Hematology Department, Az Osp SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Ann Hematol. 2020 Aug;99(8):1701-1707. doi: 10.1007/s00277-020-04138-8. Epub 2020 Jun 24.
COVID-19 pandemia is a major health emergency causing hundreds of deaths worldwide. The high reported morbidity has been related to hypoxia and inflammation leading to endothelial dysfunction and aberrant coagulation in small and large vessels. This review addresses some of the pathways leading to endothelial derangement, such as complement, HIF-1α, and ABL tyrosine kinases. This review also highlights potential targets for prevention and therapy of COVID-19-related organ damage and discusses the role of marketed drugs, such as eculizumab and imatinib, as suitable candidates for clinical trials.
COVID-19 大流行是一场重大的卫生紧急事件,在全球范围内造成数百人死亡。高发病率与缺氧和炎症有关,导致小血管和大血管的内皮功能障碍和异常凝血。这篇综述探讨了导致内皮紊乱的一些途径,如补体、HIF-1α 和 ABL 酪氨酸激酶。这篇综述还强调了预防和治疗 COVID-19 相关器官损伤的潜在靶点,并讨论了上市药物(如依库珠单抗和伊马替尼)作为临床试验合适候选药物的作用。