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Severe Acute Respiratory Syndrome Coronavirus -2 (SARS-CoV-2): A Review on Pathophysiology, Diagnosis and Investigational Therapeutics.
Current Medicinal Chemistry 2021 May 4
There is a new public health crisis threatening the world with the emergence and spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease was later named as a novel Coronavirus disease or COVID-19. It was then declared a pandemic by the World Health Organization on March 11, 2020. The virus originated in bats and was transmitted to humans through yet unknown intermediary animals in Wuhan, Hubei province, China, in December 2019. As of February 5, 2021, 103 million laboratory-confirmed cases and nearly 2.3 million deaths have been reported globally. The number of death tolls continue to rise, and a large number of countries have been forced to implement social distancing and lockdown. As per literature, Coronavirus is transmitted human to human or human to animal via airborne droplets. Coronavirus enters the human cell through membrane ACE-2 exopeptidase receptor. WHO, ECDC, and ICMR advised to avoid public places and close contact with infected persons and pet animals. To date, there is no evidence of any effective treatment for COVID-19. The main therapies being used to treat the disease are antiviral drugs, chloroquine/hydroxychloroquine, and respiratory therapy. Although several therapies have been proposed, quarantine is the only intervention that appears to be effective in decreasing the contagion rate. We conducted a literature review of publicly available information to summarize knowledge about the pathogen and the current epidemic. In the present literature review, the causative agents of the pandemic, epidemiology, pathogenesis, and diagnosis techniques are discussed. Further, currently used treatment and prevention strategies along with vaccine trials and computational tools are all described in detail.
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