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COVID-19: combining antiviral and anti-inflammatory treatments.
The Lancet Infectious Diseases ( IF 56.3 ) Pub Date : 2020-02-27 , DOI: 10.1016/s1473-3099(20)30132-8
Justin Stebbing 1 , Anne Phelan 2 , Ivan Griffin 2 , Catherine Tucker 2 , Olly Oechsle 2 , Dan Smith 2 , Peter Richardson 2
Affiliation  

Both coronavirus disease 2019 (COVID-19) and severe acute respiratory syndrome (SARS) are characterised by an overexuberant inflammatory response and, for SARS, viral load is not correlated with the worsening of symptoms. In our previous Correspondence to The Lancet, we described how BenevolentAI's proprietary artificial intelligence (AI)-derived knowledge graph, queried by a suite of algorithms, enabled identification of a target and a potential therapeutic against SARS coronavirus 2 (SARS-CoV-2; the causative organism in COVID-19). We identified a group of approved drugs that could inhibit clathrin-mediated endocytosis and thereby inhibit viral infection of cells (). The drug targets are members of the numb-associated kinase (NAK) family—including AAK1 and GAK—the inhibition of which has been shown to reduce viral infection in vitro. Baricitinib was identified as a NAK inhibitor, with a particularly high affinity for AAK1, a pivotal regulator of clathrin-mediated endocytosis. We suggested that this drug could be of use in countering SARS-CoV-2 infections, subject to appropriate clinical testing.

中文翻译:

COVID-19:结合抗病毒和抗炎治疗。

2019 年冠状病毒病 (COVID-19) 和严重急性呼吸系统综合症 (SARS) 的特点是炎症反应过度旺盛,对于 SARS,病毒载量与症状恶化无关。, 在我们之前对《柳叶刀》的通讯中,我们描述了 BenevolentAI 的专有人工智能 (AI) 衍生知识图谱,通过一套算法查询,如何识别目标和针对 SARS 冠状病毒 2(SARS-CoV-2;COVID-19 中的致病微生物)的潜在治疗方法)。我们确定了一组已获批准的药物,它们可以抑制网格蛋白介导的内吞作用,从而抑制细胞的病毒感染。药物靶点是麻木相关激酶 (NAK) 家族的成员——包括 AAK1 和 GAK——已证明其抑制可减少体外病毒感染。Baricitinib 被鉴定为 NAK 抑制剂,对 AAK1 具有特别高的亲和力,AAK1 是网格蛋白介导的内吞作用的关键调节因子。我们建议这种药物可用于对抗 SARS-CoV-2 感染,但需要进行适当的临床测试。
更新日期:2020-03-27
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