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中国生物工程杂志

CHINA BIOTECHNOLOGY
中国生物工程杂志  2020, Vol. 40 Issue (1-2): 1-20    DOI: 10.13523/j.cb.2002101
冠状病毒药物研发与技术情报专辑     
冠状病毒的研究现状 *
科睿唯安
Current Status of Research on Coronavirus
Clarivate Analytics
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摘要:

2019年新型冠状病毒感染的肺炎疫情爆发后,引起国际社会高度重视。本文对Cortellis药物研发综合情报平台的冠状病毒综述报告《Disease Briefing: Coronaviruses》(2020年1月30日)重要内容进行摘编,旨在通过全面梳理冠状病毒的诊断、预防和治疗的研究进展,为当前疫情的科学研究提供参考。

Abstract:

The outbreak of COVID-2019 has attracted the attention of the international community. This comprehensive review summarizes the research progress of the diagnosis, prevention and treatment of coronaviruses including SARS-CoV and MERS-CoV, which were extracted and compiled from the Cortellis report DISEASE BRIEFING: CORONAVIRUSES (published on January 30th, 2020), in order to provide reference for the scientific research of current epidemic situation.

出版日期: 2020-03-27
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引用本文:

科睿唯安. 冠状病毒的研究现状 *[J]. 中国生物工程杂志, 2020, 40(1-2): 1-20.

Clarivate Analytics. Current Status of Research on Coronavirus. China Biotechnology, 2020, 40(1-2): 1-20.

链接本文:

https://manu60.magtech.com.cn/biotech/CN/10.13523/j.cb.2002101        https://manu60.magtech.com.cn/biotech/CN/Y2020/V40/I1-2/1

