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质子泵抑制剂在 COVID-19 治疗和预防中的应用是否可行?

Is it possible to use Proton Pump Inhibitors in COVID-19 treatment and prophylaxis?

机构信息

Department of Internal Medicine, Sivas Numune Hospital, Sivas, Turkey.

Department of Internal Medicine, Discipline of Gastroenterology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.

出版信息

Med Hypotheses. 2020 Oct;143:110018. doi: 10.1016/j.mehy.2020.110018. Epub 2020 Jun 20.

Abstract

Coronaviruses (CoV), discovered after 1960, caused human life-threatening outbreaks. SARS-CoV2, which appeared in Wuhan, China in December 2019, causing Severe Acute Respiratory Syndrome and has different features than other coronaviruses, has been determined and the disease caused by the virus has been called "Coronavirus Disease-2019" (COVID-19). This disease activates both the natural and acquired immune system. The cytokin storm, in which blood levels of proinflammatory cytokines are detected excessively high is developing and the uncontrolled inflammatory response causes local and systemic tissue damages. Although a spesific drug has not been found yet, the medications currently in use for other indications, whose pharmacokinetic- pharmacodynamic properties and toxic doses are already known; are included in the treatment practice of COVID-19. These drugs affect the entry of the virus into the cell and its intracellular distribution. They also have anti-inflammatory and immunomodulating effects too. Therefore, we think that Proton Pump Inhibitors (PPI's) with similar mechanisms of action may also be involved in COVID-19 treatment and prophylaxis.

摘要

冠状病毒(CoV)于 1960 年后被发现,可引发危及生命的人类疾病暴发。2019 年 12 月在中国武汉出现的 SARS-CoV2 引起严重急性呼吸综合征,其特征与其他冠状病毒不同,现已确定并将由该病毒引起的疾病命名为“2019 冠状病毒病”(COVID-19)。该疾病可激活天然免疫和获得性免疫系统。细胞因子风暴是指检测到血液中促炎细胞因子水平异常升高,失控的炎症反应会导致局部和全身组织损伤。尽管尚未发现特定药物,但目前正在使用的其他适应证药物,其药代动力学-药效学特性和中毒剂量已为人所知,这些药物已被纳入 COVID-19 的治疗实践中。这些药物可影响病毒进入细胞及其在细胞内的分布。它们也具有抗炎和免疫调节作用。因此,我们认为作用机制相似的质子泵抑制剂(PPI)也可能参与 COVID-19 的治疗和预防。

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