COVID-19 pandemic: an overview of epidemiology, pathogenesis, diagnostics and potential vaccines and therapeutics

Ther Deliv. 2020 Apr;11(4):245-268. doi: 10.4155/tde-2020-0035. Epub 2020 May 12.

Abstract

At the time of writing this review, severe acute respiratory coronavirus syndrome-2 (SARS-CoV-2) has infected more than 2,355,853 patients and resulted in more than 164,656 deaths worldwide (as of 20 April 2020). This review highlights the preventive measures, available clinical therapies and the potential of vaccine development against SARS-CoV-2 by taking into consideration the strong genetic similarities of the 2003 epidemic SARS-CoV. Recent studies are investigating the repurposing of US FDA-approved drugs as there is no available vaccine yet with many attempts under clinical evaluation. Several antivirals, antimalarials and immunomodulators that have shown activity against SARS-CoV and Middle East coronavirus respiratory syndromes are being evaluated. In particular, hydroxychloroquine, remdesivir, favipiravir, arbidol, tocilizumab and bevacizumab have shown promising results. The main aim of this review is to provide an overview of this pandemic and where we currently stand.

Keywords: COVID-19; SARS-CoV-2; infection; repurposed therapies; vaccine; viruses.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Betacoronavirus* / genetics
  • COVID-19
  • COVID-19 Drug Treatment
  • COVID-19 Testing
  • COVID-19 Vaccines
  • Clinical Laboratory Techniques
  • Coronavirus / genetics
  • Coronavirus Infections* / diagnosis
  • Coronavirus Infections* / drug therapy
  • Coronavirus Infections* / epidemiology
  • Coronavirus Infections* / genetics
  • Coronavirus Infections* / immunology
  • Coronavirus Infections* / prevention & control
  • Coronavirus Infections* / therapy
  • Disease Progression
  • Humans
  • Pandemics* / prevention & control
  • Pneumonia, Viral* / diagnosis
  • Pneumonia, Viral* / epidemiology
  • Pneumonia, Viral* / prevention & control
  • Pneumonia, Viral* / therapy
  • RNA, Viral
  • SARS-CoV-2
  • Viral Vaccines* / genetics
  • Viral Vaccines* / immunology

Substances

  • Antiviral Agents
  • COVID-19 Vaccines
  • RNA, Viral
  • Viral Vaccines