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      Coronavirus Disease (COVID-19): Current Status and Prospects for Drug and Vaccine Development

      review-article
      Archives of Medical Research
      IMSS. Published by Elsevier Inc.
      SARS-CoV-2, COVID-19, Spike protein, Coronavirus, Drugs, Vaccine

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          Abstract

          The Coronavirus disease 2019 (COVID-19) pandemic has spread to almost all nooks and corners of the world. There are numerous potential approaches to pharmacologically fight COVID-19: small-molecule drugs, interferon therapies, vaccines, oligonucleotides, peptides, and monoclonal antibodies. Medications are being developed to target the spike, membrane, nucleocapsid or envelope proteins. The spike protein is also a critical target for vaccine development. Immunoinformatic approaches are being used for the identification of B cell and cytotoxic T lymphocyte (CTL) epitopes in the SARS-CoV-2 spike protein. Different vaccine vectors are also being developed. Chemical and physical methods such as formaldehyde, UV light or β-propiolactone are being deployed for the preparation of inactivated virus vaccine. Currently, there are many vaccines undergoing clinical trials. Even though mRNA and DNA vaccines are being designed and moved into clinical trials, these types of vaccines are yet to be approved by regulatory bodies for human use. This review focuses on the drugs and vaccines being developed against the COVID-19.

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          Most cited references57

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          Is Open Access

          Structural basis for the recognition of SARS-CoV-2 by full-length human ACE2

          How SARS-CoV-2 binds to human cells Scientists are racing to learn the secrets of severe acute respiratory syndrome–coronavirus 2 (SARS-CoV-2), which is the cause of the pandemic disease COVID-19. The first step in viral entry is the binding of the viral trimeric spike protein to the human receptor angiotensin-converting enzyme 2 (ACE2). Yan et al. present the structure of human ACE2 in complex with a membrane protein that it chaperones, B0AT1. In the context of this complex, ACE2 is a dimer. A further structure shows how the receptor binding domain of SARS-CoV-2 interacts with ACE2 and suggests that it is possible that two trimeric spike proteins bind to an ACE2 dimer. The structures provide a basis for the development of therapeutics targeting this crucial interaction. Science, this issue p. 1444
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            Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges

            Highlights • Emergence of 2019 novel coronavirus (2019-nCoV) in China has caused a large global outbreak and major public health issue. • At 9 February 2020, data from the WHO has shown >37 000 confirmed cases in 28 countries (>99% of cases detected in China). • 2019-nCoV is spread by human-to-human transmission via droplets or direct contact. • Infection estimated to have an incubation period of 2–14 days and a basic reproduction number of 2.24–3.58. • Controlling infection to prevent spread of the 2019-nCoV is the primary intervention being used.
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              Enzymatic assembly of DNA molecules up to several hundred kilobases.

              We describe an isothermal, single-reaction method for assembling multiple overlapping DNA molecules by the concerted action of a 5' exonuclease, a DNA polymerase and a DNA ligase. First we recessed DNA fragments, yielding single-stranded DNA overhangs that specifically annealed, and then covalently joined them. This assembly method can be used to seamlessly construct synthetic and natural genes, genetic pathways and entire genomes, and could be a useful molecular engineering tool.
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                Author and article information

                Journal
                Arch Med Res
                Arch Med Res
                Archives of Medical Research
                IMSS. Published by Elsevier Inc.
                0188-4409
                1873-5487
                10 September 2020
                January 2021
                10 September 2020
                : 52
                : 1
                : 15-24
                Affiliations
                [1]College of Pharmacy, Touro University, California, USA
                Author notes
                []Address reprint requests to: Kevin Ita, College of Pharmacy, Touro University, 1310 Club Drive, California, USA; Phone: 1-707-638-5994
                Article
                S0188-4409(20)31154-1
                10.1016/j.arcmed.2020.09.010
                7832760
                32950264
                6b1c20fb-51ce-49bb-acec-cf538ff75897
                © 2020 IMSS. Published by Elsevier Inc.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 23 June 2020
                : 8 September 2020
                Categories
                Review Article

                sars-cov-2,covid-19,spike protein,coronavirus,drugs,vaccine
                sars-cov-2, covid-19, spike protein, coronavirus, drugs, vaccine

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