The possible mechanisms of action of 4-aminoquinolines (chloroquine/hydroxychloroquine) against Sars-Cov-2 infection (COVID-19): A role for iron homeostasis? DOI Open Access
Eugenia Quirós-Roldán, Giorgio Biasiotto, Paola Magro

et al.

Pharmacological Research, Journal Year: 2020, Volume and Issue: 158, P. 104904 - 104904

Published: May 13, 2020

Language: Английский

Pharmacologic Treatments for Coronavirus Disease 2019 (COVID-19) DOI Open Access
James M. Sanders, Marguerite L. Monogue,

Tomasz Z. Jodlowski

et al.

JAMA, Journal Year: 2020, Volume and Issue: unknown

Published: April 13, 2020

Importance

The pandemic of coronavirus disease 2019 (COVID-19) caused by the novel severe acute respiratory syndrome 2 (SARS-CoV-2) presents an unprecedented challenge to identify effective drugs for prevention and treatment. Given rapid pace scientific discovery clinical data generated large number people rapidly infected SARS-CoV-2, clinicians need accurate evidence regarding medical treatments this infection.

Observations

No proven therapies virus currently exist. expanding knowledge SARS-CoV-2 virology provides a significant potential drug targets. most promising therapy is remdesivir. Remdesivir has potent in vitro activity against but it not US Food Drug Administration approved being tested ongoing randomized trials. Oseltamivir been shown have efficacy, corticosteroids are recommended. Current does support stopping angiotensin-converting enzyme inhibitors or angiotensin receptor blockers patients with COVID-19.

Conclusions Relevance

COVID-19 represents greatest global public health crisis generation and, potentially, since influenza outbreak 1918. speed volume trials launched investigate highlight both capability produce high-quality even middle pandemic. date.

Language: Английский

Citations

2402

COVID-19 pathophysiology: A review DOI Open Access
Koichi Yuki,

Miho Fujiogi,

Sophia Koutsogiannaki

et al.

Clinical Immunology, Journal Year: 2020, Volume and Issue: 215, P. 108427 - 108427

Published: April 20, 2020

Language: Английский

Citations

2153

COVID-19: Transmission, prevention, and potential therapeutic opportunities DOI Open Access

Melika Lotfi,

Michael R. Hamblin, Nima Rezaei

et al.

Clinica Chimica Acta, Journal Year: 2020, Volume and Issue: 508, P. 254 - 266

Published: May 29, 2020

Language: Английский

Citations

997

A Review of SARS-CoV-2 and the Ongoing Clinical Trials DOI Open Access

Yung-Fang Tu,

Chian‐Shiu Chien,

Aliaksandr A. Yarmishyn

et al.

International Journal of Molecular Sciences, Journal Year: 2020, Volume and Issue: 21(7), P. 2657 - 2657

Published: April 10, 2020

The sudden outbreak of 2019 novel coronavirus (2019-nCoV, later named SARS-CoV-2) in Wuhan, China, which rapidly grew into a global pandemic, marked the third introduction virulent human society, affecting not only healthcare system, but also economy. Although our understanding coronaviruses has undergone huge leap after two precedents, effective approaches to treatment and epidemiological control are still lacking. In this article, we present succinct overview epidemiology, clinical features, molecular characteristics SARS-CoV-2. We summarize current data from initial Wuhan studies, emphasize several features SARS-CoV-2, differentiate it SARS-CoV Middle East respiratory syndrome (MERS-CoV), such as high variability disease presentation. systematize trials that have been initiated COVID-19 pandemic. Whereas on SARS-CoV-2 genome-based specific vaccines therapeutic antibodies currently being tested, solution is more long-term, they require thorough testing their safety. On other hand, repurposing existing agents previously designed for virus infections pathologies happens be practical approach rapid response measure emergent most these already tested These can divided broad categories, those directly target replication cycle, based immunotherapy either aimed boost innate antiviral immune responses or alleviate damage induced by dysregulated inflammatory responses. studies revealed promising potential drugs, including

Language: Английский

Citations

710

COVID-19: Immunology and treatment options DOI Open Access

Susanna Felsenstein,

Jenny A. Herbert, Paul McNamara

et al.

Clinical Immunology, Journal Year: 2020, Volume and Issue: 215, P. 108448 - 108448

Published: April 27, 2020

Language: Английский

Citations

657

COVID-19: A Review on the Novel Coronavirus Disease Evolution, Transmission, Detection, Control and Prevention DOI Creative Commons
Anshika Sharma, Isra Ahmad Farouk, Sunil K. Lal

et al.

