The potential protective role of corticosteroid therapy in patients with asthma and COPD against COVID-19

© 2021. The Author(s)..

BACKGROUND: The observation of patients hospitalized for coronavirus disease (COVID-19) led us to note a lower prevalence of patients affected by chronic respiratory disease, in particular asthmatic patients, compared to the general population. Therefore, the aim of this paper is to evaluate the possible protective role of corticosteroid therapy in patients with chronic lung disease, regarding the risk of contracting severe COVID-19.

MAIN BODY: SARS-CoV-2 uses angiotensin-converting enzyme 2 (ACE2) receptors to enter the cells. Considering the high number of these receptors in patients affected by asthma and chronic obstructive pulmonary disease (COPD), the evidence that these patients do not have a high risk of hospitalization for COVID-19 needs further study to understand what the possible protective "factors" are in these patients. In particular, the finding in some studies of reduced coronavirus replication in cell lines treated with steroids, molecules commonly used for treating chronic lung diseases, needs further attention.

SHORT CONCLUSION: The hypothesis that corticosteroids, commonly used in treating airways diseases, might modify the severity of SARS-CoV-2 disease has become a key point and a possible predictive factor of a positive outcome of COVID-19 in patients treated everyday with these molecules.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Clinical and molecular allergy : CMA - 19(2021), 1 vom: 01. Nov., Seite 19

Sprache:

Englisch

Beteiligte Personen:

Furci, Fabiana [VerfasserIn]
Caminati, Marco [VerfasserIn]
Senna, Gianenrico [VerfasserIn]
Gangemi, Sebastiano [VerfasserIn]

Links:

Volltext

Themen:

Asthma
COPD
COVID-19
Corticosteroids
Hospitalization
Journal Article
Pulmonary diseases
Review

Anmerkungen:

Date Revised 27.04.2022

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1186/s12948-021-00159-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM332576531