α, Alpha

α,阿尔法
  • 文章类型: Journal Article
    自2019年12月以来,严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)已成为一种新兴的人类病毒,世界人口易患2019年冠状病毒病(COVID-19)。SARS-CoV-2比以前的冠状病毒具有更高的传播能力,由核糖核酸(RNA)病毒性质相关的高突变率,导致SARS-CoV-2变体在全球传播时出现。中和抗体被鉴定为针对COVID-19的即时和直接作用治疗剂。单结构域抗体(sdAb),作为具有非复杂结构和内在稳定性的小生物分子,可以获得与常规抗体相当的抗原结合能力,作为一种有吸引力的中和溶液。SARS-CoV-2刺突蛋白附着于肺上皮细胞上的人血管紧张素转换酶2(ACE2)受体以引发病毒感染,作为潜在的治疗靶点。sdAb已经显示出广泛的中和对SARS-CoV-2的各种突变,有效阻止和预防感染,同时有效阻止突变逃逸。此外,sdAb可以发展成为针对COVID-19的多价抗体或吸入性生物治疗剂。
    With severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as an emergent human virus since December 2019, the world population is susceptible to coronavirus disease 2019 (COVID-19). SARS-CoV-2 has higher transmissibility than the previous coronaviruses, associated by the ribonucleic acid (RNA) virus nature with high mutation rate, caused SARS-CoV-2 variants to arise while circulating worldwide. Neutralizing antibodies are identified as immediate and direct-acting therapeutic against COVID-19. Single-domain antibodies (sdAbs), as small biomolecules with non-complex structure and intrinsic stability, can acquire antigen-binding capabilities comparable to conventional antibodies, which serve as an attractive neutralizing solution. SARS-CoV-2 spike protein attaches to human angiotensin-converting enzyme 2 (ACE2) receptor on lung epithelial cells to initiate viral infection, serves as potential therapeutic target. sdAbs have shown broad neutralization towards SARS-CoV-2 with various mutations, effectively stop and prevent infection while efficiently block mutational escape. In addition, sdAbs can be developed into multivalent antibodies or inhaled biotherapeutics against COVID-19.
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  • 文章类型: Journal Article
    未经证实:缺乏对新型冠状病毒疾病的治疗导致寻找能够抑制病毒复制的特定抗病毒药物。植物界已被证明是具有抗病毒潜力的新分子的重要来源。
    UNASSIGNED:本研究旨在利用各种计算工具来鉴定最有资格的候选药物,这些候选药物具有通过抑制主要蛋白酶(Mpro)酶来阻止SARS-COV-2病毒复制的能力。
    未经证实:我们选择了提取物对先前发现的冠状病毒具有抑制潜力的植物。调查了它们的植物成分,并制备了100个分子的文库。然后,计算工具,如分子对接,利用ADMET和分子动力学模拟来筛选化合物并评估它们对Mpro酶的影响。
    未经鉴定:所有的植物成分都显示出对Mpro酶的良好结合亲和力。其中月桂碱具有最高的结合亲和力,即-294.1533kcal/mol。在ADMET分析中,模拟了1.2ns的最佳三种配体,然后将其中的稳定配体进一步模拟20ns。结果表明,在月桂碱w.r.t.蛋白质残基中未观察到构象变化,较低的RMSD值表明月桂碱-蛋白质复合物稳定20ns。
    未经批准:劳罗利辛,黑斑草根的活性成分,被发现具有良好的ADMET谱并且具有停止酶活性的能力。因此,这使得月桂碱成为治疗COVID-19的良好候选药物。
    UNASSIGNED: Lack of treatment of novel Coronavirus disease led to the search of specific antivirals that are capable to inhibit the replication of the virus. The plant kingdom has demonstrated to be an important source of new molecules with antiviral potential.
    UNASSIGNED: The present study aims to utilize various computational tools to identify the most eligible drug candidate that have capabilities to halt the replication of SARS-COV-2 virus by inhibiting Main protease (Mpro) enzyme.
    UNASSIGNED: We have selected plants whose extracts have inhibitory potential against previously discovered coronaviruses. Their phytoconstituents were surveyed and a library of 100 molecules was prepared. Then, computational tools such as molecular docking, ADMET and molecular dynamic simulations were utilized to screen the compounds and evaluate them against Mpro enzyme.
