Repurposing Drugs, Ongoing Vaccine, and New Therapeutic Development Initiatives Against COVID-19

Перепрофилирование лекарственных препаратов, разработка вакцин и новые терапевтические инициативы против COVID-19
Rudra P. Saha, Ashish Ranjan Sharma, Manoj Kumar Singh, Saikat Samanta, Swarnav Bhakta, Snehasish Mandal, Manojit Bhattacharya, Sang Soo Lee, Chiranjib Chakraborty
2020-08-19

COVID-19 vaccinesConvalescent plasmaDrug repurposingNucleic acid-based vaccinesSARS-CoV-2 immunopathology
As the COVID-19 is still growing throughout the globe, a thorough investigation into the specific immunopathology of SARS-CoV-2, its interaction with the host immune system and pathogen evasion mechanism may provide a clear picture of how the pathogen can breach the host immune defenses in elderly patients and patients with comorbid conditions. Such studies will also reveal the underlying mechanism of how children and young patients can withstand the disease better. The study of the immune defense mechanisms and the prolonged immune memory from patients population with convalescent plasma may help in designing a suitable vaccine candidate not only for the current outbreak but also for similar outbreaks in the future. The vital drug candidates, which are being tested as potential vaccines or therapeutics against COVID-19, include live attenuated vaccine, inactivated or killed vaccine, subunit vaccine, antibodies, interferon treatment, repurposing existing drugs, and nucleic acid-based vaccines. Several organizations around the world have fast-tracked the development of a COVID-19 vaccine, and some drugs already went to phase III of clinical trials. Hence, here, we have tried to take a quick glimpse of the development stages of vaccines or therapeutic approaches to treat this deadly disease.
1
COVID-19 vaccine and therapeutic strategies under investigation include live-attenuated, inactivated, subunit, antibody, interferon, repurposed-drug, and nucleic-acid approaches.
2
Comparing immune defenses in children, young patients, and vulnerable populations could reveal mechanisms underlying differences in COVID-19 severity.
3
Convalescent-plasma studies and characterization of prolonged immune memory may inform vaccine design for COVID-19 and future outbreaks.
4
Global organizations have accelerated vaccine development, while some candidate drugs had advanced to phase III clinical trials.
5
Understanding SARS-CoV-2 immunopathology, host interactions, and immune evasion may clarify why elderly and comorbid patients experience greater vulnerability.

COVID-19 caused by SARS-CoV-2, including the host immune response and candidate vaccines and therapeutics

SARS-CoV-2 immunopathology, immune evasion, immune memory, and the development status of vaccines and therapeutic approaches

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2020-08-19
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Rudra P. Saha
Ashish Ranjan Sharma
Manoj Kumar Singh
Saikat Samanta
Swarnav Bhakta
Snehasish Mandal
Manojit Bhattacharya
Sang Soo Lee
Chiranjib Chakraborty
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