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. 2020 Jun 4;27:72. doi: 10.1186/s12929-020-00663-w

Table 1.

Potential therapeutic agents for COVID-19

Drug/agents Evidence level Mechanisms Reference
Serine protease TMPRSS2 cell

binds the viral spike (S) protein, leading to S protein priming by host

cell protease via receptor ACE2

[60]

Serotonin receptor antagonist

cinanserin

cell inhibits the 3 chymotrypsin-like (3C-like) protease [61]
S protein-angiotensin-converting enzyme-2 (ACE2) blockers cell blocks the binding of S protein to ACE2 [4]

Antimalarial

chloroquine

clinical use inhibits the fusion between viral envelope and endosomal/lysosomal membranes [62]

Protease inhibitors

lopinavir/ritonavir

(HIV protease inhibitors)

clinical use may possibly inhibit SARS-CoV-2 protease [63]

Antiviral

ribavirin

cell may modulate host immunity and/or cause RNA replication catastrophe [64]

Protease inhibitors

nelfinavir

cell a selective post-translational inhibitor [65]
Nucleotide analog prodrug remdesivir cell and clinical use (first case of COVID-19 in the United States) possible inhibitor of RNA replication [66, 67]
Indole-derivative molecule arbidol cell Inhibits fusion between viral envelope and cellular membranes [68]
Immunosuppressive agent cyclosporine A cell block replication via inhibition of nucleocapsid protein [69]
Monoclonal antibody CR3022 cell and clinical use

potently binds

the receptor binding domain of S protein

[70]
Monoclonal antibody single-chain variable region fragments, scFv, 80R cell acts against the S1 domain of S protein [71]
Monoclonal antibody CR3014 cell neutralization of viral infectivity [72]

Immunotherapeutic potential

convalescent plasma

cell and clinical use neutralization of viral infectivity [73, 74]

Interferons

IFN-α and IFN-β

cell induction of interferon-stimulated genes to suppress viral replication [75, 76]

Cytokine blocker

cytokine IL-37

cell inhibits inflammation, by acting on mTOR and increasing the activity of adenosine monophosphate kinase [77]

Cytokine blocker

Lianhuaqingwen

cell anti-inflammation; inhibits IL-6 receptor [78]

Cytokine blocker

antibody against IL-6 receptor

Clinical use anti-inflammation; inhibits IL-6 receptor