Postgraduate Medical School, University of Chieti, Chieti, Italy.
Department of Biomedical Sciences and Specialist Surgery, Section of Ophthalmology, University of Ferrara, Ferrara, Italy.
J Biol Regul Homeost Agents. 2020;34(2):333-338. doi: 10.23812/Editorial-Conti-2.
SARS-CoV-2, also referred to as CoV-19, is an RNA virus which can cause severe acute respiratory diseases (COVID-19), with serious infection of the lower respiratory tract followed by bronchitis, pneumonia and fibrosis. The severity of the disease depends on the efficiency of the immune system which, if it is weak, cannot stem the infection and its symptoms. The new CoV-19 spreads in the population at a rate of 0.8-3% more than normal flu and mostly affects men, since immune genes are more expressed on the X chromosome. If CoV-19 would spread with a higher incidence rate (over 10%), and affect the people who live in closed communities such as islands, it would cause many more deaths. Moreover, people from the poorest classes are most at risk because of lack of health care and should be given more assistance by the competent authorities. To avoid the aggravation of CoV-19 infection, and the collapse of the health system, individuals should remain at home in quarantine for a period of approximately one month in order to limit viral transmission. In the case of a pandemic, the severe shortage of respirators and protective clothing, due to the enormous demand and insufficient production, could lead the CoV-19 to kill a large number of individuals. At present, there is no drug capable of treating CoV-19 flu, the only therapeutic remedies are those aimed at the side effects caused by the virus, such as inflammation and pulmonary fibrosis, recognized as the first causes of death. One of the COVID-19 treatments involves inhaling a mixture of gaseous hydrogen and oxygen, obtaining better results than with oxygen alone. It was also noted that individuals vaccinated for viral and/or bacterial infectious diseases were less likely to become infected. In addition, germicidal UV radiation "breaks down" the oxygen O2 which then aggregate into O3 (ozone) molecules creating the ozone layer, capable of inhibiting viral replication and improving lung respiration. All these precautions should be taken into consideration to lower the risk of infection by CoV-19. New anti-viral therapies with new drugs should also be taken into consideration. For example, microbes are known to bind TLR, inducing IL-1, a pleiotropic cytokine, highly inflammatory, mediator of fever and fibrosis. Therefore, drugs that suppress IL-1 or IL-1R, also used for the treatment of rheumatoid arthritis are to be taken into consideration to treat COVID-19. We strongly believe that all these devices described above can lead to greater survival and. therefore, reduction in mortality in patients infected with CoV-19.
SARS-CoV-2,也称为 CoV-19,是一种 RNA 病毒,可引起严重急性呼吸道疾病(COVID-19),以下呼吸道感染严重,随后出现支气管炎、肺炎和纤维化。疾病的严重程度取决于免疫系统的效率,如果免疫系统较弱,则无法阻止感染及其症状。新型 CoV-19 在人群中的传播速度比普通流感高出 0.8-3%,并且主要影响男性,因为免疫基因在 X 染色体上表达更多。如果 CoV-19 的传播率更高(超过 10%),并且主要影响居住在岛屿等封闭社区的人群,则会导致更多人死亡。此外,由于缺乏医疗保健,最贫困阶层的人面临最大风险,应得到主管当局的更多援助。为了避免 CoV-19 感染恶化和卫生系统崩溃,个人应在家中隔离约一个月,以限制病毒传播。在大流行的情况下,由于需求巨大且生产不足,呼吸器和防护服严重短缺,可能导致 CoV-19 杀死大量个体。目前,尚无能够治疗 CoV-19 流感的药物,唯一的治疗方法是针对病毒引起的炎症和肺纤维化等副作用,这被认为是死亡的首要原因。COVID-19 的一种治疗方法包括吸入混合的氢气和氧气,其效果比单独吸氧更好。还注意到,接种过病毒和/或细菌传染病疫苗的个体不太可能被感染。此外,杀菌紫外线辐射会“分解”氧气 O2,然后将其聚合成 O3(臭氧)分子,形成能够抑制病毒复制和改善肺部呼吸的臭氧层。所有这些预防措施都应考虑在内,以降低感染 CoV-19 的风险。还应考虑采用新的抗病毒疗法和新药。例如,众所周知,微生物会与 TLR 结合,诱导产生白细胞介素 1(IL-1),这是一种多效细胞因子,具有高度炎症性,是发热和纤维化的介质。因此,应考虑使用抑制 IL-1 或 IL-1R 的药物(也用于治疗类风湿关节炎)来治疗 COVID-19。我们坚信,上述所有设备都可以使 CoV-19 感染患者的存活率更高,从而降低死亡率。