Viruses, Journal Year: 2021, Volume and Issue: 13(2), P. 202 - 202

Published: Jan. 29, 2021

Three major outbreaks of the coronavirus, a zoonotic virus known to cause respiratory disease, have been reported since 2002, including SARS-CoV, MERS-CoV and most recent 2019-nCoV, or more recently as SARS-CoV-2. Bats are be primary animal reservoir for coronaviruses. However, in past few decades, has able mutate adapt infect humans, resulting an animal-to-human species barrier jump. The emergence novel coronavirus poses serious global public health threat possibly carries potential causing pandemic outbreak naïve human population. COVID-19, disease caused by SARS-CoV-2, Wuhan, Hubei Province, China infected over 36.5 million individuals claimed one lives worldwide, 8 October 2020. is rapidly spreading across transmitted 213 other countries/territories globe. Researchers that constantly evolving through asymptomatic carriers, further suggesting high threat. To this end, current up-to-date information on evolution SARS-CoV-2 modes transmission, detection techniques control prevention strategies summarized review.

Language: Английский

Citations

616

Cytokine storm induced by SARS-CoV-2 DOI Open Access
Peipei Song, Wei Li, Jianqin Xie

et al.

Clinica Chimica Acta, Journal Year: 2020, Volume and Issue: 509, P. 280 - 287

Published: June 10, 2020

Language: Английский

Citations

544

COVID-19: The Inflammation Link and the Role of Nutrition in Potential Mitigation DOI Open Access
Ioannis Zabetakis, Ronan Lordan, Catherine Norton

et al.

Nutrients, Journal Year: 2020, Volume and Issue: 12(5), P. 1466 - 1466

Published: May 19, 2020

The novel coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome 2 (SARS-CoV-2) has engulfed the world, affecting more than 180 countries. As a result, there been considerable economic distress globally and significant loss of life. Sadly, vulnerable immunocompromised in our societies seem to be susceptible COVID-19 complications. Global public health bodies governments have ignited strategies issued advisories on various handwashing hygiene guidelines, social distancing strategies, and, most extreme cases, some countries adopted “stay place” or lockdown protocols prevent spread. Notably, are several risk factors for infection. These include presence poor nutritional status pre-existing noncommunicable diseases (NCDs) such as diabetes mellitus, chronic lung diseases, cardiovascular (CVD), obesity, other that render patient immunocompromised. characterized systemic inflammation, which may common feature these NCDs, outcomes against COVID-19. In this review, we discuss anti-inflammatory therapies currently under investigation intended dampen cytokine storm infections. Furthermore, role diet lifestyle is considered, it known affect infections play This review speculates importance nutrition mitigation strategy support immune function amid pandemic, identifying food groups key nutrients

Language: Английский

Citations

505

Clinical management of COVID-19 DOI Open Access
George M. Varghese,

Rebecca John,

Abi Manesh

et al.

The Indian Journal of Medical Research, Journal Year: 2020, Volume and Issue: 151(5), P. 401 - 401

Published: Jan. 1, 2020

The novel coronavirus disease 2019 (COVID-19) with its early origin from Wuhan city in China has evolved into a global pandemic. Maximal precautionary measures and resources have been put forward by most nations war footing to mitigate transmission decrease fatality rates. This article was aimed review the evidence on clinical management deal identification of high-risk groups, warning signs, appropriate investigations, proper sample collection for confirmation, general specific treatment measures, strategies as well infection control healthcare settings. Advanced age, cardiovascular disease, diabetes, hypertension cancer found be risk factors severe disease. Fever lasting >five days tachypnoea, tachycardia or hypotension are indications urgent attention hospitalization patient suspected COVID-19. At present, reverse transcription-polymerase chain reaction (RT-PCR) upper respiratory tract samples is diagnostic test choice. While many drugs shown vitro activity against acute syndrome 2 (SARS-CoV-2), there insufficient data promote dissuade their usage. Among currently available drugs, hydroxychloroquine lopinavir/ritonavir may considered patients COVID-19 infection, awaiting further trials. Stringent droplet contact precautions will protect workers exposures

Language: Английский

Citations

504

Convalescent plasma in Covid-19: Possible mechanisms of action DOI Creative Commons
Manuel Rojas, Yhojan Rodríguez, Diana M. Monsalve

et al.

Autoimmunity Reviews, Journal Year: 2020, Volume and Issue: 19(7), P. 102554 - 102554

Published: May 5, 2020

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible of the disease 2019 (COVID-19) pandemic. Therapeutic options including antimalarials, antivirals, and vaccines are under study. Meanwhile current pandemic has called attention over old therapeutic tools to treat infectious diseases. Convalescent plasma (CP) constitutes first option in situation, since it been successfully used other coronaviruses outbreaks. Herein, we discuss possible mechanisms action CP their repercussion COVID-19 pathogenesis, direct neutralization virus, control an overactive immune system (i.e., cytokine storm, Th1/Th17 ratio, complement activation) immunomodulation a hypercoagulable state. All these benefits expected be better achieved if non-critically hospitalized patients, hope reducing morbidity mortality.

Language: Английский

Citations

496