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10.1016/j.jaci.2020.05.033

http://scihub22266oqcxt.onion/10.1016/j.jaci.2020.05.033
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32624257!7331543!32624257
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suck abstract from ncbi


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pmid32624257      J+Allergy+Clin+Immunol 2020 ; 146 (2): 285-299
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  • Molecular mechanisms and epidemiology of COVID-19 from an allergist s perspective #MMPMID32624257
  • Hosoki K; Chakraborty A; Sur S
  • J Allergy Clin Immunol 2020[Aug]; 146 (2): 285-299 PMID32624257show ga
  • The global pandemic caused by the newly described severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused worldwide suffering and death of unimaginable magnitude from coronavirus disease 2019 (COVID-19). The virus is transmitted through aerosol droplets, and causes severe acute respiratory syndrome. SARS-CoV-2 uses the receptor-binding domain of its spike protein S1 to attach to the host angiotensin-converting enzyme 2 receptor in lung and airway cells. Binding requires the help of another host protein, transmembrane protease serine S1 member 2. Several factors likely contribute to the efficient transmission of SARS-CoV-2. The receptor-binding domain of SARS-CoV-2 has a 10- to 20-fold higher receptor-binding capacity compared with previous pandemic coronaviruses. In addition, because asymptomatic persons infected with SARS-CoV-2 have high viral loads in their nasal secretions, they can silently and efficiently spread the disease. PCR-based tests have emerged as the criterion standard for the diagnosis of infection. Caution must be exercised in interpreting antibody-based tests because they have not yet been validated, and may give a false sense of security of being "immune" to SARS-CoV-2. We discuss how the development of some symptoms in allergic rhinitis can serve as clues for new-onset COVID-19. There are mixed reports that asthma is a risk factor for severe COVID-19, possibly due to differences in asthma endotypes. The rapid spread of COVID-19 has focused the efforts of scientists on repurposing existing Food and Drug Administration-approved drugs that inhibit viral entry, endocytosis, genome assembly, translation, and replication. Numerous clinical trials have been launched to identify effective treatments for COVID-19. Initial data from a placebo-controlled study suggest faster time to recovery in patients on remdesivir; it is now being evaluated in additional controlled studies. As discussed in this review, till effective vaccines and treatments emerge, it is important to understand the scientific rationale of pandemic-mitigation strategies such as wearing facemasks and social distancing, and implement them.
  • |*Pandemics[MESH]
  • |Adenosine Monophosphate/analogs & derivatives/therapeutic use[MESH]
  • |Age Factors[MESH]
  • |Alanine/analogs & derivatives/therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Antiviral Agents/therapeutic use[MESH]
  • |Asthma/*epidemiology/physiopathology[MESH]
  • |Betacoronavirus/drug effects/isolation & purification/*pathogenicity[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/diagnosis/*epidemiology/transmission[MESH]
  • |Clinical Laboratory Techniques/methods[MESH]
  • |Clinical Trials as Topic[MESH]
  • |Coronavirus Infections/diagnosis/drug therapy/*epidemiology/transmission[MESH]
  • |Drug Repositioning[MESH]
  • |Humans[MESH]
  • |Masks/supply & distribution[MESH]
  • |Peptidyl-Dipeptidase A/genetics/metabolism[MESH]
  • |Physical Distancing[MESH]
  • |Pneumonia, Viral/diagnosis/drug therapy/*epidemiology/transmission[MESH]
  • |Prevalence[MESH]
  • |Quarantine/organization & administration[MESH]
  • |Receptors, Virus/genetics/metabolism[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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