质子泵抑制剂对新型冠状病毒肺炎的影响研究进展

Research progress in effects of proton pump inhibitors on Coronavirus Disease 2019

  • 摘要: 新型冠状病毒感染宿主细胞是利用刺突糖蛋白先与细胞表面受体结合,然后被细胞蛋白酶裂解以促进膜融合。质子泵抑制剂(PPIs)能从多方面抑制病毒传播,既可以抑制空泡型质子泵,提高内吞途径中细胞器的腔内pH值,靶向内吞体分选转运复合体,抑制病毒的膜融合和复制,防止病毒从感染细胞传播至未感染细胞,也可以发挥抗炎和抗纤维化作用而减轻肺炎的临床症状,还可以通过联合用药增强其他药物的抗病毒特性。但现有的临床证据尚未明确PPIs的有益作用,甚至发现PPIs可能会增加新型冠状病毒肺炎(COVID-19)的感染风险或严重程度。本文基于现有证据综述PPIs对COVID-19的潜在治疗作用和临床风险,旨在使COVID-19与PPIs相关的风险和收益平衡受到关注。

     

    Abstract: The infection mechanism of novel coronavirus infection involves a two-step process where the spike glycoprotein first binds to a cell surface receptor and is subsequently cleaved by a cellular protease to facilitate membrane fusion.Proton pump inhibitors (PPIs) can inhibit the spread of novel coronarirus in many ways.It inhibits cavitation proton pump to lead to raised organelle pH sorts and transports complex by targeting endosome inhibits membrane fusion and replication of novel coronavirus infection,and prevents viral transmission from infected to uninfected cells.They also can act against novel coronavirus infection by exerting anti-inflammatory and antifibrotic effects so as to reduce the clinical symptoms of pneumonia.Combined drug therapy can also be used to enhance the antiviral properties of other drugs.But the current clinical evidences do not point towards a beneficial effect clearly yet.This paper reviewed the potential therapeutic effects and clinical risks of PPIs on Coronavirus Disease 2019(COVID-19) based on the existing evidences,aiming to make clinical attention to the balance between the risks and benefiting associated with COVID-19 and PPIs.

     

/

返回文章
返回