{"id":1203,"date":"2023-12-28T14:40:53","date_gmt":"2023-12-28T14:40:53","guid":{"rendered":"https:\/\/journal.nncf.kz\/?p=1203"},"modified":"2024-04-18T12:33:32","modified_gmt":"2024-04-18T12:33:32","slug":"literature-review-protease-inhibitors-as-promising-agents-in-the-fight-against-covid-19-evaluation-of-antiviral-activity","status":"publish","type":"post","link":"https:\/\/journal.nncf.kz\/en\/literature-review-protease-inhibitors-as-promising-agents-in-the-fight-against-covid-19-evaluation-of-antiviral-activity\/","title":{"rendered":"LITERATURE REVIEW: PROTEASE INHIBITORS AS PROMISING AGENTS IN THE FIGHT AGAINST COVID-19 \u2013 EVALUATION OF ANTIVIRAL ACTIVITY"},"content":{"rendered":"<p>Received: November 15, 2023\/ Accepted: November 17, 2023\/ Published online: December 28, 2023<br \/>\n\u0423\u0414\u041a 615.035.1<br \/>\nDOI: <a href=\"https:\/\/doi.org\/10.26212\/2227-1937.2023.19.64.019\">10.26212\/2227-1937.2023.19.64.019<\/a><\/p>\n<p style=\"text-align: center;\">I.R. Fakhradiyev, ORCID: http:\/\/orcid:0000-0003-0528-3874<br \/>\nT.M. Saliev, ORCID: http:\/\/orcid:0000-0001-5696-6363<br \/>\nSh.B. Tanabayeva, ORCID: http:\/\/orcid:0000-0003-1826-0460<br \/>\nT.R. Fazylov, ORCID: http:\/\/orcid:0000-0001-9604-5155<br \/>\nM.B. Kulimbet, ORCID: http:\/\/orcid:0000-0003-4399-700X<br \/>\nK.A. Muratova, ORCID: http:\/\/orcid:0009-0001-7011-9213<br \/>\nN.S. Ahmad, ORCID: http:\/\/orcid:0000-0002-7180-2006<br \/>\nK.B. Abdykerimova, ORCID: http:\/\/orcid:0009-0007-6384-0241<br \/>\nA.M. Orazymbetova, ORCID: http:\/\/orcid:0009-0002-0187-4220<br \/>\nS.D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan<\/p>\n<p style=\"text-align: center;\">LITERATURE REVIEW: PROTEASE INHIBITORS AS PROMISING AGENTS IN THE FIGHT AGAINST COVID-19 \u2013 EVALUATION OF ANTIVIRAL ACTIVITY<\/p>\n<p style=\"text-align: justify;\">Resume:<br \/>\nBackground: The COVID-19 pandemic has necessitated an urgent search for effective therapeutics. Protease inhibitors have<br \/>\ngained considerable attention as potential antiviral agents against SARS-CoV-2. This literature review aims to evaluate the<br \/>\ncurrent state of research on the antiviral activity of protease inhibitors against SARS-CoV-2, focusing on their mechanism of<br \/>\naction, in-vitro efficacy, clinical trial findings, and issues related to drug resistance and side effects.<br \/>\nMethods: A comprehensive search was conducted across multiple databases, including PubMed, Scopus, and Google Scholar,<br \/>\nusing relevant keywords. A total of 22 studies, comprising various research designs, were included in the review.<br \/>\nResults: Protease inhibitors effectively target key viral enzymes, demonstrating strong binding affinities. In-vitro studies<br \/>\ngenerally indicate a broad-spectrum efficacy against SARS-CoV-2. However, clinical trials have shown mixed results, with<br \/>\nsome studies indicating significant benefits, while others do not. Side effects are common but generally manageable. The<br \/>\nlikelihood of drug resistance remains relatively low but is a potential concern.<br \/>\nConclusion: Protease inhibitors hold promise as antiviral agents against SARS-CoV-2 due to their robust mechanisms of<br \/>\naction and in-vitro efficacy. However, clinical utility remains a matter of ongoing debate. Further research, particularly longterm and multi-center trials, are essential to fully establish the role of protease inhibitors in COVID-19 treatment. Issues<br \/>\nrelated to drug resistance and side effects need to be carefully considered. Overall, protease inhibitors could serve as a<br \/>\nvaluable component of a multi-pronged therapeutic approach against COVID-19.