Repurposing of drugs targeting the cytokine storm induced by SARS-CoV-2

Wern Hann Ng1,2,3, Patrick Chun Hean Tang1,2,3, Suresh Mahalingam1,2,3

  • 1Emerging Viruses, Inflammation and Therapeutics Group, Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.

Insights

Cytokine storms cause severe respiratory distress and organ failure in viral infections like COVID-19. Immunosuppressive drugs targeting specific cytokines show promise for treating SARS-CoV-2-induced ARDS.

Area of Science:

  • Immunology
  • Virology
  • Pharmacology

Background:

  • Cytokine storms are a major cause of acute respiratory distress syndrome (ARDS) and multiple organ failure in viral infections, including SARS-CoV-2.
  • The COVID-19 pandemic highlights the urgent need for effective treatments against SARS-CoV-2-induced ARDS.
  • Immunomodulatory drugs targeting cytokines offer a potential therapeutic strategy.

Purpose of the Study:

  • To review the efficacy of repurposed immunosuppressive drugs targeting key cytokines in COVID-19 patients.
  • To examine drugs that modulate IL-1β, IL-4/IL-13, IL-6, and TNF-α pathways.

Main Methods:

  • Literature review of clinical studies and preclinical data.
  • Analysis of drug efficacy in mitigating cytokine storm-related complications in COVID-19.

Main Results:

  • Specific cytokine-targeting drugs have been evaluated in COVID-19 patients.
  • Immunosuppressive therapies aim to control hyperinflammation associated with SARS-CoV-2 infection.

Conclusions:

  • Targeting specific cytokines like IL-1β, IL-4/IL-13, IL-6, and TNF-α is a viable strategy for managing SARS-CoV-2-induced ARDS.
  • Drug repurposing of immunosuppressants holds potential for treating severe COVID-19 complications.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
483
Drugs Used in Lower Respiratory Disorders: Overview01:17

Drugs Used in Lower Respiratory Disorders: Overview

Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
547
COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
275
Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
4.5K
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
248
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF01:24

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
211