Abstract
The current coronavirus disease 2019 (COVID-19) outbreak is considered as one of the biggest public health challenges and medical emergencies of the century. A global health emergency demands an urgent development of rapid diagnostic tools and advanced therapeutics for the mitigation of COVID-19. To cope with the current crisis, nanotechnology offers a number of approaches based on abundance and versatile functioning. Despite major developments in early diagnostics and control of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), there is still a need to find effective nanomaterials with low cost, high stability and easy use. Nanozymes are nanomaterials with innate enzyme-like characteristics and exhibit great potential for various biomedical applications such as disease diagnosis and anti-viral agents. Overall the potential and contribution of nanozymes in the fight against SARS-CoV-2 infection i.e., rapid detection, inhibition of the virus at various stages, and effective vaccine development strategies, is not fully explored. This paper discusses the utility and potential of nanozymes from the perspective of COVID-19. Moreover, future research directions and potential applications of nanozymes are highlighted to overcome the challenges related to early diagnosis and therapeutics development for the SARS-CoV-2. We anticipate the current perspective will play an effective role in the existing response to the COVID-19 crisis.
1. Introduction
In the 20th century, millions of deaths occurred due to three influenza pandemics [1]. The first deadly pandemic named ‘Spanish flu’ occurred in 1918, which was caused by H1N1 influenza A strain. The estimated number of deaths from this virus were more than 40 million [2]. In 1957 another global pandemic called ‘Asian Flu’ [3,4] first originated in the Yunan province of China [4]. This virus was a mutated form of avian (H2N2) and already present human influenza viruses strains [3]. In mid-1968, the Hong Kong flu pandemic occurred, which was caused by the H3N2 influenza strain and afterward spread all over the globe [1,4]. The death toll of this pandemic was approximately 700,000 [4]. Recently, in late December 2019, a novel coronavirus (CoV) outbreak was first reported in Wuhan, China. The virus first disseminated in different parts of the world and eventually gained the status of a pandemic. The World Health Organization (WHO) announced this outbreak as a worldwide emergency on 30 January 2020 [5]. Etiologically, this illness has been caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [6,7]. Up to April 2021 more than 2.91 million deaths have been reported.
SARS-CoV-2 is an enveloped, positive sense, single-stranded RNA beta-Covid encoding 3 non-structural (3-chymotrypsin-like protease, papain-like protease, helicase, and RNA-dependent RNA polymerase), structural (spike glycoprotein) and accessory proteins [8]. SARS-CoV-2 is highly infectious and human-to-human transmission has been frequently reported. The world economy is facing a long lasting downturn due to mandatory quarantine and lockdowns. The implications of the pandemic are worsening day by day which poses serious challenges for health services. One serious concern of healthcare professionals is to develop, disseminate and deploy safe and effective vaccines against COVID-19 [9]. Until now, few SARS-CoV-2 vaccines have been approved, with more expected to be licensed in Yet having licensed vaccines, efficacy, large scale production, affordable price and rapid availability to local communities remain big challenges in controlling the SARS-CoV-2 pandemic. Reinfections and uncertainties in preliminary data for some vaccines indicate that the immunization process needs further investigation.
Meanwhile, reports about the emergence of new variants of coronavirus are continuously rising [10]. Early diagnosis and quarantine to cut off the source of infection are the most effective control strategies for disease outbreaks, including the COVID-19 pandemic [11,12]. Diagnosis of SARS-CoV-2 might be influenced by epidemiological history, clinical features, imageology and pathogenic index. Development of effective antiviral agents is hindered by the ability of SARS-CoV-2 to grow in the host cells without keeping its genome. Thus, there is an urgent need to expand testing capacities, deploy effective therapeutics, and develop safe vaccines that provide long lasting immunity [13]. Reverse transcription polymerase chain reaction (RT-PCR) is the most common molecular method used for early detection of SARS-CoV-Some other nucleic acid-based techniques, such as CRISPR (clustered regularly interspaced short palindromic repeats), microarrays, high-throughput qPCR (HT-qPCR) and loop-mediated isothermal amplification (LAMP) are also favorable options for detecting SARS-CoV-2 in clinical as well as in environmental samples [14,15,16]. Despite reliable results, genome extraction, amplification and data analysis require sophisticated biosafety labs, skilled personnel that make nucleic acid testing costly and unsuitable for under-developed countries [17]. Alternatively, antibody testing is chosen for detecting IgM or/and IgG antibodies produced after exposure to SARS-CoV-2 [18]. Typically, production of antibodies occurs 10–15 days post infection, so early screening and diagnosis of SARS-CoV-2 could not be possible with this technique [19]. The WHO has recommended the use of rapid antigen diagnostic tests that meet at least 80% sensitivity and 97% specificity for the active SARS-CoV-2 infections [20]. A detailed overview of various currently used diagnostic techniques, with detection limits, specificity, processing time is presented in Table 1. It could be inferred that extensive efforts are required to improve the early diagnosis of SARS-CoV-2, which will improve the therapeutic decision-making and will further decrease the intensity of illness and duration of hospital stay.
