nCOVID-19 pandemic: From molecular pathogenesis to potential investigational therapeutics

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Kabir, Md Tanvir
Uddin, Md Sahab
Hossain, Md Farhad
Abdulhakim, Jawaher A
Alam, Md Asraful
Ashraf, Ghulam Md
Bungau, Simona G
Bin-Jumah, May N
Abdel-Daim, Mohamed M
Aleya, Lotfi
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2020
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Abstract

In December 2019, a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related epidemic was first observed in Wuhan, China. In 2020, owing to the highly infectious and deadly nature of the virus, this widespread novel coronavirus disease 2019 (nCOVID-19) became a worldwide pandemic. Studies have revealed that various environmental factors including temperature, humidity, and air pollution may also affect the transmission pattern of COVID-19. Unfortunately, still, there is no specific drug that has been validated in large-scale studies to treat patients with confirmed nCOVID-19. However, remdesivir, an inhibitor of RNA-dependent RNA polymerase (RdRp), has appeared as an auspicious antiviral drug. Currently, a large-scale study on remdesivir (i.e., 200 mg on first day, then 100 mg once/day) is ongoing to evaluate its clinical efficacy to treat nCOVID-19. Good antiviral activity against SARS-CoV-2 was not observed with the use of lopinavir/ritonavir (LPV/r). Nonetheless, the combination of umifenovir and LPV/r was found to have better antiviral activity. Furthermore, a combination of hydroxychloroquine (i.e., 200 mg 3 times/day) and azithromycin (i.e., 500 mg on first day, then 250 mg/day from day 2–5) also exhibited good activity. Currently, there are also ongoing studies to evaluate the efficacy of teicoplanin and monoclonal and polyclonal antibodies against SARS-CoV-2. Thus, in this article, we have analyzed the genetic diversity and molecular pathogenesis of nCOVID-19. We also present possible therapeutic options for nCOVID-19 patients.

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Frontiers in Cell and Developmental Biology

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8

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© 2020 Kabir, Uddin, Hossain, Abdulhakim, Alam, Ashraf, Bungau, Bin-Jumah, Abdel-Daim and Aleya. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Science & Technology

Life Sciences & Biomedicine

Cell Biology

Developmental Biology

SARS-CoV-2

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Kabir, MT; Uddin, MS; Hossain, MF; Abdulhakim, JA; Alam, MA; Ashraf, GM; Bungau, SG; Bin-Jumah, MN; Abdel-Daim, MM; Aleya, L, nCOVID-19 pandemic: From molecular pathogenesis to potential investigational therapeutics, Frontiers in Cell and Developmental Biology, 2020, 8, pp. 616

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