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Updated: Oct 11, 2025

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Author Spotlight: Unveiling the Polyfunctionality and Heterogeneity in Immune Responses
Published on: March 8, 2024
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Cytokine Storm and Immunomodulation in COVID-19
1Department of Critical Care Medicine, Columbia Asia, Bengaluru, Karnataka, India.
Summary
This study reviews cytokine storm and immunomodulation in COVID-19. Targeting multiple cytokines with novel immunomodulators shows promise for future treatments.
Area of Science:
- Immunology
- Virology
- Critical Care Medicine
Background:
- COVID-19 pandemic presents complex pathophysiology involving cytokine storm.
- Understanding cytokine roles and immunomodulation in COVID-19 is evolving.
- Numerous cytokines are implicated in COVID-19 pathogenesis.
Purpose of the Study:
- To review the evolving understanding of cytokine storm and immunomodulation in COVID-19.
- To explore various immunosuppressant and immunostimulant immunomodulators used in COVID-19 treatment.
- To identify potential future therapeutic strategies targeting multiple cytokines.
Main Methods:
- Literature review of studies on COVID-19 pathophysiology.
- Analysis of cytokine involvement in disease progression.
- Evaluation of clinical data for immunomodulatory agents.
Main Results:
- Various immunosuppressants (steroids, biologics, JAK inhibitors) have been utilized.
- Immunostimulants like interferons and Mycobacterium w have been repurposed.
- No single agent has proven universally effective, highlighting complexity.
Conclusions:
- Targeting multiple cytokines simultaneously may offer a promising therapeutic avenue.
- Further research into novel immunomodulatory strategies is warranted.
- Personalized approaches based on individual cytokine profiles could improve outcomes.
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