<br \/>\nKeywords: COVID-19, SARS-CoV-2, Protease Inhibitors, Antiviral Activity, Clinical Trials, Drug Resistance.<\/p>\n<p style=\"text-align: justify;\">REFERENCES<br \/>\n1 Aggarwal NR, Molina KC, Beaty LE, Bennett TD, Carlson<br \/>\nNE, Mayer DA, et al. Real-world use of nirmatrelvir\u2013<br \/>\nritonavir in outpatients with COVID-19 during the era of<br \/>\nomicron variants including BA.4 and BA.5 in Colorado,<br \/>\nUSA: a retrospective cohort study. Lancet Infect Dis<br \/>\n[Internet]. 2023;23(6):696\u2013705. Available from:<br \/>\nhttp:\/\/dx.doi.org\/10.1016\/s1473-3099(23)00011-7<br \/>\n2 Alves VM, Bobrowski T, Melo-Filho CC, Korn D,<br \/>\nAuerbach S, Schmitt C, et al. 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Available from:<br \/>\nhttp:\/\/dx.doi.org\/10.1097\/cji.0000000000000347<\/p>\n<div class=\"kcc_block\" title=\"\u0421\u043a\u0430\u0447\u0430\u0442\u044c\" onclick=\"document.location.href='https:\/\/journal.nncf.kz\/en?download=1&#038;kccpid=1203&#038;kcccount=https:\/\/journal.nncf.kz\/wp-content\/uploads\/2023\/12\/19.pdf'\">\r\n\t<img class=\"alignleft\" src=\"https:\/\/journal.nncf.kz\/wp-content\/plugins\/kama-clic-counter\/icons\/pdf.png\" alt=\"\" \/>\r\n\r\n\t<div class=\"kcc_info_wrap\">\r\n\t\t<a class=\"kcc_link\" href=\"https:\/\/journal.nncf.kz\/en?download=1&#038;kccpid=1203&#038;kcccount=https:\/\/journal.nncf.kz\/wp-content\/uploads\/2023\/12\/19.pdf\" title=\"19.pdf\">\u0421\u043a\u0430\u0447\u0430\u0442\u044c: LITERATURE REVIEW: PROTEASE INHIBITORS AS PROMISING AGENTS IN THE FIGHT AGAINST COVID-19 \u2013 EVALUATION OF ANTIVIRAL ACTIVITY<\/a>\r\n\t\t<div class=\"kcc_desc\"><\/div>\r\n\t\t<div class=\"kcc_info\">\u0421\u043a\u0430\u0447\u0430\u043d\u043e: 174, \u0440\u0430\u0437\u043c\u0435\u0440: 1.0 MB<\/div>\r\n\t<\/div>\r\n\t\r\n<\/div>\r\n\r\n<style>\r\n\t.kcc_block{ position:relative; padding:1em 0 2em; transition:background-color 0.4s; cursor:pointer; }\r\n\t.kcc_block img{ float:left; width:2.1em; height:auto; margin:0; border:0px !important; box-shadow:none !important; }\r\n\t.kcc_block .kcc_info_wrap{ padding-left:1em; margin-left:2.1em; }\r\n\t.kcc_block a{ border-bottom:0; }\r\n\t.kcc_block a.kcc_link{ text-decoration:none; display:block; font-size:150%; line-height:1.2; }\r\n\t.kcc_block .kcc_desc{ color:#666; }\r\n\t.kcc_block .kcc_info{ font-size:80%; color:#aaa; }\r\n\t.kcc_block:hover a{ text-decoration:none !important; }\r\n\t.kcc_block .kcc-edit-link{ position:absolute; top:0; right:.2em; }\r\n\t.kcc_block:after{ content:\"\"; display:table; clear:both; }\r\n<\/style>\n","protected":false},"excerpt":{"rendered":"<p>Received: November 15, 2023\/ Accepted: November 17, 2023\/ Published online: December 28, 2023 \u0423\u0414\u041a 615.035.1 DOI: 10.26212\/2227-1937.2023.19.64.019 I.R. Fakhradiyev, ORCID: http:\/\/orcid:0000-0003-0528-3874 T.M. Saliev, ORCID: http:\/\/orcid:0000-0001-5696-6363<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[31],"tags":[],"_links":{"self":[{"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/posts\/1203"}],"collection":[{"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/comments?post=1203"}],"version-history":[{"count":2,"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/posts\/1203\/revisions"}],"predecessor-version":[{"id":1237,"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/posts\/1203\/revisions\/1237"}],"wp:attachment":[{"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/media?parent=1203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/categories?post=1203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/journal.nncf.kz\/en\/wp-json\/wp\/v2\/tags?post=1203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}