图1  数字彩色透射电子显微镜(TEM)图像 图片来源:疾控中心/ Fred Murphy; Sylvia Whitfield
科/特征 病毒 疾病
正粘液病毒(正粘液病毒科)单链RNA,有包膜(复制无DNA步骤;负义基因组;分段基因组) 甲型和乙型流感病毒 上呼吸道感染
义膜性喉炎
副液粘病毒(副粘液病毒科)单链RNA,有包膜(复制无DNA步骤;负义基因组;非分段基因组) 副流感病毒1-3 上呼吸道感染、义膜性喉炎
呼吸道合胞病毒 上呼吸道感染、义膜性喉炎
麻疹病毒 麻疹
腮腺炎 无菌性脑膜炎
冠状病毒(冠状病毒科)单链RNA,有包膜(复制无DNA步骤;正义基因组) 人冠状病毒 上呼吸道感染
弹状病毒科(Rhabdoviridae)单链RNA,有包膜(复制无DNA步骤;负义基因组;非分段基因组) 狂犬病病毒 狂犬病
小核糖核酸病毒(小核糖核酸病毒科)单链RNA,无包膜 鼻病毒 普通感冒
甲型肝炎病毒 肝炎
肠道病毒: 瘫痪
脊髓灰质炎病毒 急性出血性结膜炎
柯萨奇A24病毒 心肌炎、心包炎
柯萨奇B病毒 无菌性脑膜炎
柯萨奇B1-5病毒 无菌性脑膜炎
柯萨奇A9病毒 无菌性脑膜炎、脑炎
埃可病毒
杯状病毒(蚌状瘸毒科)单链RNA,无包膜 诺瓦克病毒 胃肠炎
肝炎病毒(Hepeviridae)单链RNA,无包膜 戊型肝炎 肝炎
披膜病毒(披膜病毒科)单链RNA,有包膜(复制无DNA步骤;正义基因组) 甲病毒(A组虫媒病毒) 脑炎、出血热、基孔肯雅风疹
风疹病毒
黄病毒(黄病毒科)单链RNA,有包膜(复制无DNA步骤;正义基因组) B组虫媒病毒 脑炎、出血热
丙型肝炎病毒 肝炎
登革热病毒 登革热
寨卡病毒 寨卡
布尼亚病毒(布尼亚病毒科)单链RNA,有包膜(复制无DNA步骤;负义基因组;分段基因组) 一些虫媒病毒 脑炎、出血热
汉坦病毒 发热、肾脏受损
呼肠孤病毒(呼肠孤病毒科)双链RNA,无包膜 人轮状病毒 胃肠炎
沙粒病毒(沙粒病毒科)单链RNA,有包膜(复制无DNA步骤;负链基因组;分段基因组) 淋巴细胞性脉络丛脑膜炎 脑膜炎
LCM病毒
拉沙病毒 出血热
逆转录病毒(逆转录病毒科)单链RNA,包膜(DNA复制步骤) HTLV-I、HTLV-II T细胞白血病、淋巴瘤、轻瘫
HIV-1、HIV-2 艾滋病
丝状病毒(丝状病毒科)单链RNA,有包膜(复制无DNA步骤;负链基因组;非分段基因组) 马尔堡病毒 马尔堡病
埃博拉病毒 埃博拉出血热
表1  重要的RNA病毒列表
药物名称 公司 适应症 技术类型
INO-4800 GeneOne Life Science Inc; Inovio Pharmaceuticals Inc COVID-19: 发现阶段 寡核苷酸
mRNA vaccine ModeRNA Therapeutics COVID-19: 发现阶段 单克隆抗体
BVRS-GamVac Gamalei Institute of Epidemiology and Microbiology MERS: 临床II期 重组蛋白
BVRS-GamVac-Combi 加玛雷流行病学和微生物学研究所 MERS: 临床II期 重组蛋白
GLS-5300 (INO-4700) GeneOne Life Science; Inovio Pharmaceuticals MERS: 临床 I/II 期 DNA 疫苗
MVA-MERS-S Ludwig-Maximilians-Univ. Muenchen MERS: 临床 I 期 重组蛋白
MERS-Cov vaccine The Jenner Institute MERS: 临床 I 期 重组蛋白
ChAdOx1 MERS University of Oxford; Vaccitech Ltd. MERS: 临床 I 期 重组蛋白
MVA-MERS-S_DF1 汉堡埃彭多夫大学医院 MERS: 临床前 重组蛋白
IR-101C (RespiResponse) Immune Response BioPharma SARS: 临床前 灭活疫苗
GREVAX/MERS Greffex MERS: 临床前 重组蛋白
SARS Vaccine (VEE vector) AlphaVax Inc SARS: 临床前 重组蛋白
MERS-Corona virus vaccine Themis Bioscience GmbH MERS: 临床前 重组蛋白
MERS-Cov vaccine 智飞生物; 中科院微生物所 MERS: 临床前 生物疗法
MERS-CoV vaccine 美国国家过敏和传染病研究所 MERS: 临床前 单克隆抗体
Enveloped virus vaccine 科罗拉多大学 SARS: 发现阶段 生物疗法
GreMERSfi Greffex Inc MERS: 发现阶段 重组蛋白
Recombinant coronavirus vaccine IBAkteria Sp z oo 冠状病毒: 发现阶段 重组蛋白
SARS vaccine Genecure LLC SARS: 发现阶段 重组蛋白
