Towards treatment planning of COVID-19 : Rationale and hypothesis for the use of multiple immunosuppressive agents: Anti-antibodies, immunoglobulins, and corticosteroids

Copyright © 2020 Elsevier B.V. All rights reserved..

The novel coronavirus, SARS-CoV2, can cause a potentially fatal disease, COVID-19, in humans. Here, we will provide an overview of therapeutic options for COVID-19. Plasma from patients recovered from COVID-19 that contains antibodies against SARS-CoV2 has shown promising results in patients with severe COVID-19. Also, IVIG, combined with moderate-dose of corticosteroids, might improve patient outcomes. Evidence links COVID-19 to variable degrees of inflammation. Studies show that the use of corticosteroids might accelerate recovery from COVID-19. There are, however, no controlled clinical trials that show whether the use of corticosteroids can reduce COVID-19-related death. Also, the pro-inflammatory cytokine IL6 is the best-documented cytokine in COVID-19 correlated with severity, criticality, viral load, and prognosis of patients with COVID-19. Tocilizumab, a monoclonal antibody against IL6, could confer clinical benefit in patients with high IL6 levels. Essential elements that process SARS-CoV2 cell entry and specific characteristics that allow SARS-CoV2 to escape the immune system have the potential as targets for COVID-19 therapy.

Errataetall:

CommentIn: Expert Opin Biol Ther. 2020 Oct;20(10):1111-1116. - PMID 32762581

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:84

Enthalten in:

International immunopharmacology - 84(2020) vom: 15. Juli, Seite 106560

Sprache:

Englisch

Beteiligte Personen:

Saghazadeh, Amene [VerfasserIn]
Rezaei, Nima [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
Antibodies, Anti-Idiotypic
Antibodies, Monoclonal
COVID-19
Corticosteroids
Immunoglobulin
Immunoglobulins
Immunosuppressive Agents
Interleukin 6
Interleukin-6
Journal Article
Review
Targeted therapy
Treatment

Anmerkungen:

Date Completed 18.06.2020

Date Revised 13.11.2023

published: Print-Electronic

CommentIn: Expert Opin Biol Ther. 2020 Oct;20(10):1111-1116. - PMID 32762581

Citation Status MEDLINE

doi:

10.1016/j.intimp.2020.106560

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM309964172