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Author Spotlight: Unveiling the Polyfunctionality and Heterogeneity in Immune Responses
Published on: March 8, 2024
Emerging trends in COVID-19 treatment: learning from inflammatory conditions associated with cellular therapies
Maria Cancio1, Rachele Ciccocioppo2, Patricia R M Rocco3
1Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Abstract:
Coronavirus disease 2019 (SARS-CoV2) is an active global health threat for which treatments are desperately being sought. Even though most people infected experience mild to moderate respiratory symptoms and recover with supportive care, certain vulnerable hosts develop severe clinical deterioration. While several drugs are currently being investigated in clinical trials, there are currently no approved treatments or vaccines for COVID-19 and hence there is an unmet need to explore additional therapeutic options. At least three inflammatory disorders or syndromes associated with immune dysfunction have been described in the context of cellular therapy. Specifically, Cytokine Release Syndrome (CRS), Immune Reconstitution Inflammatory Syndrome (IRIS), and Secondary Hemophagocytic Lymphohistiocytosis (sHLH) all have clinical and laboratory characteristics in common with COVID19 and associated therapies that could be worth testing in the context of clinical trials. Here we discuss these diseases, their management, and potential applications of these treatment in the context of COVID-19. We also discuss current cellular therapies that are being evaluated for the treatment of COVID-19 and/or its associated symptoms.
Insights
New treatments are needed for severe COVID-19. This study explores Cytokine Release Syndrome, Immune Reconstitution Inflammatory Syndrome, and Secondary Hemophagocytic Lymphohistiocytosis as potential therapeutic targets for COVID-19.
Area of Science:
- Immunology
- Infectious Diseases
- Oncology
Background:
- Coronavirus disease 2019 (COVID-19) poses a significant global health challenge with no approved treatments.
- Severe COVID-19 cases exhibit immune dysfunction, necessitating novel therapeutic strategies.
- Existing treatments for inflammatory syndromes offer potential parallels for COVID-19 management.
Purpose of the Study:
- To explore the potential of Cytokine Release Syndrome (CRS), Immune Reconstitution Inflammatory Syndrome (IRIS), and Secondary Hemophagocytic Lymphohistiocytosis (sHLH) as therapeutic targets for COVID-19.
- To discuss the management of these inflammatory disorders and their relevance to COVID-19.
- To review current cellular therapies being evaluated for COVID-19 and its symptoms.
Main Methods:
- Literature review and comparative analysis of clinical and laboratory characteristics of CRS, IRIS, sHLH, and COVID-19.
- Discussion of management strategies for these inflammatory syndromes.
- Evaluation of current cellular therapies in the context of COVID-19 treatment.
Main Results:
- CRS, IRIS, and sHLH share clinical and laboratory features with severe COVID-19.
- These inflammatory syndromes represent potential avenues for therapeutic exploration in COVID-19 clinical trials.
- Current cellular therapies are under investigation for managing COVID-19 and associated symptoms.
Conclusions:
- The shared characteristics between CRS, IRIS, sHLH, and COVID-19 suggest these inflammatory syndromes could inform novel COVID-19 treatment strategies.
- Further investigation into these parallels may lead to effective therapeutic options for severe COVID-19.
- Cellular therapies show promise for managing COVID-19 and its complications.
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