Unit of Pharmacology and Pharmacovigilance, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Unit of Adverse Drug Reactions Monitoring, Pisa University Hospital, Pisa, Italy.
Crit Care. 2020 Jun 11;24(1):331. doi: 10.1186/s13054-020-03020-3.
Sars-CoV-2 complications include pneumonia and acute respiratory distress syndrome (ARDS), which require intensive care unit admission. These conditions have rapidly overwhelmed healthcare systems, with detrimental effects on the quality of care and increased mortality. Social isolation strategies have been implemented worldwide with the aim of reducing hospital pressure. Among therapeutic strategies, the use of immunomodulating drugs, to improve prognosis, seems promising. Particularly, since pneumonia and ARDS are associated with a cytokine storm, drugs belonging to therapeutic classes as anti-IL-6, anti-TNF, and JAK inhibitors are currently studied. In this article, we discuss the potential advantages of the most promising pharmacological approaches.
Sars-CoV-2 并发症包括肺炎和急性呼吸窘迫综合征(ARDS),需要入住重症监护病房。这些情况迅速使医疗体系不堪重负,对护理质量产生不利影响,并导致死亡率上升。全球范围内已实施社会隔离策略,以减轻医院压力。在治疗策略中,使用免疫调节药物以改善预后似乎很有希望。特别是由于肺炎和 ARDS 与细胞因子风暴有关,因此目前正在研究属于抗 IL-6、抗 TNF 和 JAK 抑制剂等治疗类别的药物。在本文中,我们讨论了最有前途的药理方法的潜在优势。