Classification of the present pharmaceutical agents based on the possible effective mechanism on the COVID-19 infection

Objectives There are several types of research on the COVID-19 disease which have been conducting. It seems that prevailing over the pandemic would be achieved only by mastering over the virus pathophysiology. We tried to categorize the massive amount of available information for useful interpretation. Evidence acquisition We searched databases with different keywords and search strategies that focus on virulence and pathophysiology of COVID-19. The present review has aimed to gather and categorize all implemented drugs based on the susceptible virulence mechanisms, and the pathophysiological events in the host cells, discussing and suggesting treatments. Results As a result, the COVID-19 lifecycle were categorized as following steps: “Host Cell Attachment” which is mainly conducted with $ ACE_{2} $ receptors and TMPRSS2 from the host cell and Spike (S) protein, “Endocytosis Pathway” which is performed mainly by clathrin-mediated endocytosis, and “Viral Replication” which contains translation and replication of RNA viral genome. The virus pathogenicity is continued by “Inflammatory Reactions” which mainly caused moderate to severe COVID-19 disease. Besides, the possible effective therapeutics’ mechanism and the pharmaceutical agents that had at least one experience as a preclinical or clinical study on COVID-19 were clearly defined. Conclusion The treatment protocol would be occasional based on the stage of the infection and the patient situation. The cocktail of medicines, which could affect almost all mentioned stages of COVID-19 disease, might be vital for patients with severe phenomena. Graphical abstract The classification of the possible mechanism of medicines based on COVID-19 pathogenicity.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

DARU - 28(2020), 2 vom: 30. Juli, Seite 745-764

Sprache:

Englisch

Beteiligte Personen:

Amini Pouya, Maryam [VerfasserIn]
Afshani, Seyyedeh Maryam [VerfasserIn]
Maghsoudi, Armin Salek [VerfasserIn]
Hassani, Shokoufeh [VerfasserIn]
Mirnia, Kayvan [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.40$jPharmazie$jPharmazeutika

Themen:

COVID-19
Coronaviruses
Drug classification
Pandemic
Pharmaceutical agents
Possible treatments
SARS-CoV-2

Anmerkungen:

© Springer Nature Switzerland AG 2020

doi:

10.1007/s40199-020-00359-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2121607552