新型冠状病毒突变株感染药物治疗研究进展

Progress of research on drug therapies for SARS-CoV-2 variants infections

  • 摘要: 新型冠状病毒肺炎(COVID-19)疫情暴发以来, 出现了数千种新型冠状病毒(SARS-CoV-2)变异基因序列, 最具有代表性的变异株有:Alpha (B.1.1.7)、Beta(B.1.351)、Gamma (P.1)、Delta (B.1.617.2)、Omicron (B.1.1.529)。随着变异株的不断涌现,2025年1月全球大流行的变异株为源自Omicron BA.2.86的突变株JN.1。研究药物对Omicron变异株的有效性依然是感染SARS-CoV-2后治疗的研究热点。由于突变株S蛋白上基因组的突变, 传染性和致病严重程度明显改变, 相较之前流行的变异株具有更强的免疫逃逸能力和传播性。在与不断出现的新型变异株博弈的过程中, 药物对不同变异株所致疾病治疗的疗效有所不同。基于此, 新的药物和治疗方案随着不同种变异株的流行而不断更新。本文对当前用于SARS-CoV-2的治疗药物研究现状及其对新出现变异株的疗效进行概述, 以期为未来新演化变异株的预防、治疗提供参考。

     

    Abstract: Thousands of variant gene sequences of SARS-CoV-2 have been emerged since the COVID-19 epidemic broke out in Dec. 2019. Alpha (B. 1.1. 7), Beta (B. 1.351), Gamma (P. 1), Delta (B. 1.617.2) and Omicron (B. 1.1. 529) were the most representative variants. With the continuous emergence of new variants, the predominant strain in the global pandemic as of Jan. 2025 is the Omicron BA.2.86-derived mutant, JN.1. The effectiveness of drugs against Omicron variants remains a key research focus in the treatment of SARS-CoV-2 infections. The infectiousness and pathogenicity of the variants altered remarkably due to mutations in the genome on S protein of the mutant strains, and these emerging variants are more likely to evade immunity and were more infectious than the previous prevalent variants. During the process of combating with the constantly emerging novel variants, drugs showed various effects on treatment of diseases caused by different variants. New drugs and treatment countermeasures are constantly updated with the prevalence of various variants. The current status of research on present drugs for treatment of SARS-CoV-2 and the therapeutic effects on emerging variants are reviewed in the article so as to provide reference for prevention and treatment of the upcoming evolved variants.

     

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