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Live Imaging and Quantification of Viral Infection in K18 hACE2 Transgenic Mice Using Reporter-Expressing Recombinant SARS-CoV-2
Published on: November 5, 2021
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.
Abstract:
A cytokine storm is one of the leading causes of acute respiratory distress syndrome (ARDS) and sepsis-associated multiple organ failure in many respiratory viral infections, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The coronavirus disease 2019 (COVID-19) pandemic has caused millions of deaths worldwide, resulting in an urgent need for effective therapeutic interventions. Repurposing immunosuppressive drugs that target cytokines with immunomodulatory properties is a promising approach to counteract SARS-CoV-2-induced ARDS at the infective and post-infective stages. In this minireview, we examine drugs targeting IL-1β, IL-4/IL-13, IL-6 and TNF-α tested in COVID-19 patients.
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.
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