?:abstract
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Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection COVID-19 is an ongoing global health crisis Efficacious drugs against COVID-19 are not yet available Therefore, rapid discovery of safe and efficacious agents against SARS-CoV-2 are needed urgently Nucleoside analogs have an integral role in the treatment of viral infections Owing to their broad-spectrum antiviral activities, C-nucleoside analogs have become key components of COVID-19 treatment regimens Here, we review the state-of-the-art C-nucleoside GS-5734 (remdesivir) that is in preclinical research for COVID-19 treatment As a potentially approved drug by the FDA against SARS-Cov-2 infection, the efficacy and safety of GS-5734 have been documented repeatedlyin vitro, in animal models, and in humans To better understand the drug-development process, this review focused on the discovery process, preparation methods, broad-spectrum activities, and antiviral mechanism of GS-5734
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