COVID-19, cytokines and immunosuppression: what can we learn from severe acute respiratory syndrome?

Piercarlo Sarzi-Puttini1, Valeria Giorgi2, Silvia Sirotti2

  • 1Rheumatology Unit, ASST-Fatebenefratelli L. Sacco University Hospital, University of Milan, Italy. piercarlo.sarziputtini@gmail.com.

Insights

The novel coronavirus disease 2019 (COVID-19) outbreak rapidly spread globally, prompting international health alerts. Lessons from SARS and MERS may inform strategies for the COVID-19 pandemic, including novel immunosuppressive drugs.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Public Health

Background:

  • A severe outbreak of coronavirus disease 2019 (COVID-19) emerged in China in December 2019.
  • The World Health Organization declared COVID-19 a public health emergency due to its rapid global spread, exceeding 200,000 cases.
  • Previous coronavirus epidemics, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), share similarities with COVID-19.

Purpose of the Study:

  • To highlight the rapid global spread and public health implications of COVID-19.
  • To draw parallels between COVID-19, SARS, and MERS.
  • To suggest potential therapeutic avenues for COVID-19 based on lessons from prior epidemics.

Main Methods:

  • Review of epidemiological data on COVID-19.
  • Comparative analysis of clinical and pathogenetic features of COVID-19, SARS, and MERS.
  • Literature review on potential treatments for coronavirus infections.

Main Results:

  • COVID-19 has demonstrated rapid international transmission, leading to a global health emergency.
  • Significant pathogenetic, epidemiological, and clinical similarities exist between COVID-19, SARS, and MERS.
  • Limited knowledge exists regarding SARS-CoV-2, necessitating the application of insights from previous outbreaks.

Conclusions:

  • The global spread of COVID-19 constitutes a major public health crisis.
  • Understanding the similarities with SARS and MERS is crucial for managing the COVID-19 pandemic.
  • Novel immunosuppressive drugs may offer a potential treatment strategy for COVID-19.

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