COVID-19 has spread globally to over 200 countries with more than 40 million confirmed cases and one million deaths as of November 1,2020.The SARS-CoV-2 virus,leading to COVID-19,shows extremely high rates of infectiv...COVID-19 has spread globally to over 200 countries with more than 40 million confirmed cases and one million deaths as of November 1,2020.The SARS-CoV-2 virus,leading to COVID-19,shows extremely high rates of infectivity and replication,and can result in pneumonia,acute respiratory distress,or even mortality.SARS-CoV-2 has been found to continue to rapidly evolve,with several genomic variants emerging in different regions throughout the world.In addition,despite intensive study of the spike protein,its origin,and molecular mechanisms in mediating host invasion are still only partially resolved.Finally,the repertoire of drugs for COVID-19 treatment is still limited,with several candidates still under clinical trial and no effective therapeutic yet reported.Although vaccines based on either DNA/mRNA or protein have been deployed,their efficacy against emerging variants requires ongoing study,with multivalent vaccines supplanting the first-generation vaccines due to their low efficacy against new strains.Here,we provide a systematic review of studies on the epidemiology,immunological pathogenesis,molecular mechanisms,and structural biology,as well as approaches for drug or vaccine development for SARSCoV-2.展开更多
基金This research was funded by Hunan Provincial Innovation Platform and Talents Program(No.2018RS3105)the Natural Science Foundation of China(No.61803151)+2 种基金the Natural Science Foundation of Hunan province(No.2018JJ3570)the Project of Scientific Research Fund of Hunan Provincial Education Department(No 19A060 and 19C0185)the project to introduce intelligence from oversea experts to the Changsha City(Grant No.2089901).
文摘COVID-19 has spread globally to over 200 countries with more than 40 million confirmed cases and one million deaths as of November 1,2020.The SARS-CoV-2 virus,leading to COVID-19,shows extremely high rates of infectivity and replication,and can result in pneumonia,acute respiratory distress,or even mortality.SARS-CoV-2 has been found to continue to rapidly evolve,with several genomic variants emerging in different regions throughout the world.In addition,despite intensive study of the spike protein,its origin,and molecular mechanisms in mediating host invasion are still only partially resolved.Finally,the repertoire of drugs for COVID-19 treatment is still limited,with several candidates still under clinical trial and no effective therapeutic yet reported.Although vaccines based on either DNA/mRNA or protein have been deployed,their efficacy against emerging variants requires ongoing study,with multivalent vaccines supplanting the first-generation vaccines due to their low efficacy against new strains.Here,we provide a systematic review of studies on the epidemiology,immunological pathogenesis,molecular mechanisms,and structural biology,as well as approaches for drug or vaccine development for SARSCoV-2.
