Drug repurposing for the treatment of COVID-19: Pharmacological aspects and synthetic approaches

Bioorg Chem. 2021 Jan:106:104488. doi: 10.1016/j.bioorg.2020.104488. Epub 2020 Nov 19.

Abstract

In December 2019, a new variant of SARS-CoV emerged, the so-called acute severe respiratory syndrome coronavirus 2 (SARS-CoV-2). This virus causes the new coronavirus disease (COVID-19) and has been plaguing the world owing to its unprecedented spread efficiency, which has resulted in a huge death toll. In this sense, the repositioning of approved drugs is the fastest way to an effective response to a pandemic outbreak of this scale. Considering these facts, in this review we provide a comprehensive and critical discussion on the chemical aspects surrounding the drugs currently being studied as candidates for COVID-19 therapy. We intend to provide the general chemical community with an overview on the synthetic/biosynthetic pathways related to such molecules, as well as their mechanisms of action against the evaluated viruses and some insights on the pharmacological interactions involved in each case. Overall, the review aims to present the chemical aspects of the main bioactive molecules being considered to be repositioned for effective treatment of COVID-19 in all phases, from the mildest to the most severe.

Keywords: Coronavirus; Organic synthesis; SARS-CoV-2; Small molecules; Therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antiviral Agents / chemical synthesis
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use*
  • COVID-19 / epidemiology
  • COVID-19 Drug Treatment*
  • Cell Line, Tumor
  • Clinical Trials as Topic
  • Drug Repositioning*
  • Enzyme Inhibitors / chemical synthesis
  • Enzyme Inhibitors / pharmacology
  • Enzyme Inhibitors / therapeutic use
  • Humans
  • Pandemics
  • SARS-CoV-2 / drug effects

Substances

  • Antiviral Agents
  • Enzyme Inhibitors