Abstract

In December 2019, a novel coronavirus (COVID-19) unleashed an unprecedented and unanticipated pandemic, causing widespread concern. More than three million deaths have been documented since the first incidence of COVID-19 discovered in China. Several arduous efforts have been made by the governments of various countries worldwide to prevent and control the SARS-CoV-2 infection. This review article discusses an update on all kinds of therapeutic interventions currently applied or developed to treat SARS-CoV-2 condition, including the repurposing of drugs such as Remdesivir, Favipiravir, Ivermectin, etc. We also discuss CRISPR’s potential involvement in antiviral therapy, convalescent plasma therapy, and immunomodulators in combination to tackle the cytokine storms and present a comprehensive overview on many vaccines that have been created to date or are under trials, as well as their platforms and efficacy. Moreover, this article also discusses the mechanism of action of every therapeutic intervention.

Highlights

  • SARS-CoV-2, referred to as severe acute respiratory syndrome corona virus-2, was first detected in Wuhan city, Hubei province, China, and it has since caused a worldwide pandemic

  • At the beginning (December 2019), pneumonia of unknown cause was detected, later, it was classified as novel severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) causing COVID-19

  • This review article first briefly describes the lifecycle of SARS-CoV-2, focuses on covering the powerful drugs and in-hand therapeutic options and potential strategies which have been developed or are in development to fight against COVID-19

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Summary

INTRODUCTION

SARS-CoV-2, referred to as severe acute respiratory syndrome corona virus-2, was first detected in Wuhan city, Hubei province, China, and it has since caused a worldwide pandemic. At the beginning (December 2019), pneumonia of unknown cause was detected, later, it was classified as novel severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) causing COVID-19. SARS-CoV-2 is a zoonotic diseasecausing enveloped virus, having a linear single-stranded positive-sense RNA genome of about 30kb in size It has originated in animals but can cause respiratory diseases in humans [2]. Symptoms associated with COVID-19 disease induced by SARS-CoV-2 infection in humans vary from asymptomatic or mild to severely ill. They may arise within two days to two weeks post-exposure to the virus. This review article first briefly describes the lifecycle of SARS-CoV-2, focuses on covering the powerful drugs and in-hand therapeutic options and potential strategies which have been developed or are in development to fight against COVID-19

SARS-CoV-2 LIFE CYCLE
A Review Article on Vaccine Development
SARS-CoV-2 VARIANTS
Variants of Interest
Variants of Concern
NEED FOR IMMUNOMODULATORS
Vitamins and Micronutrients as Immune Boosters
Dexamethasone
Tocilizumab
Hydroxychloroquine
Remdesivir
Favipiravir
Ruxolitinib
Imatinib
Baricitinib
Ivermectin
Azithromycin
ANTIBODY COCKTAIL
10. VACCINE- BOTH A PROPHYLACTIC AND A THERAPEUTIC
10.1.1. Strategy for Live Attenuated SARS-CoV-2 Vaccine
10.1.1.1. Only three live attenuated-based vaccines are in preclinical development
10.1.2. Strategy for Inactivated SARS-CoV-2 Vaccine
10.1.2.1. The seven inactivated virus vaccines are:
10.2. Subunit Vaccines
10.2.1. Strategy for Subunit SARS-CoV-2 Vaccine
10.3. Nucleic Acid Vaccines
10.4. Recombinant Vector Vaccines
10.4.1. Strategy for Vector Vaccine
10.4.1.1. Adenovirus from Chimpanzee
10.4.1.2. Adenovirus from Gorilla
10.4.1.3. Adenovirus from Human
10.4.2. Thrombosis Post-COVID-19 Vaccination
10.5. Status of Vaccination for COVID-19 in India
10.6. Vaccine Durability and Future Challenges
11. CRISPR AS AN ANTIVIRAL STRATEGY TO COMBAT COVID-19
12. NANODECOY BASED COVID-19 THERAPY
13. GOLD NANOPARTICLES FOR PREVENTION OF SARS-CoV-2 ENTRY TO HOST CELL
14. SILICON AND SELENIUM NANOPARTICLES ALSO PREVENT VIRUS ENTRY TO A HOST CELL
Findings
CONCLUSION
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