Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Prevention of Organ Failure (PROOF) Centre of Excellence and Centre for Heart Lung Innovation, St Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Front Immunol. 2020 May 15;11:1061. doi: 10.3389/fimmu.2020.01061. eCollection 2020.
The global pandemic of COVID-19 cases caused by infection with SARS-CoV-2 is ongoing, with no approved antiviral intervention. We describe here the effects of treatment with interferon (IFN)-α2b in a cohort of confirmed COVID-19 cases in Wuhan, China. In this uncontrolled, exploratory study, 77 adults hospitalized with confirmed COVID-19 were treated with either nebulized IFN-α2b (5 mU b.i.d.), arbidol (200 mg t.i.d.) or a combination of IFN-α2b plus arbidol. Serial SARS-CoV-2 testing along with hematological measurements, including cell counts, blood biochemistry and serum cytokine levels, and temperature and blood oxygen saturation levels, were recorded for each patient during their hospital stay. Treatment with IFN-α2b with or without arbidol significantly reduced the duration of detectable virus in the upper respiratory tract and in parallel reduced duration of elevated blood levels for the inflammatory markers IL-6 and CRP. These findings suggest that IFN-α2b should be further investigated as a therapy in COVID-19 cases.
由 SARS-CoV-2 感染引起的全球 COVID-19 病例仍在持续,目前尚无批准的抗病毒干预措施。我们在此描述了在中国武汉的一组确诊 COVID-19 病例中使用干扰素(IFN)-α2b 治疗的效果。在这项非对照、探索性研究中,77 名因 COVID-19 住院的成年人接受了雾化 IFN-α2b(5 mU b.i.d.)、阿比多尔(200 mg t.i.d.)或 IFN-α2b 加阿比多尔联合治疗。在住院期间,为每位患者记录了连续的 SARS-CoV-2 检测以及血液学测量值,包括细胞计数、血液生化和血清细胞因子水平以及体温和血氧饱和度。IFN-α2b 联合或不联合阿比多尔治疗可显著缩短上呼吸道可检测到病毒的时间,同时缩短炎症标志物 IL-6 和 CRP 血液水平升高的时间。这些发现表明 IFN-α2b 应作为 COVID-19 病例的治疗方法进一步研究。