SARS vaccine Protein Potential LLC SARS: 发现阶段 寡核苷酸
Universal influenza vaccine 科罗拉多大学 SARS: 发现阶段 免疫球蛋白G
表2  冠状病毒在研疫苗详情
药物 研究结果
巴韦林、洛匹那韦和I型IFN 在组织培养中具有潜在的抗病毒作用,但无确凿临床数据
利巴韦林 26项试验未得出结论,4项研究可能存在潜在危害
类固醇 25项研究未得出结论,4项表明可能存在潜在危害
恢复期血浆、IVIG、I型IFN和洛匹那韦/利托那韦 未得到明确结论
表3  SARS感染药物治疗研究结果
药物名称 公司/机构 作用机制 适应症 技术类型
瑞德西韦Remdesivir 吉利德科学 RNA依赖的RNA聚合酶抑制剂 2019-nCoV:临床III期
MERS/SARS: 临床前
Ebola: 临床II/III期
小分子
洛匹那韦/利托那韦Lopinavir/ritonavir 华中科技大学同济医学院附属同济医院 HIV-1 蛋白酶抑制剂 2019-nCoV: 临床III期 小分子
地瑞拉韦/可比司他 Darunavir/cobicistat 上海市公共卫生临床中心 HIV蛋白酶抑制剂/细胞色素P450 CYP3A4 抑制剂 2019-nCoV: 临床 小分子
奥司他韦磷酸盐Oseltamivir phosphate 华中科技大学同济医学院附属同济医院 唾液酸苷酶抑制剂(流感病毒)抑制剂 2019-nCoV: 临床 小分子
盐酸阿比多尔Umifenovir hydrochloride 华中科技大学同济医学院附属同济医院 病毒进入抑制剂/衣壳组装(乙型肝炎病毒)调节剂 2019-nCoV: 临床 小分子
抗MERS病毒康复期血浆疗法 阿卜杜拉国王国际医学研究中心 N/A Ebola:临床II/III期 (未达到终点)
MERS: 临床 II期 (试验停止)
恢复期患者血浆输注
REGN-3048-3051 再生元 抗突蛋白(MERS病毒) MERS: 临床I期 多抗体疗法
REGN-3048 再生元 抗突蛋白(MERS病毒) MERS: 临床I期 单克隆抗体
REGN-3051 再生元 抗突蛋白(MERS病毒) MERS: 临床I期 单克隆抗体
SAB-301 SAB Biotherapeutics 抗突蛋白(MERS病毒) MERS: 临床I期 多克隆抗体
LCA-60 Humabs BioMed 抗突蛋白(MERS病毒) MERS: 临床前 单克隆抗体
人白细胞干扰素 alpha AIM ImmunoTech N/A MERS: 临床前 多肽
nafamostat 东京大学 丝氨酸蛋白酶抑制剂 MERS: 临床前 重组蛋白
AM-1 国立中兴大学;爱荷华大学 核蛋白抑制剂 MERS: 临床前 小分子
DEF-201 Defyrus Inc; H&P Labs Inc 干扰素alpha配体 SARS: 临床前 重组蛋白
LB-2 Global BioLife Inc N/A SARS/MERS: 临床前 生物疗法
抗病毒孔蛋白疗法 Biotron Ltd N/A 冠状病毒感染: 药物发现 小分子
DPP4-Fc Planet Biotechnology Inc 二肽基肽酶IV调节剂 MERS: 药物发现 融合蛋白
MERS-CoV therapeutics NanoViricides Inc N/A MERS: 药物发现 重组蛋白
ranpirnase Tamir Biotechnology Inc 核糖核酸酶刺激剂 SARS; MERS: 药物发现 小分子
repurposed therapeutics Signia Therapeutics N/A MERS: 药物发现 抗体
rintatolimod AIM ImmunoTech Inc 2,5-寡腺苷酸合成酶刺激剂; 干扰素1型受体激动剂; 核糖核酸酶刺激剂; TLR-3激动剂 SARS: 药物发现 单克隆抗体
CYNK-001 Sorrento Therapeutics Inc; Celularity Inc N/A 2019-nCoV: 药物发现 细胞疗法
表4  当前抗冠状病毒药物研发管线
图2  SARS-CoV感染靶点全景 注:箭头表示正效应;横线表示负效应。灰色或浅色符号是未经验证的蛋白质靶点(即,未处于活性开发阶段[UAD])。红色边框内的粉红色文本框表示已验证的基因靶点。黄色文本框代表未验证的基因靶点。紫色和粉红色文本框分别表示细胞外和细胞内效应。绿色文本框表示相关疾病/病况/症状。
图3  MERS-CoV感染靶点全景 注:箭头表示正效应;横线表示负效应。灰色或浅色符号是未经验证的蛋白质靶点(即,未处于活性开发阶段)。红色边框内的粉红色文本框表示已验证的基因靶点。黄色文本框代表未验证的基因靶点。紫色和粉红色文本框分别表示细胞外和细胞内效应。绿色文本框表示相关疾病/病况/症状。
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