Remdesivir—Bringing Hope for COVID-19 Treatment

At the beginning of 2020, the world was swept with a wave of a new coronavirus disease, named COVID-19 by the World Health Organization (WHO 2). The causative agent of this infection is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The data available on one of the promising thera...

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Main Authors: Naser F. Al-Tannak, Ladislav Novotny, Adel Alhunayan
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Scientia Pharmaceutica
Subjects:
Online Access:https://www.mdpi.com/2218-0532/88/2/29
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author Naser F. Al-Tannak
Ladislav Novotny
Adel Alhunayan
author_facet Naser F. Al-Tannak
Ladislav Novotny
Adel Alhunayan
author_sort Naser F. Al-Tannak
collection DOAJ
description At the beginning of 2020, the world was swept with a wave of a new coronavirus disease, named COVID-19 by the World Health Organization (WHO 2). The causative agent of this infection is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The data available on one of the promising therapeutic agents—nucleotide analog remdesivir (Gilead Sciences number GS-5734)—were evaluated. These data were concerned with remdesivir activation from the prodrug to the active molecule—triphosphate containing 1′-cyano group and modified nucleobase. This triphosphate competes with the natural substrate adenosine triphosphate. Additionally, its mechanisms of action based on RNA and proofreading exonuclease inhibition, leading to the delayed RNA chain termination of infected cells, and basic pharmacological data were assessed. Additionally, the analytical determination of remdesivir and its metabolites in cells and body liquids and also some data from remdesivir use in other RNA infections—such as Ebola, Nipah virus infection, and Middle East Respiratory Syndrome (MERS)—were summarized. More recent and more detailed data on the clinical use of remdesivir in COVID-19 were reported, showing the intensive efforts of clinicians and scientists to develop a cure for this new disease. Remdesivir as such represents one of the more promising alternatives for COVID-19 therapy, however the current understanding of this disease and the possible ways of dealing with it requires further investigation.
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spelling doaj.art-75dd201c020e411cb63452ebc3b540682023-11-20T03:38:26ZengMDPI AGScientia Pharmaceutica0036-87092218-05322020-06-018822910.3390/scipharm88020029Remdesivir—Bringing Hope for COVID-19 TreatmentNaser F. Al-Tannak0Ladislav Novotny1Adel Alhunayan2Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Kuwait University, P.O. Box 24923, Safat 13110, KuwaitDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, Kuwait University, P.O. Box 24923, Safat 13110, KuwaitSchool of Medicine, Health Science Center, Kuwait University, P.O. Box 24923, Safat 13110, KuwaitAt the beginning of 2020, the world was swept with a wave of a new coronavirus disease, named COVID-19 by the World Health Organization (WHO 2). The causative agent of this infection is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The data available on one of the promising therapeutic agents—nucleotide analog remdesivir (Gilead Sciences number GS-5734)—were evaluated. These data were concerned with remdesivir activation from the prodrug to the active molecule—triphosphate containing 1′-cyano group and modified nucleobase. This triphosphate competes with the natural substrate adenosine triphosphate. Additionally, its mechanisms of action based on RNA and proofreading exonuclease inhibition, leading to the delayed RNA chain termination of infected cells, and basic pharmacological data were assessed. Additionally, the analytical determination of remdesivir and its metabolites in cells and body liquids and also some data from remdesivir use in other RNA infections—such as Ebola, Nipah virus infection, and Middle East Respiratory Syndrome (MERS)—were summarized. More recent and more detailed data on the clinical use of remdesivir in COVID-19 were reported, showing the intensive efforts of clinicians and scientists to develop a cure for this new disease. Remdesivir as such represents one of the more promising alternatives for COVID-19 therapy, however the current understanding of this disease and the possible ways of dealing with it requires further investigation.https://www.mdpi.com/2218-0532/88/2/29remdesivirGS-5734COVID-19WHORNA-dependent RNA polymeraseendonuclease
spellingShingle Naser F. Al-Tannak
Ladislav Novotny
Adel Alhunayan
Remdesivir—Bringing Hope for COVID-19 Treatment
Scientia Pharmaceutica
remdesivir
GS-5734
COVID-19
WHO
RNA-dependent RNA polymerase
endonuclease
title Remdesivir—Bringing Hope for COVID-19 Treatment
title_full Remdesivir—Bringing Hope for COVID-19 Treatment
title_fullStr Remdesivir—Bringing Hope for COVID-19 Treatment
title_full_unstemmed Remdesivir—Bringing Hope for COVID-19 Treatment
title_short Remdesivir—Bringing Hope for COVID-19 Treatment
title_sort remdesivir bringing hope for covid 19 treatment
topic remdesivir
GS-5734
COVID-19
WHO
RNA-dependent RNA polymerase
endonuclease
url https://www.mdpi.com/2218-0532/88/2/29
work_keys_str_mv AT naserfaltannak remdesivirbringinghopeforcovid19treatment
AT ladislavnovotny remdesivirbringinghopeforcovid19treatment
AT adelalhunayan remdesivirbringinghopeforcovid19treatment