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Eur J Pharmacol ; 887: 173553, 2020 Nov 15.
Artículo en Inglés | MEDLINE | ID: covidwho-764566

RESUMEN

In 2020 the whole world focused on antivirus drugs towards SARS-CoV-2. Most of the researchers focused on drugs used in other viral infections or malaria. We have not seen such mobilization towards one topic in this century. The whole situation makes clear that progress needs to be made in antiviral drug development. The first step to do it is to characterize the potential antiviral activity of new or already existed drugs on the market. Phenothiazines are antipsychotic agents used previously as antiseptics, anthelminthics, and antimalarials. Up to date, they are tested for a number of other disorders including the broad spectrum of viruses. The goal of this paper was to summarize the current literature on activity toward RNA-viruses of such drugs like chlorpromazine, fluphenazine, perphenazine, prochlorperazine, and thioridazine. We identified 49 papers, where the use of the phenothiazines for 23 viruses from different families were tested. Chlorpromazine, fluphenazine, perphenazine, prochlorperazine, and thioridazine possess anti-viral activity towards different types of viruses. These drugs inhibit clathrin-dependent endocytosis, cell-cell fusion, infection, replication of the virus, decrease viral invasion as well as suppress entry into the host cells. Additionally, since the drugs display activity at nontoxic concentrations they have therapeutic potential for some viruses, still, further research on animal and human subjects are needed in this field to verify cell base research.


Asunto(s)
Antipsicóticos/farmacología , Antivirales/farmacología , Betacoronavirus/efectos de los fármacos , Infecciones por Coronavirus/tratamiento farmacológico , Fenotiazinas/farmacología , Neumonía Viral/tratamiento farmacológico , Virus ARN/efectos de los fármacos , Animales , Antipsicóticos/uso terapéutico , Antivirales/uso terapéutico , COVID-19 , Clorpromazina/farmacología , Clorpromazina/uso terapéutico , Flufenazina/farmacología , Flufenazina/uso terapéutico , Humanos , Pandemias , Perfenazina/farmacología , Perfenazina/uso terapéutico , Fenotiazinas/uso terapéutico , Proclorperazina/farmacología , Proclorperazina/uso terapéutico , SARS-CoV-2 , Tioridazina/farmacología , Tioridazina/uso terapéutico , Tratamiento Farmacológico de COVID-19
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