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SARS-CoV-2 infection complicated by inflammatory syndrome. Could high-dose human immunoglobulin for intravenous use (IVIG) be beneficial?新型冠状病毒2型感染并发炎症综合征。静脉注射用大剂量人免疫球蛋白(IVIG)是否有益?
Autoimmun Rev. 2020 Jul;19(7):102559. doi: 10.1016/j.autrev.2020.102559. Epub 2020 May 1.
2
The proximal origin of SARS-CoV-2.严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的近端起源。
Nat Med. 2020 Apr;26(4):450-452. doi: 10.1038/s41591-020-0820-9.
3
The COVID-19 vaccine development landscape.2019冠状病毒病疫苗的研发情况。
Nat Rev Drug Discov. 2020 May;19(5):305-306. doi: 10.1038/d41573-020-00073-5.
4
Corona (COVID-19) time musings: Our involvement in COVID-19 pathogenesis, diagnosis, treatment and vaccine planning.新冠(COVID-19)时期的思考:我们在新冠病毒致病机制、诊断、治疗及疫苗研发计划中的参与情况
Autoimmun Rev. 2020 Jun;19(6):102538. doi: 10.1016/j.autrev.2020.102538. Epub 2020 Apr 5.
5
Deployment of convalescent plasma for the prevention and treatment of COVID-19.恢复期血浆在 COVID-19 预防和治疗中的应用。
J Clin Invest. 2020 Jun 1;130(6):2757-2765. doi: 10.1172/JCI138745.
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Tocilizumab, an anti-IL-6 receptor antibody, to treat COVID-19-related respiratory failure: a case report.托珠单抗,一种抗白细胞介素-6受体抗体,用于治疗新型冠状病毒肺炎相关呼吸衰竭:一例病例报告。
Ann Oncol. 2020 Jul;31(7):961-964. doi: 10.1016/j.annonc.2020.03.300. Epub 2020 Apr 2.
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Insight into 2019 novel coronavirus - An updated interim review and lessons from SARS-CoV and MERS-CoV.对 2019 年新型冠状病毒的洞察——来自 SARS-CoV 和 MERS-CoV 的更新中期综述和经验教训。
Int J Infect Dis. 2020 May;94:119-124. doi: 10.1016/j.ijid.2020.03.071. Epub 2020 Apr 1.
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First case of COVID-19 in a patient with multiple myeloma successfully treated with tocilizumab.首例多发性骨髓瘤合并 COVID-19 患者经托珠单抗治疗后成功缓解。
Blood Adv. 2020 Apr 14;4(7):1307-1310. doi: 10.1182/bloodadvances.2020001907.
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Vaccine designers take first shots at COVID-19.疫苗研发人员首次对新冠病毒展开攻关。
Science. 2020 Apr 3;368(6486):14-16. doi: 10.1126/science.368.6486.14.
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COVID-19 in a patient with systemic sclerosis treated with tocilizumab for SSc-ILD.一名接受托珠单抗治疗系统性硬化症相关间质性肺病的系统性硬化症患者感染了新冠病毒。
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新型冠状病毒炎症综合征。临床特征及免疫治疗的原理。

SARS-CoV-2 Inflammatory Syndrome. Clinical Features and Rationale for Immunological Treatment.

机构信息

Systemic Rheumatic and Autoimmune Diseases Unit, Department of Biomedical Science and Human Oncology (DIMO), University of Bari Medical School, Piazza G. Cesare 11, I-70124 Bari, Italy.

Unit of Internal Medicine, Department of Biomedical Sciences and Human Oncology (DIMO), University of Bari Medical School, Piazza G. Cesare 11, I-70124 Bari, Italy.

出版信息

Int J Mol Sci. 2020 May 10;21(9):3377. doi: 10.3390/ijms21093377.

DOI:10.3390/ijms21093377
PMID:32397684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7247005/
Abstract

The current pandemic coronavirus, SARS-CoV-2, is a global health emergency because of its highly contagious nature, the great number of patients requiring intensive care therapy, and the high fatality rate. In the absence of specific antiviral drugs, passive prophylaxis, or a vaccine, the treatment aim in these patients is to prevent the potent virus-induced inflammatory stimuli from leading to the acute respiratory distress syndrome (ARDS), which has a severe prognosis. Here, the mechanism of action and the rationale for employing immunological strategies, which range from traditional chemically synthesized drugs, anti-cytokine antibodies, human immunoglobulin for intravenous use, to vaccines, are reviewed.

摘要

当前的大流行冠状病毒 SARS-CoV-2 因其高度传染性、大量需要重症监护治疗的患者以及高死亡率而成为全球卫生紧急情况。在没有特定抗病毒药物、被动预防或疫苗的情况下,这些患者的治疗目的是防止强烈的病毒诱导的炎症刺激导致急性呼吸窘迫综合征 (ARDS),后者预后严重。在这里,我们回顾了作用机制和使用免疫策略的基本原理,这些策略包括从传统化学合成药物、抗细胞因子抗体、静脉用人免疫球蛋白到疫苗等。