摘要
在过去的几个月里,世界实际上处于停滞状态。SARS-CoV-2病毒已经使全球陷入经济和社会封锁。许多COVID-19患者免疫力下降,特别是老年帕金森病患者。PD患者中多巴胺能神经元的改变和多巴胺缺乏是影响1% 的60岁以上人群的最常见症状。PD患者的免疫系统和炎症表现使他们成为容易的目标。正在进行COVID-19临床试验的最常见药物是瑞德西韦、法维比韦、氯喹和羟氯喹、阿奇霉素以及带有一些单克隆抗体的金刚烷胺等辅助药物。目前,美国FDA临床批准的PD药物包括左旋多巴、儿茶酚- O -甲基转移酶(COMT)抑制剂、(恩他卡朋和托卡朋)、多巴胺激动剂(溴隐亭、罗匹尼洛、普拉克索和罗替戈汀)、单胺氧化酶B (MAO-B)抑制剂(司来吉兰和雷沙吉兰)、金刚烷胺和抗毒蕈碱药物。这些药物已经建立了对PD患者的作用机制,已知的药效学和药代动力学特性,以及剂量和不良反应。结论:本综述的重点是可用于治疗SAR - CoV-2感染PD患者的药物,特别是已被所有发达国家批准为通过下调CTSL同时具有抗病毒特性的通用药物金刚烷胺。溶酶体途径紊乱和pH值改变是脱壳病毒蛋白和抗帕金森特性所必需的。为应对SARS-CoV-2对PD的显著预后不良影响,目前的治疗方案、临床表现和各种机制是迫切需要的。
关键词: COVID-19、帕金森病、金刚烷胺、SARS-CoV-2、治疗、pH值紊乱
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