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亚甲蓝可能在治疗 COVID-19 中具有一定作用。

Methylene blue may have a role in the treatment of COVID-19.

机构信息

Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Semnan University of Medical Sciences(SemUMS), Semnan, Iran.

出版信息

Med Hypotheses. 2020 Nov;144:110163. doi: 10.1016/j.mehy.2020.110163. Epub 2020 Aug 6.

Abstract

In this paper, we raise the hypothesis that Methylene Blue may be a treatment option for Corona Virus Disease of 2019 specially when combined with Non Steroid Anti-Inflammatory Drugs. In previous publications including ours, the role of kininogen system has been postulated. A correlation between clinical findings of the disease and this mechanism has been drawn to denote a pivotal role of kininogen-kallikrein system in pathophysiology of the disease. Therein the possible role of Icatibant, Ecallantide and Aprotinin in the treatment of this disease has been raised. Here we want to emphasize on an important post-receptor mechanism of bradykinin that is Nitric Oxide. We came to this aim because we found out how access to these novel treatment nominees may be expensive and unaffordable. For this reason we are focusing on possible role of an old albeit "mysterious" drug namely Methylene Blue. This medication may abort effects of Bradykinin by inhibition of Nitric Oxide synthase inhibitor and promote oxygen saturation while it is inexpensive and ubiquitously accessible. Clinical studies cannot be over emphasized.

摘要

在本文中,我们提出假设,亚甲蓝可能是 2019 年冠状病毒病的治疗选择,特别是与非甾体抗炎药联合使用时。在我们之前的出版物中,已经提出了激肽原系统的作用。该疾病的临床表现与这一机制之间存在相关性,表明激肽原-激肽释放酶系统在疾病的病理生理学中起着关键作用。由此提出了 Icatibant、Ecallantide 和 Aprotinin 在治疗这种疾病中的可能作用。在这里,我们想强调缓激肽的一个重要的受体后机制,即一氧化氮。我们之所以提出这一目标,是因为我们发现获得这些新型治疗候选药物可能既昂贵又难以负担。出于这个原因,我们专注于一种旧的、尽管“神秘”的药物——亚甲蓝的可能作用。这种药物可以通过抑制一氧化氮合酶抑制剂来阻止缓激肽的作用,并在价格低廉且广泛易得的情况下提高氧饱和度。临床研究至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dfc/7409924/bfc9b7b410d5/gr1_lrg.jpg

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