Table 1.
Different diagnostic techniques currently being used for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Various biosensing techniques have been developed for rapid, reliable, and sensitive detection of biomolecules (biomarker) for gauging virulence, pathogenicity, and microbial load [21,22]. Biosensing methods use natural enzymes such as horseradish peroxidases to catalyze different colorimetric reactions in the presence of substrates. Regardless of their novel catalytic effectiveness, natural enzymes have some limits for industrial application, such as low stability in harsh environmental conditions, and relatively high costs for preparation, purification, and storage [23]. Therefore, over the past few decades, researchers have made an intense effort to develop artificial enzymes for a wide range of applications [24]. Recently, nanomaterial-based enzyme mimetics (nanozymes) have revolutionized the fields of diagnosis and therapeutics [24].
Nanozymes have been frequently employed in various biomedical applications such as disease diagnosis, cancer therapy and anti-viral agents. Therefore, inspired by the unique characteristics of nanozymes, it is assumed they have the potential to overcome the challenges related to the early diagnosis and therapeutic developments for SARS-CoV-2 infections. According to the author’s knowledge, almost no efforts have been devoted to reviewing the vast potential of nanozymes to combat the COVID-19 infection. Thus, in this perspective, we present a comprehensive study of recent updates on nanozymes and their possible applications for detection and treatment for the SARS-CoV-2. We anticipate the current article will pave the way toward the development of rapid and sensitive diagnostics. Moreover, our findings will play a very effective role in the welfare of humans and the medical community in the COVID-19 crisis.
4. Conclusions and Recommendations
Nanotechnology is expected to play a critical role in the fight against COVID-19. Various nanomaterials have been utilized for therapeutics, building rapid diagnostic test kits, inhibition of virus replication and vaccines. Morphological and physicochemical similarities of nanozymes with SARS-CoV-2 mean they can provide powerful tools to interfere with the viral life cycle. The multi-functionality of nanozymes will significantly promote the proficient treatment against SARS-CoV-2. Nanozymes can directly inhibit the entry of the virus into the host cells by blocking the attachment or inhibiting the viral replication. IONzymes have to an extraordinary extent improved the defensive capacity of PPEs like facemasks, specifically by halting the viral actions. Hence, efficient antiviral strategies are vital to minimize viral proliferation, cellular damages induced by viral invasions and mutation frequency, which otherwise may result in therapeutic resistance. Future research projects must explore the different combinations of biocompatible nanozymes to broaden the antiviral spectrum against SARS-CoV-2 and other human-infecting viruses. Moreover, efficacy of SARS-CoV-2 vaccines could be improved through the addition of immunomodulating nanozymes or using them as adjuvants. Nanozyme-based virus-like particles (VLPs) that mimic the SARS-CoV-2 can induce long-lasting immunity by avoiding exposure to virulent components. High thermostability and large-scale production of SARS-CoV-2 vaccines along with availability to all countries is the target area for future applications. In future, nanozymes can also be employed for lessening the impact of other global challenges like antimicrobial resistance [98,99]. Despite the incredible features of nanozymes, nanotoxicity and low selectivity are the limitations for biomedical applications [100]. Therefore, more deep research could improve the efficacy of antiviral medications and reduce their side effects. In summary, nanozyme/nanomaterial-based therapeutics are expected to play a frontline role in tackling this outbreak.
Author Contributions
J.A. conceptualization, data analysis and wrote first draft of the manuscript, S.N.E. and A.A. revised the tabulated data and helped in graphical work. R.A. helped in data collection and drawing figures. H.W. critically revised article and final approval of the manuscript to be published. M.M.M. provided funding and supervision. He also critically revised the article and provided final approval of the manuscript to be published. All authors have read and agreed to the published version of the manuscript.
Funding
This work was funded by Abu Dhabi Department of Education and Knowledge (ADEK) through ADEK Award for Research Excellence (AARE) funding program (award # AARE19-047) and the National Water and Energy Center at United Arab Emirates University, UAE (Grant No. 21N226).
Data Availability Statement
Not applicable we did not have conducted any research experimental work in this study and don’t have any data avaialable or archived datasets or supplementary data.
Acknowledgments
We are thankful to the University of Sialkot, Pakistan for the support during this work.
Conflicts of Interest
Authors declares the no conflict of interest.
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