Severe acute respiratory syndrome coronavirus 2 pandemic capacity is derived from the unique structural features on its spike protein: fast viral surfing over the epithelium with flat N‐terminal domain, tight binding to ACE2 entry receptor, and furin protease utilization. In addition, the possible involvement of other components such as lipid rafts, CLRs, and neuropilin is, in combination, mediating the accelerated cell entry and other critical steps in its overwhelming contagious capacity and pandemy.
Therapeutic options for the highly pathogenic human severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2) causing the current pandemic coronavirus disease (COVID-19)
are urgently needed. COVID-19 is associated with viral pneumonia and acute respiratory
distress syndrome causing significant morbidity and mortality. The proposed treatments
for COVID-19 have shown little or no effect in the clinic so far. Additionally,
bacterial and fungal pathogens contribute to the SARS-CoV-2-mediated pneumonia disease
complex. The antibiotic resistance in pneumonia treatment is increasing at an alarming
rate. Therefore, carbon-based nanomaterials (CBNs), such as fullerene, carbon dots,
graphene, and their derivatives constitute a promising alternative due to their
wide-spectrum antimicrobial activity, biocompatibility, biodegradability, and capacity
to induce tissue regeneration. Furthermore, the antimicrobial mode of action is mainly
physical (
e.g.
, membrane distortion), characterized by a low risk of
antimicrobial resistance. In this Review, we evaluated the literature on the antiviral
activity and broad-spectrum antimicrobial properties of CBNs. CBNs had antiviral
activity against 13 enveloped positive-sense single-stranded RNA viruses, including
SARS-CoV-2. CBNs with low or no toxicity to humans are promising therapeutics against
the COVID-19 pneumonia complex with other viruses, bacteria, and fungi, including those
that are multidrug-resistant.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.