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低剂量放射疗法(LD-RT)治疗 COVID-19 引发的肺炎:一种值得考虑的方法。

Low-dose radiotherapy (LD-RT) for COVID-19-induced pneumopathy: a worth considering approach.

机构信息

Department of Radiology Technology, Faculty of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int J Radiat Biol. 2021;97(3):302-312. doi: 10.1080/09553002.2021.1864049. Epub 2021 Jan 6.

Abstract

PURPOSE

It seems that 2020 would be always remembered by the name of novel coronavirus (designated as SARS-CoV-2), which exerted its deteriorating effects on the health care, economy, education, and political relationships. In August 2020 more than eight hundred thousand patients lost their lives due to acute respiratory syndrome. In the limited list of therapeutic approaches, the effectiveness of low-dose radiation therapy (LD-RT) for curing inflammatory-related diseases have sparkled a light that probably this approach would bring promising advantages for COVID-19 patients. LD-RT owns its reputation from its ability to modulate the host inflammatory responses by blocking the production of pro-inflammatory cytokines and hampering the activity of leukocytes. Moreover, the cost-effective and availability of this method allow it to be applied to a large number of patients, especially those who could not receive anti-IL-6 treatments in low-income countries. But enthusiasm for applying LD-RT for the treatment of COVID-19 patients has been muted yet.

CONCLUSION

In this review, we take a look at LD-RT mechanisms of action in the treatment of nonmalignant diseases, and then through studying both the dark and bright sides of this approach, we provide a thorough discussion if LD-RT might be a promising therapeutic approach in COVID-19 patients.

摘要

目的

似乎 2020 年将永远以新型冠状病毒(命名为 SARS-CoV-2)而被铭记,它对医疗保健、经济、教育和政治关系都产生了恶化影响。2020 年 8 月,超过 80 万人因急性呼吸综合征而失去生命。在有限的治疗方法中,低剂量辐射疗法(LD-RT)治疗炎症相关疾病的有效性引起了人们的关注,这可能为 COVID-19 患者带来有希望的优势。LD-RT 通过阻断促炎细胞因子的产生和抑制白细胞的活性来调节宿主炎症反应,从而获得了声誉。此外,这种方法具有成本效益,且易于获得,允许将其应用于大量患者,特别是那些在低收入国家无法接受抗 IL-6 治疗的患者。但是,应用 LD-RT 治疗 COVID-19 患者的热情尚未高涨。

结论

在这篇综述中,我们探讨了 LD-RT 在治疗非恶性疾病中的作用机制,然后通过研究该方法的优缺点,我们深入讨论了 LD-RT 是否可能成为 COVID-19 患者的一种有前途的治疗方法。

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