coronavirus disease 2019[J]. Journal of Third Military Medical University, 2020, 42(9): 861-866. DOI: 10.16016/j.1000-5404.202002233.
自新型冠状病毒(SARS-CoV-2)疫情发生以来,国内外多家研究机构投入到抗新型冠状病毒肺炎(简称新冠肺炎,coronavirus disease 2019
COVID-19)的药物研发中。目前主要采取老药新用的策略,筛选抗新冠病毒和抑制过度免疫反应的候选药物,相关研究已经取得了重要进展。本文在综述已经纳入国家卫健委印发的新型冠状病毒肺炎诊疗方案中以及在体外已经证实对新型冠状病毒具有抑制作用的药物研发和临床应用的现状的基础上,对未来新冠肺炎治疗药物的研究对策提出建议:①从“老药新用”策略向创新药物研发转变;②构建可靠的体内外药物筛选模型;③建立新冠肺炎药物研发的协同创新机制;④有序开展新冠肺炎的药物临床试验;⑤建立冠状病毒研发的长效机制。
Since the outbreak of the epidemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
or 2019 novel coronavirus (2019-nCoV) provisionally
many research institutions at home and abroad have involved in t
he research and development (R
&
D) of drugs against coronavirus disease 2019 (COVID-19). At present
the strategy of new use of old drugs is used to screen candidate drugs which inhibit the virus or excessive immune response
and the related researches have made important progress. This article reviewed current status of development and clinical application of those drugs which have been included in the diagnosis of novel coronavirus-infected pneumonia and treatment protocols which have been shown to inhibit the virus
in vitro
. In addition
we have following suggestions for future researches on the development of novel drugs against COVID-19: ① from "new use of old drugs" strategy to innovative drug R
&
D; ② building reliable models for screening drugs
in vitro
and
in vivo
; ③establishing a synergistic innovation mechanism for drug R
&
D against COVID-19; ④conducting clinical trials of the drugs in order; ⑤ establishing a long-term mechanism for drug R
&
D against COVID-19.
HUGHES J P, REES S, KALINDJIAN S B, et al . Principles of early drug discovery[J ] . Br J Pharmacol, 2011, 162(6): 1239-1249. DOI: 10.1111/j.1476-5381.2010.01127.x.
ZUMLA A, CHAN J F, AZHAR E I, et al . Coronaviruses-drug discovery and therapeutic options[J ] . Nat Rev Drug Discov, 2016, 15(5): 327-347. DOI: 10.1038/nrd.2015.37.
SACHS R E, GINSBURG P B, GOLDMAN D P. Encouraging new uses for old drugs[J]. JAMA, 2017, 318(24): 2421-2422. DOI: 10.1001/jama.2017.17535.
VAN DE WATERBEEMD H, GIFFORD E. ADMET in silico modelling: towards prediction paradise?[J]. Nat Rev Drug Discov, 2003, 2(3): 192-204. DOI:10.1038/nrd1032.
FERREIRA L L G, ANDRICOPULO A D. ADMET modeling approaches in drug discovery[J]. Drug Discov Today, 2019, 24(5): 1157-1165. DOI: 10.1016/j.drudis.2019.03.015.
PANTZIARKA P, PIRMOHAMED M, MIRZA N. New uses for old drugs[J]. BMJ, 2018, 361: k2701. DOI: 10.1136/bmj.k2701.
RICHARDSON P, GRIFFIN I, TUCKER C, et al . Baricitinib as potential treatment for 2019-nCoV acute respiratory disease[J ] . Lancet, 2020, 395(10223): e30-e31. DOI: 10.1016/S0140-6736(20)30304-4.
GRALINSKI L E, MENACHERY V D. Return of the coronavirus: 2019-nCoV[J]. Viruses, 2020, 12(2): E135. DOI: 10.3390/v12020135.
ZUMLA A, HUI D S, AZHAR E I, et al . Reducing mortality from 2019-nCoV: host-directed therapies should be an option[J ] . Lancet, 2020, 395(10224): e35-e36. DOI: 10.1016/S0140-6736(20)30305-6.
CVETKOVIC R S, GOA K L. Lopinavir/ritonavir: a review of its use in the management of HIV infection[J]. Drugs, 2003, 63(8): 769-802. DOI: 10.2165/00003495-200363080-00004.