    UNASSIGNED: All the phytoconstituents showed good binding affinities towards Mpro enzyme. Among them laurolitsine possesses the highest binding affinity i.e. -294.1533 kcal/mol. On ADMET analysis of best three ligands were simulated for 1.2 ns, then the stable ligand among them was further simulated for 20 ns. Results revealed that no conformational changes were observed in the laurolitsine w.r.t. protein residues and low RMSD value suggested that the Laurolitsine-protein complex was stable for 20 ns.
    UNASSIGNED: Laurolitsine, an active constituent of roots of Lindera aggregata, was found to be having good ADMET profile and have capabilities to halt the activity of the enzyme. Therefore, this makes laurolitsine a good drug candidate for the treatment of COVID-19.
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  • 文章类型: Journal Article
    背景:2019年冠状病毒病的大流行促使医疗保健系统迅速重组,以阻止大流行的传播。因此,在禁止面对面会议的情况下,为了防止COVID-19大流行,远程医疗更可取,允许远距离提供医疗服务。这项研究旨在评估在埃塞俄比亚西南部工作的医疗保健提供者在COIVID-19期间使用远程医疗的意愿以及决定其意愿程度的因素。
    方法:基于机构的横断面研究设计用于评估在埃塞俄比亚西南部公共卫生医院工作的医疗保健提供者使用远程医疗的意愿。使用自我管理问卷。我们已经使用Epi-info进行数据输入和矩结构分析(AMOS)进行分析。进行了结构方程建模,以确定与95%置信区间(CI)使用远程医疗意愿相关的因素。
    结果:在这项研究中,不到一半的受访者愿意使用远程医疗。易用性(β=0.79,95%CI:[0.72,0.86],p<0.01),态度(β=0.91,95%CI:[0.87,0.95],p<0.01)和医患关系(β=0.67,95%CI:[0.54,0.70],p<0.01)是与使用远程医疗意愿相关的变量。对技术的焦虑(β=0.74,95%CI:[0.69,0.79],p<0.01)和医患关系(β=0.87,95%CI:[0.81,0.92],p<0.01)是使用远程医疗态度的决定因素。
    结论:在这种情况下,在COVID-19期间使用远程医疗的总体意愿为46.5%。解决与易用性相关的问题,态度和医患关系将有助于提高COVID-19期间使用远程医疗的总体意愿。试图改善医患关系,提供易于使用的技术培训和医疗保健提供者的工作态度将有助于提高使用远程医疗的意愿。
    BACKGROUND: The coronavirus disease 2019 pandemic has prompted rapid restructuring of the health-care system in an effort to stop the spread of the pandemic. Thus, telemedicine is more preferable in order to prevent the COVID-19 pandemic when face to face meeting is forbidden, allowing provision of health service over a distance. This study aimed to assess willingness to use telemedicine and factors that will determine their extent of willingness during COIVID-19 among healthcare providers working in south west of Ethiopia.
    METHODS: Institutional based cross-sectional study design was applied to assess willingness to use telemedicine among healthcare providers working at public health hospitals in south west of Ethiopia. Self-administered questionnaires were used. We have used Epi-info for data entry and Analysis of Moment Structure (AMOS) for analysis. A structural equation modeling was performed to identify factors associated with willingness to use telemedicine at 95% confidence interval (CI).
    RESULTS: In this study, less than half of respondents had high willingness to use telemedicine. Ease of use (β = 0.79, 95% CI: [0.72, 0.86], p < 0.01), attitude (β = 0.91, 95% CI: [0.87, 0.95], p < 0.01) and patient-physician relationships (β = 0.67, 95% CI: [0.54, 0.70], p < 0.01) were variables associated with willingness to use telemedicine. Anxiety towards technology (β = 0.74, 95% CI: [0.69, 0.79], p < 0.01) and patient-physician relationships (β = 0.87, 95% CI: [0.81, 0.92], p < 0.01) were determinant factors of attitude to use telemedicine.
    CONCLUSIONS: The overall willingness to use telemedicine during COVID-19 in this setting is 46.5%. Addressing the problem related with ease of use, attitude and patient-physician relationships will help to increase the overall willingness to use telemedicine during COVID-19. An attempt to improving patient-physician relationship, provision of technical training for ease of use and working on healthcare providers\' attitude will help to improve the willingness to use telemedicine.
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