Peptides: Prospects for Use in the Treatment of COVID-19

Autor: Khavinson Vladimir Kh, Natalia Linkova, Roman Umnov, Kuznik Bi, Anastasiia Dyatlova
Rok vydání: 2020
Předmět:
0301 basic medicine
Anti-Inflammatory Agents
Respiratory System Agents
Pharmaceutical Science
Review
030204 cardiovascular system & hematology
Pharmacology
drugs
Analytical Chemistry
0302 clinical medicine
Drug Discovery
Lung
Disseminated intravascular coagulation
immunomodulators
Cytokine release syndrome
medicine.anatomical_structure
Chemistry (miscellaneous)
Acute Disease
Host-Pathogen Interactions
Molecular Medicine
medicine.symptom
Coronavirus Infections
Cytokine Release Syndrome
Respiratory Insufficiency
Pneumonia
Viral

Antiviral Agents
Virus
lcsh:QD241-441
03 medical and health sciences
Betacoronavirus
Structure-Activity Relationship
lcsh:Organic chemistry
Immunity
medicine
Humans
Immunologic Factors
Physical and Theoretical Chemistry
Pathological
Pandemics
business.industry
SARS-CoV-2
Organic Chemistry
COVID-19
Disseminated Intravascular Coagulation
medicine.disease
immunity
030104 developmental biology
Mechanism of action
Hemostasis
hemostasis
peptides
business
Zdroj: Molecules
Molecules, Vol 25, Iss 4389, p 4389 (2020)
ISSN: 1420-3049
Popis: There is a vast practice of using antimalarial drugs, RAS inhibitors, serine protease inhibitors, inhibitors of the RNA-dependent RNA polymerase of the virus and immunosuppressants for the treatment of the severe form of COVID-19, which often occurs in patients with chronic diseases and older persons. Currently, the clinical efficacy of these drugs for COVID-19 has not been proven yet. Side effects of antimalarial drugs can worsen the condition of patients and increase the likelihood of death. Peptides, given their physiological mechanism of action, have virtually no side effects. Many of them are geroprotectors and can be used in patients with chronic diseases. Peptides may be able to prevent the development of the pathological process during COVID-19 by inhibiting SARS-CoV-2 virus proteins, thereby having immuno- and bronchoprotective effects on lung cells, and normalizing the state of the hemostasis system. Immunomodulators (RKDVY, EW, KE, AEDG), possessing a physiological mechanism of action at low concentrations, appear to be the most promising group among the peptides. They normalize the cytokines’ synthesis and have an anti-inflammatory effect, thereby preventing the development of disseminated intravascular coagulation, acute respiratory distress syndrome and multiple organ failure.
Databáze: OpenAIRE