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选择性 5-羟色胺再摄取抑制剂在冠状病毒病患者中的可能免疫调节和抗炎作用。

The possible immunoregulatory and anti-inflammatory effects of selective serotonin reuptake inhibitors in coronavirus disease patients.

机构信息

Kafr Saad Central Hospital, Damietta, Faculty of Pharmacy, Tanta University, Egypt.

Pharmacy Practice Department, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt.

出版信息

Med Hypotheses. 2020 Nov;144:110140. doi: 10.1016/j.mehy.2020.110140. Epub 2020 Jul 26.

Abstract

While researchers are struggling to develop a vaccine for coronavirus disease, it is important to evolve effective therapeutic strategies to save lives. The majority of coronavirus disease deaths are due to pneumonia. Mostly, stress and depression are associated with coronavirus disease infection and thus, resulting in weakening of patients' immune response and hence, more severe respiratory symptoms or even death. We propose using a class of antidepressants named selective serotonin reuptake inhibitors for their reported potential antiviral effect, modulatory effect of respiratory symptoms, antioxidant properties and immunoregulatory effects beside their main action as antidepressant. In addition, the low cost of selective serotonin reuptake inhibitors might add a benefit for coronavirus disease patients.

摘要

虽然研究人员正在努力开发针对冠状病毒病的疫苗,但制定有效的治疗策略以拯救生命至关重要。大多数冠状病毒病死亡是由于肺炎引起的。大多数情况下,压力和抑郁与冠状病毒病感染有关,从而削弱了患者的免疫反应,导致更严重的呼吸道症状甚至死亡。我们建议使用一类名为选择性 5-羟色胺再摄取抑制剂的抗抑郁药,因为它们具有潜在的抗病毒作用、调节呼吸道症状的作用、抗氧化特性和免疫调节作用,除了作为抗抑郁药的主要作用之外。此外,选择性 5-羟色胺再摄取抑制剂的低成本可能为冠状病毒病患者带来额外的好处。

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