陈军, 凌云, 席秀红, 等.洛匹那韦利托那韦和阿比多尔用于治疗新型冠状病毒肺炎的有效性研究[J].中华传染病杂志, 2020, 38: E008. DOI: 10.3760/cma.j.cn311365-20200210-00050.
CHEN J, LING Y, XI X H, et al . Efficacies of lopinavir/ritonavir and abidol in the treatment of novel coronavirus pneumonia[J ] . Chin J Infect Dis, 2020, 38: E008. DOI: 10.3760/cma.j.cn311365-20200210-00050.
BIJKER E M, BASTIAENS G J, TEIRLINCK A C, et al . Protection against malaria after immunization by chloroquine prophylaxis and sporozoites is mediated by preerythrocytic immunity[J ] . Proc Natl Acad Sci USA, 2013, 110(19): 7862-7867. DOI: 10.1073/pnas.1220360110.
DELVECCHIOR, HIGA L M, PEZZUTO P, et al . Chloroquine, an endocytosis blocking agent, inhibits zika virus infection in different cell models[J ] . Viruses, 2016, 8(12): E322. DOI: 10.3390/v8120322.
MIZUI T, YAMASHINA S, TANIDA I, et al . Inhibition of hepatitis C virus replication by chloroquine targeting virus-associated autophagy[J ] . J Gastroenterol, 2010, 45(2): 195-203. DOI: 10.1007/s00535-009-0132-9.
WANG M L, CAO R Y, ZHANG L K, et al . Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro[J ] . Cell Res, 2020. DOI: 10.1038/s41422-020-0282-0.
KADAM R U, WILSON I A. Structural basis of influenza virus fusion inhibition by the antiviral drug Arbidol[J]. Proc Natl Acad Sci USA, 2017, 114(2): 206-214. DOI: 10.1073/pnas.1617020114.
PÉCHEUR E I, LAVILLETTE D, ALCARAS F, et al . Biochemical mechanism of hepatitis C virus inhibition by the broad-spectrum antiviral arbidol[J ] . Biochemistry, 2007, 46(20): 6050-6059. DOI: 10.1021/bi700181j.
GHOSH A K, DAWSON Z L, MITSUYA H. Darunavir, a conceptually new HIV-1 protease inhibitor for the treatment of drug-resistant HIV[J]. Bioorg Med Chem, 2007, 15(24): 7576-7580. DOI: 10.1016/j.bmc.2007.09.010.
BEN-ZVI I, KIVITY S, LANGEVITZ P, et al . Hydroxychloroquine: from malaria to autoimmunity[J ] . Clin Rev Allergy Immunol, 2012, 42(2): 145-153. DOI: 10.1007/s12016-010-8243-x.
WANG L F, LIN Y S, HUANG N C, et al . Hydroxychloroquine-inhibited dengue virus is associated with host defense machinery[J ] . J Interferon Cytokine Res, 2015, 35(3): 143-156. DOI: 10.1089/jir.2014.0038.
SPERBER K, LOUIE M, KRAUS T, et al . Hydroxychloroquine treatment of patients with human immunodeficiency virus type 1[J ] . Clin Ther, 1995, 17(4): 622-636. DOI: 10.1016/0149-2918(95)80039-5.
FURUTA Y, GOWEN B B, TAKAHASHI K, et al . Favipiravir (T-705), a novel viral RNA polymerase inhibitor[J ] . Antiviral Res, 2013, 100(2): 446-454. DOI: 10.1016/j.antiviral.2013.09.015.
OESTEREICH L, LVDTKE A, WURR S, et al . Successful treatment of advanced Ebola virus infection with T-705 (favipiravir) in a small animal model[J ] . Antiviral Res, 2014, 105: 17-21. DOI:10.1016/j.antiviral.2014.02.014.
FURUTA Y, TAKAHASHI K, SHIRAKI K, et al . T-705 (favipiravir) and related compounds: Novel broad-spectrum inhibitors of RNA viral infections[J ] . Antiviral Res, 2009, 82(3): 95-102.DOI:10.1016/j.antiviral.2009.02.198.
ROCHA-PEREIRA J, JOCHMANS D, DALLMEIER K, et al . Favipiravir (T-705) inhibits in vitro Norovirus replication[J ] . Biochem Biophys Res Commun, 2012, 424(4): 777-780. DOI: 10.1016/j.bbrc.2012.07.034..
TCHESNOKOV E P, FENG J Y, PORTER D P, et al . Mechanism of inhibition of Ebola virus RNA-dependent RNA polymerase by remdesivir[J ] . Viruses, 2019, 11(4): E326. DOI: 10.3390/v11040326.
