The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review

Recently, the pandemic outbreak of a novel coronavirus, officially termed as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), indicated by a pulmonary infection in humans, has become one of the most significant challenges for public health. In the current fight against coronavirus disea...

Full description

Bibliographic Details
Main Authors: Subham Das, Anu Kunnath Ramachandran, Sumit Raosaheb Birangal, Saleem Akbar, Bahar Ahmed, Alex Joseph
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Medicine in Drug Discovery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590098621000063
_version_ 1819096619692326912
author Subham Das
Anu Kunnath Ramachandran
Sumit Raosaheb Birangal
Saleem Akbar
Bahar Ahmed
Alex Joseph
author_facet Subham Das
Anu Kunnath Ramachandran
Sumit Raosaheb Birangal
Saleem Akbar
Bahar Ahmed
Alex Joseph
author_sort Subham Das
collection DOAJ
description Recently, the pandemic outbreak of a novel coronavirus, officially termed as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), indicated by a pulmonary infection in humans, has become one of the most significant challenges for public health. In the current fight against coronavirus disease-2019, the medical and health authorities across the world focused on quick diagnosis and isolation of patients; meanwhile, researchers worldwide are exploring the possibility of developing vaccines and novel therapeutic options to combat this deadly disease. Recently, based on various small clinical observations, uncontrolled case studies and previously reported antiviral activity against SARS-CoV-1 chloroquine (CQ) and hydroxychloroquine (HCQ) have attracted exceptional consideration as possible therapeutic agents against SARS-CoV-2. However, there are reports on little to no effect of CQ or HCQ against SARS-CoV-2, and many reports have raised concerns about their cardiac toxicity. Here, in this review, we examine the chemistry, molecular mechanism, and pharmacology, including the current scenario and future prospects of CQ or HCQ in the treatment of SARS-CoV-2.
first_indexed 2024-12-22T00:02:05Z
format Article
id doaj.art-42b876554e334913940d93120e2fef0f
institution Directory Open Access Journal
issn 2590-0986
language English
last_indexed 2024-12-22T00:02:05Z
publishDate 2021-06-01
publisher Elsevier
record_format Article
series Medicine in Drug Discovery
spelling doaj.art-42b876554e334913940d93120e2fef0f2022-12-21T18:45:40ZengElsevierMedicine in Drug Discovery2590-09862021-06-0110100085The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive reviewSubham Das0Anu Kunnath Ramachandran1Sumit Raosaheb Birangal2Saleem Akbar3Bahar Ahmed4Alex Joseph5Department of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India; Manipal McGill Centre for Infectious Diseases, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India; Corresponding author at: Department of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.Department of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka 576104, IndiaDepartment of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka 576104, IndiaDepartment of Pharmaceutical Chemistry, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, IndiaDepartment of Pharmaceutical Chemistry, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, IndiaDepartment of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India; Corresponding author.Recently, the pandemic outbreak of a novel coronavirus, officially termed as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), indicated by a pulmonary infection in humans, has become one of the most significant challenges for public health. In the current fight against coronavirus disease-2019, the medical and health authorities across the world focused on quick diagnosis and isolation of patients; meanwhile, researchers worldwide are exploring the possibility of developing vaccines and novel therapeutic options to combat this deadly disease. Recently, based on various small clinical observations, uncontrolled case studies and previously reported antiviral activity against SARS-CoV-1 chloroquine (CQ) and hydroxychloroquine (HCQ) have attracted exceptional consideration as possible therapeutic agents against SARS-CoV-2. However, there are reports on little to no effect of CQ or HCQ against SARS-CoV-2, and many reports have raised concerns about their cardiac toxicity. Here, in this review, we examine the chemistry, molecular mechanism, and pharmacology, including the current scenario and future prospects of CQ or HCQ in the treatment of SARS-CoV-2.http://www.sciencedirect.com/science/article/pii/S2590098621000063CoronavirusCOVID-19SARS-CoV-2ChloroquineHydroxychloroquineCytokine storm
spellingShingle Subham Das
Anu Kunnath Ramachandran
Sumit Raosaheb Birangal
Saleem Akbar
Bahar Ahmed
Alex Joseph
The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review
Medicine in Drug Discovery
Coronavirus
COVID-19
SARS-CoV-2
Chloroquine
Hydroxychloroquine
Cytokine storm
title The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review
title_full The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review
title_fullStr The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review
title_full_unstemmed The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review
title_short The controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against SARS-CoV-2: A comprehensive review
title_sort controversial therapeutic journey of chloroquine and hydroxychloroquine in the battle against sars cov 2 a comprehensive review
topic Coronavirus
COVID-19
SARS-CoV-2
Chloroquine
Hydroxychloroquine
Cytokine storm
url http://www.sciencedirect.com/science/article/pii/S2590098621000063
work_keys_str_mv AT subhamdas thecontroversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT anukunnathramachandran thecontroversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT sumitraosahebbirangal thecontroversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT saleemakbar thecontroversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT baharahmed thecontroversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT alexjoseph thecontroversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT subhamdas controversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT anukunnathramachandran controversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT sumitraosahebbirangal controversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT saleemakbar controversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT baharahmed controversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview
AT alexjoseph controversialtherapeuticjourneyofchloroquineandhydroxychloroquineinthebattleagainstsarscov2acomprehensivereview