Progress and pitfalls of a year of drug repurposing screens against COVID-19.

Progress and pitfalls of a year of drug repurposing screens against COVID-19.
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DOI:
10.1016/j.coviro.2021.06.004
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发表时间:
2021-08
影响因子:
5.9
通讯作者:
Plemper RK
Plemper RK
中科院分区:
医学2区
文献类型:
--
作者:
Sourimant J;Aggarwal M;Plemper RK

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接近2019年底,一种新的冠状病毒开始在人与人之间有效传播,导致了当前的COVID-19大流行。世界范围内进行了前所未有的努力,从已批准的药物和已知的生物活性化合物中鉴定和重新利用抗病毒治疗。这种方法的典型缺陷(混杂/细胞毒性化合物导致假阳性),加上由于紧急而绕过抗病毒药物开发参数,往往导致令人失望的结果。大量的出版物、新闻稿和媒体帖子在公众中造成了混乱,有时为临床试验调动了宝贵的资源,但成功的可能性微乎其微。突破已经取得,而不是在实验室,而是在临床,由于经验鉴定减轻临床症状,如发现通过免疫调节剂改善疾病管理。这篇评论文章旨在总结我们认为2019冠状病毒病大流行教给我们的关于药物重新利用筛选的一些教训。
Near the end of 2019, a new betacoronavirus started to efficiently transmit between humans, resulting in the current COVID-19 pandemic. Unprecedented worldwide efforts were made to identify and repurpose antiviral therapeutics from collections of approved drugs and known bioactive compounds. Typical pitfalls of this approach (promiscuous/cytotoxic compounds leading to false positives), combined with bypassing antiviral drug development parameters due to urgency have resulted in often disappointing outcomes. A flood of publications, press-releases, and media posts, created confusion in the general public and sometime mobilized precious resources for clinical trials with minimal prospect of success. Breakthroughs have been made, not in the laboratory but in the clinic, resulting from the empiric identification of mitigators of clinical signs such as the discovery of improved disease management through immunomodulators. This opinion piece will aim to capture some of the lessons that we believe the COVID-19 pandemic has taught about drug repurposing screens.
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