DE WIT E, FELDMANN F, CRONIN J, et al . Prophylactic and therapeutic remdesivir (GS-5734) treatment in the rhesus macaque model of MERS-CoV infection[J ] . Proc Natl Acad Sci USA, 2020: 201922083. DOI: 10.1073/pnas.1922083117.
AGOSTINI M L, ANDRES E L, SIMS A C, et al . Coronavirus susceptibility to the antiviral remdesivir (GS-5734) is mediated by the viral polymerase and the proofreading exoribonuclease[J ] . mBio, 2018, 9(2): e00221-18. DOI: 10.1128/mbio.00221-18.
HOLSHUE M L, DEBOLT C, LINDQUIST S, et al . First case of 2019 novel coronavirus in the United States[J ] . N Engl J Med, 2020, 382(10): 929-936. DOI: 10.1056/NEJMoa2001191.
PEDERSEN S F, HO Y C. SARS-CoV-2: a storm is raging[J]. J Clin Invest, 2020: 137647. DOI:10.1172/JCI137647.
CONTI P, RONCONI G, CARAFFA A, et al . Induction of pro-inflammatory cytokines (IL-1 and IL-6) and lung inflammation by Coronavirus-19 (COVI-19 or SARS-CoV-2): anti-inflammatory strategies[J ] . J Biol Regul Homeost Agents, 2020, 34(2): 1. DOI:10.23812/CONTI-E.
ZHANG C, WU Z, LI J W, et al . The cytokine release syndrome (CRS) of severe COVID-19 and Interleukin-6 receptor (IL-6R) antagonist Tocilizumab may be the key to reduce the mortality[J ] . Int J Antimicrob Agents, 2020: 105954. DOI:10.1016/j.ijantimicag.2020.105954.
BARRATT-DUE A, THORGERSEN E B, EGGE K, et al . Combined inhibition of complement C5 and CD14 markedly attenuates inflammation, thrombogenicity, and hemodynamic changes in porcine Sepsis[J ] . J Immunol, 2013, 191(2): 819-827. DOI: 10.4049/jimmunol.1201909.
ZHOU B P, ZHONG N S, GUAN Y. Treatment with convalescent plasma for influenza A (H5N1) infection[J]. N Engl J Med, 2007, 357(14): 1450-1451. DOI: 10.1056/NEJMc070359.
VAN GRIENSVEN J, EDWARDS T, DE LAMBALLERIE X, et al . Evaluation of convalescent plasma for Ebola virus disease in Guinea[J ] . N Engl J Med, 2016, 374(1): 33-42. DOI: 10.1056/NEJMoa1511812.
BURNOUF T, RADOSEVICH M. Treatment of severe acute respiratory syndrome with convalescent plasma[J]. Hong Kong Med J, 2003, 9(4): 309; author reply 310.
WONG V W, DAI D, WU A K, et al . Treatment of severe acute respiratory syndrome with convalescent plasma[J ] . Hong Kong Med J, 2003, 9(3): 199-2 01.
FLETCHER T E, FISCHER W A 2nd, JACOB S T. Convalescent plasma for Ebola virus disease[J]. N Engl J Med, 2016, 374(25): 2499-2500. DOI: 10.1056/NEJMc1602284.
BAJORATH J. Integration of virtual and high-throughput screening[J]. Nat Rev Drug Discov, 2002, 1(11): 882-894. DOI: 10.1038/nrd941.
BLUNDELL T L. Structure-based drug design[J]. Nature, 1996, 384(6604 Suppl): 23-26. DOI: 10.1038/384023a0.
LOUNNAS V, RITSCHEL T, KELDER J, et al . Current progress in structure-based rational drug design marks a new mindset in drug discovery[J ] . Comput Struct Biotechnol J, 2013, 5: e201302011. DOI: 10.5936/csbj.201302011.
PICAZO E, GIORDANETTO F. Small molecule inhibitors of Ebola virus infection[J]. Drug Discov Today, 2015, 20(2): 277-286. DOI: 10.1016/j.drudis.2014.12.010.
ROSTAMI-HODJEGAN A, TUCKER G T. Simulation and prediction of in vivo drug metabolism in human populations from in vitro data [J ] . Nat Rev Drug Discov, 2007, 6(2): 140-148. DOI: 10.1038/nrd2173..
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621