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孟鲁司特药物可能改善新冠预后:证据综述

Montelukast Drug May Improve COVID-19 Prognosis: A Review of Evidence.

作者信息

Barré Jean, Sabatier Jean-Marc, Annweiler Cédric

机构信息

Department of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, Angers, France.

Aix-Marseille University, Institute of NeuroPhysiopathology, UMR 7051, Marseille, France.

出版信息

Front Pharmacol. 2020 Sep 4;11:1344. doi: 10.3389/fphar.2020.01344. eCollection 2020.

Abstract

With the lack of effective therapy, chemoprevention and vaccination, focusing on the immediate repurposing of existing drugs gives hope of curbing the pandemic. Interestingly, montelukast, a drug usually used in asthma, may be proposed as a potential adjuvant therapy in COVID-19. The aim of the present article was to review the properties of montelukast that could be beneficial in COVID-19. Ten experimentally supported properties were retrieved, either related to SARS-CoV-2 (antiviral properties, prevention of endotheliitis and of neurological disorders linked to SARS-CoV-2), and/or related to the host (improvement of atherogenic vascular inflammation, limitation of the ischemia/reperfusion phenomenon, improvement of respiratory symptoms), and/or related to serious COVID-19 outcomes (limitation of the cytokine storm, mitigation of acute respiratory distress syndrome), and/or related to tissue sequelae (antioxidant properties, anti-fibrosis effects). Based on gathered theoretical evidence, we argue that montelukast should be further tested to prevent and treat COVID-19 outcomes.

摘要

由于缺乏有效的治疗方法、化学预防措施和疫苗,专注于现有药物的直接重新利用为遏制这一流行病带来了希望。有趣的是,通常用于治疗哮喘的药物孟鲁司特,可能被提议作为新冠肺炎的一种潜在辅助治疗药物。本文的目的是综述孟鲁司特在新冠肺炎中可能有益的特性。我们检索到了十个有实验依据的特性,这些特性要么与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)有关(抗病毒特性、预防与SARS-CoV-2相关的内皮炎症和神经紊乱),和/或与宿主有关(改善动脉粥样硬化性血管炎症、限制缺血/再灌注现象、改善呼吸道症状),和/或与严重的新冠肺炎结局有关(限制细胞因子风暴、减轻急性呼吸窘迫综合征),和/或与组织后遗症有关(抗氧化特性、抗纤维化作用)。基于收集到的理论证据,我们认为应该对孟鲁司特进行进一步测试,以预防和治疗新冠肺炎的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbfb/7500361/3337b270d6bc/fphar-11-01344-g001.jpg

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