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Conclusions



This new virus outbreak has challenged the economic, medical and public health infrastructure of China and to some extent, of other countries especially, its neighbours. Time alone will tell how the virus will impact our lives here in India. More so, future outbreaks of viruses and pathogens of zoonotic origin are likely to continue. Therefore, apart from curbing this


CoV lethal challenge. Such antibodies n1ay play a crucial role in enhancing protective hu111oral responses against the e1nerging CoVs by ai1ning appropriate epitopes and functions of the S protein. The cross-neutralization ability of SARS-CoV RBD­ specific neutralizing MAbs considerably relies on the rese1nblance between their RBDs; therefore, SARS-CoV RED-specific antibodies could cross­ neutralized SL CoVs, i.e., bat-SL-CoV strain WIVl (RBD with eight amino acid differences fro1n SARS­ CoV) but not bat-SL-CoV strain SHC014 (24 ainino acid differences) (200).


Appropriate RED-specific MAbs can be recognized by a relative analysis of RBD of SARS­ CoV-2 to that of SARS-CoV, and cross-neutralizing SARS-CoV RBD-specific MAbs could be explored for their effectiveness against COVTD-19 and further need to be assessed clinically. The U.S. biotechnology company Regeneron is atte1npting to recognize potent and specific MAbs to con1bat COVID-19. An ideal therapeutic option suggested for SARS-CoV-2 (COVID-19) is the co111bination therapy co1nprised of MAbs and the drug ren1desivir (COVID-19) (201). The SARS-Co V-specific human MAb CR3022 is found to bind with SARS-CoV-2 RBD, indicating its potential as a therapeutic agent



confer any noticeable protection, with the absence of detectable serum SARS-CoV-neutral izing antibodies
(170). Antigenic detenninant sites present over S and N structural proteins of SARS-CoV-2 can be explored as suitable vaccine candidates (294). In the Asian population, S, E, M, and N proteins of SARS­ CoV-2 are being targeted for developing subunit vaccines against COVTD-19 (295).
The identification of the immunodominant region mnong the subunits and do1nains of S protein is critical for developing an effective vaccine against the coronavirus. The C-tenninal do1nain of the S1 subunit is considered the inununodo1ninant region of the porcine deltacoronavirus S protein (171). Similarly, further investigations are needed to detennine the i1nmunodominant regions of SARS­ CoV-2 for facilitating vaccine develop1nent.
However, our previous atte1npts to develop a universal vaccine that is effective for both SARS­ CoV and MERS-CoV based on T-ce1l epitope si1nilarity pointed out the possibility of cross­ reactivity among coronaviruses (172). That can be 1nade possible by selected potential vaccine targets that are c01111non to both viruses. SARS-CoV-2 has been reported to be closely related to SARS-CoV (173, 174). Hence, knowledge and understanding of
other clinical trials in different phases are still ongoing elsewhere.



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