Moderate Fever Cycles as a Potential Mechanism to Protect the Respiratory System in COVID-19 Patients

Copyright © 2020 Guihur, Rebeaud, Fauvet, Tiwari, Weiss and Goloubinoff..

Mortality in COVID-19 patients predominantly results from an acute respiratory distress syndrome (ARDS), in which lungs alveolar cells undergo programmed cell death. Mortality in a sepsis-induced ARDS rat model is reduced by adenovirus over-expression of the HSP70 chaperone. A natural rise of body temperature during mild fever can naturally accumulate high cellular levels of HSP70 that can arrest apoptosis and protect alveolar lung cells from inflammatory damages. However, beyond 1-2 h of fever, no HSP70 is being further produced and a decreased in body temperature required to the restore cell's ability to produce more HSP70 in a subsequent fever cycle. We suggest that antipyretics may be beneficial in COVID-19 patients subsequent to several hours of mild (<38.8°C) advantageous fever, allowing lung cells to accumulate protective HSP70 against damages from the inflammatory response to the virus SARS-CoV-2. With age, the ability to develop fever and accumulate HSP70 decreases. This could be ameliorated, when advisable to do so, by thermotherapies and/or physical training.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

Frontiers in medicine - 7(2020) vom: 20., Seite 564170

Sprache:

Englisch

Beteiligte Personen:

Guihur, Anthony [VerfasserIn]
Rebeaud, Mathieu E [VerfasserIn]
Fauvet, Bruno [VerfasserIn]
Tiwari, Satyam [VerfasserIn]
Weiss, Yoram G [VerfasserIn]
Goloubinoff, Pierre [VerfasserIn]

Links:

Volltext

Themen:

Acute respiratory distress syndrome
COVID-19
Fever
Heat- shock response
Hsp70
Journal Article
Review
SARS-CoV-2

Anmerkungen:

Date Revised 29.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fmed.2020.564170

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316128597