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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.
Abstract:
A severe outbreak of coronavirus disease 2019 (COVID-19) emerged in China in December 2019, and spread so rapidly that more than 200,000 cases have so far been reported worldwide; on January 30, 2020, the WHO declared it the sixth public health emergency of international concern. The two previously reported coronavirus epidemics (severe acute respiratory syndrome [SARS] and Middle East respiratory syndrome [MERS]) share similar pathogenetic, epidemiological and clinical features as COVID-19. As little is currently known about SARS-CoV-2, it is likely that lessons learned from these major epidemics can be applied to the new pandemic, including the use of novel immunosuppressive drugs.
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