摘要
流感和冠状病毒等病毒引起的呼吸道感染是一个严重的全球问题,因为它们的高感染率和可能引发大流行,如当前的COVID-19大流行。尽管通过使用疫苗预防这些感染是迄今为止最成功的策略,但并不是总能获得有效的疫苗。因此,开发广谱抗病毒药物来治疗这类感染是至关重要的,特别是在免疫功能低下的患者或新病毒株爆发的情况下。唾液酸被认为是病毒感染周期中的关键分子,其末端唾液酸化聚糖是参与感染的几种病毒蛋白的靶点,尤其是呼吸道感染。这种蛋白的抑制剂神经氨酸酶是目前市场上唯一的抗流感药物。神经氨酸酶抑制剂的问题,包括耐药性的发展和相对狭窄的活性谱,推动了对病毒感染周期的更好理解和开发更有弹性、更广泛的抗病毒治疗的需要。因此,这篇综述概述了唾液酸在呼吸道病毒感染中的各种作用,并提供了利用唾液酸抑制病毒感染的药物实例。已经得出的结论是,靶向唾液酸宿主细胞表达的药物可能特别适合于抑制广泛的呼吸道感染。这就需要继续设计和改进这类药物,以减轻呼吸道感染的负担。
关键词: 唾液酸,唾液酸转移酶,神经氨酸酶,抗病毒,药物发现,流感,冠状病毒
Current Medicinal Chemistry
Title:The Role of Sialylation in Respiratory Viral Infection and Treatment
Volume: 28 Issue: 26
关键词: 唾液酸,唾液酸转移酶,神经氨酸酶,抗病毒,药物发现,流感,冠状病毒
摘要: Respiratory infections caused by viruses such as influenza and coronavirus are a serious global problem due to their high infection rates and potential to spark pandemics, such as the current COVID-19 pandemic. Although preventing these infections by using vaccines has been the most successful strategy to date, effective vaccines are not always available. Therefore, developing broad-spectrum anti-viral drugs to treat such infections is essential, especially in the case of immunocompromised patients or for outbreaks of novel virus strains. Sialic acids have been highlighted as a key molecule in the viral infection cycle, with terminally sialylated glycans acting as a target for several viral proteins involved in infection, particularly respiratory infection. Inhibitors of one such protein, neuraminidase, are the only anti-influenza drugs currently on the market. Problems with neuraminidase inhibitors, including the development of resistance and a relatively narrow spectrum of activity, drive the need for an improved understanding of the viral infection cycle and the development of more resilient, broader-spectrum anti-viral treatments. Hence, this review outlines the various roles played by sialic acids in respiratory viral infection and provides examples of drugs that exploit sialic acids to inhibit viral infections. It has been concluded that drugs targeting host cell expression of sialic acid could be especially well suited to inhibiting a broad spectrum of respiratory infections. This warrants the continued design and improvement of such drugs in an attempt to lessen the burden of respiratory infections.
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Cite this article as:
The Role of Sialylation in Respiratory Viral Infection and Treatment, Current Medicinal Chemistry 2021; 28 (26) . https://dx.doi.org/10.2174/0929867328666210201153901
DOI https://dx.doi.org/10.2174/0929867328666210201153901 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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