Journal
MEDICINAL RESEARCH REVIEWS
Volume 41, Issue 1, Pages 72-135Publisher
WILEY
DOI: 10.1002/med.21724
Keywords
antivirals; COVID-19; human coronavirus; main protease inhibitors; MERS-CoV; SARS-CoV-1; SARS-CoV-2
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Funding
- Projekt DEAL
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Coronaviruses can infect both humans and animals, causing a range of infections. Three beta-coronaviruses, including SARS-CoV-1, MERS-CoV, and SARS-CoV-2, have crossed the species barrier to infect humans. The urgent need for antiviral therapies against these dangerous viruses remains, as no approved vaccines or drugs are currently available.
Coronaviruses (CoVs) infect both humans and animals. In humans, CoVs can cause respiratory, kidney, heart, brain, and intestinal infections that can range from mild to lethal. Since the start of the 21st century, three beta-coronaviruses have crossed the species barrier to infect humans: severe-acute respiratory syndrome (SARS)-CoV-1, Middle East respiratory syndrome (MERS)-CoV, and SARS-CoV-2 (2019-nCoV). These viruses are dangerous and can easily be transmitted from human to human. Therefore, the development of anticoronaviral therapies is urgently needed. However, to date, no approved vaccines or drugs against CoV infections are available. In this review, we focus on the medicinal chemistry efforts toward the development of antiviral agents against SARS-CoV-1, MERS-CoV, SARS-CoV-2, targeting biochemical events important for viral replication and its life cycle. These targets include the spike glycoprotein and its host-receptors for viral entry, proteases that are essential for cleaving polyproteins to produce functional proteins, and RNA-dependent RNA polymerase for viral RNA replication.
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