Antibody-dependent enhancement (ADE) exists in several kinds of virus. It has a negative influence on antibody therapy for viral infection. This effect was first identified in dengue virus and has since also been described for coronavirus. To date, the rapid spread of the newly emerged coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causing coronavirus disease 2019 (COVID-19), has affected over 3.8 million people across the globe. The novel coronavirus poses a great challenge and has caused a wave of panic. In this review, antibody-dependent enhancements in dengue virus and two kinds of coronavirus are summarized. Possible solutions for the effects are reported. We also speculate that ADE may exist in SARS-CoV-2.
The COVID-19 outbreak is emerging as a significant public health challenge. Excessive production of proinflammatory cytokines, also known as cytokine storm, is a severe clinical syndrome known to develop as a complication of infectious or inflammatory diseases. Clinical evidence suggests that the occurrence of cytokine storm in severe acute respiratory syndrome secondary to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is closely associated with the rapid deterioration and high mortality of severe cases. In this review, we aim to summarize the mechanism of SARS-CoV-2 infection and the subsequent immunological events related to excessive cytokine production and inflammatory responses associated with ACE2-AngII signaling. An overview of the diagnosis and an update on current therapeutic regimens and vaccinations is also provided.
<p>The
spreading COVID-19 pandemic has brought the world to a halt in 2020. One of the
major challenges is the lack of effective antiviral drugs. Drug and vaccine
development typically takes years; a practical approach to formulate
knowledge-based prescriptions is to conduct <i>in
silico </i>screening for drugs and
compounds that has the potential to disrupt viral protein functions. By
evaluating the dataset from the “Shennong project”, an <i>in silico</i>
screening of the DrugBank library against SARS-CoV-2 proteins, we identified
chlorogenic acid and rutin displayed a strong affinity with diverse viral
proteins. Chlorogenic acid is naturally present in coffee in large quantity,
and rutin is available as nutraceutical products, both compounds are considered
safe to consume, hence could potentially aid the recovery or treatment for
COVID-19 patients at low health risk. We emphasise that the results require
further clinical clarification, the impact of this work shall be examined by professionals
carefully.</p>
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