Pathogenesis and treatment of cytokine storm in COVID-19

Copyright © 2021 The Author(s)..

COVID-19 is a viral infection caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that killed a large number of patients around the world. A hyperinflammatory state resulting in a cytokine storm and adult respiratory distress syndrome seems to be the major cause of the death. Many mechanisms have been suggested in the pathogenesis of COVID-19 associated cytokine storm (COVID-CS). Insufficient viral clearance and persistence of a strong cytokine response despite inadequate antiviral immunity seem to be the main mechanisms underlying the pathogenesis. The diagnosis of COVID-19 is based on relatively constant clinical symptoms, clinical findings, laboratory tests, and imaging techniques, while the diagnosis of COVID-CS is a rather dynamic process, based on evolving or newly emerging findings during the clinical course. Management of COVID-19 consists of using antiviral agents to inhibit SARS-CoV-2 replication and treating potential complications including the cytokine storm together with general supportive measures. COVID-CS may be treated using appropriate immunosuppressive and immunomodulatory drugs that reduce the level of inappropriate systemic inflammation, which has the potential to cause organ damage. Currently corticosteroids, IL-6 blockers, or IL-1 blockers are most widely used for treating COVID-CS.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:45

Enthalten in:

Turkish journal of biology = Turk biyoloji dergisi - 45(2021), 4 vom: 16., Seite 372-389

Sprache:

Englisch

Beteiligte Personen:

Soy, Mehmet [VerfasserIn]
Keser, Gökhan [VerfasserIn]
Atagündüz, Pamir [VerfasserIn]

Links:

Volltext

Themen:

Acute respiratory distress syndrome
Anakinra
COVID-19
Cytokine storm
Journal Article
Review
SARS-CoV-2
Tocilizumab

Anmerkungen:

Date Revised 23.11.2021

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3906/biy-2105-37

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333407687