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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Infectious Disorders - Drug Targets</journal-id><journal-title-group><journal-title xml:lang="en">Infectious Disorders - Drug Targets</journal-title><trans-title-group xml:lang="ru"><trans-title>Infectious Disorders - Drug Targets</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1871-5265</issn><issn publication-format="electronic">2212-3989</issn><publisher><publisher-name xml:lang="en">Bentham Science</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">645765</article-id><article-id pub-id-type="doi">10.2174/0118715265270637240107153121</article-id><article-categories><subj-group subj-group-type="toc-heading"><subject>Medicine</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Two Birds with One Stone: Drug Regime Targets Viral Pathogenesis Phases and COVID-19 ARDS at the Same Time</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ghavami</surname><given-names>Ghazaleh</given-names></name><email>info@benthamscience.net</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name><surname>Sardari</surname><given-names>Soroush</given-names></name><email>info@benthamscience.net</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff id="aff1"><institution>Drug Design and Bioinformatics Unit, Department of Medical Biotechnology, Biotechnology Research Center, Pasteur Institute of Iran</institution></aff><aff id="aff2"><institution>Drug Design and Bioinformatics Unit, Department of Medical Biotechnology, Biotechnology Research Center, Pasteur Institute of Iran, Tehran</institution></aff><pub-date date-type="pub" iso-8601-date="2024-08-01" publication-format="electronic"><day>01</day><month>08</month><year>2024</year></pub-date><volume>24</volume><issue>8</issue><issue-title xml:lang="ru"/><history><date date-type="received" iso-8601-date="2025-01-11"><day>11</day><month>01</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Bentham Science Publishers</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Bentham Science Publishers</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://journals.eco-vector.com/1871-5265/article/view/645765">https://journals.eco-vector.com/1871-5265/article/view/645765</self-uri><abstract xml:lang="en"><p id="idm46466589693920">Background:Severe COVID-19 or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a kind of viral pneumonia induced by infection with the coronavirus that causes ARDS. It involves symptoms that are a combination of viral pneumonia and ARDS. Antiviral or immunosuppressive medicines are used to treat many COVID-19 patients. Several drugs are now undergoing clinical studies in order to see if they can be repurposed in the future.</p><p id="idm46466589697920">Material and Methods:In this study, in silico biomarker-targeted methodologies, such as target/molecule virtual screening by docking technique and drug repositioning strategy, as well as data mining approach and meta-analysis of investigational data, were used.</p><p id="idm46466589701888">Results:In silico findings of used combination of drug repurposing and high-throughput docking methods presented acetaminophen, ursodiol, and β-carotene as a three-drug therapy regimen to treat ARDS induced by viral pneumonia in addition to inducing direct antiviral effects against COVID-19 viral infection.</p><p id="idm46466589706944">Conclusion:In the current study, drug repurposing and high throughput docking methods have been employed to develop combination drug regimens as multiple-molecule drugs for the therapy of COVID-19 and ARDS based on a multiple-target therapy strategy. This approach offers a promising avenue for the treatment of COVID-19 and ARDS, and highlights the potential benefits of drug repurposing in the fight against the current pandemic.</p></abstract><kwd-group xml:lang="en"><kwd>Acetaminophen</kwd><kwd>ursodiol</kwd><kwd>&amp;amp</kwd><kwd>Beta</kwd><kwd>-carotene</kwd><kwd>COVID-19</kwd><kwd>ARDS</kwd><kwd>drug repositioning.</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Long B, Carius BM, Chavez S, et al. Clinical update on COVID-19 for the emergency clinician: Presentation and evaluation. Am J Emerg Med 2022; 54: 46-57. doi: 10.1016/j.ajem.2022.01.028 PMID: 35121478</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Zoumpourlis V, Goulielmaki M, Rizos E, Baliou S, Spandidos D. The COVID 19 pandemic as a scientific and social challenge in the 21st century. 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