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靶向炎症细胞因子风暴以对抗新冠肺炎相关严重并发症。

Targeting inflammatory cytokine storm to fight against COVID-19 associated severe complications.

作者信息

Hirawat Rishabh, Saifi Mohd Aslam, Godugu Chandraiah

机构信息

Department of Regulatory Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Balanagar, Hyderabad, Telangana, India.

Department of Regulatory Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Balanagar, Hyderabad, Telangana, India.

出版信息

Life Sci. 2021 Feb 15;267:118923. doi: 10.1016/j.lfs.2020.118923. Epub 2020 Dec 23.

Abstract

Such testing and trying time probably never seen before in the human history. The novel coronavirus disease abbreviated as COVID-19 is the ongoing health crisis which entered into human life in late December 2019. The ease of transmission between humans and the undetectability in early stage makes COVID-19 frightening and unprecedented. The disease is characterised by pneumonia progressing to breathing difficulty, acute respiratory distress syndrome (ARDS) and multi-organ failure. Clinical studies suggest excessive release of inflammatory mediators leads to cytokine storm, a phenomenon which appears to be potentially life-threatening in COVID-19. Across the globe, when the world authorities are grappling to contain the virus, our review provides a glimpse on structure, pathophysiology of the virus and further sheds light on various clinical complications associated with the disease in order to open up/raise new horizons to explore various possible theoretical targets for COVID-19. The review also portrays a question and debates: Can targeting cytokine storm can be a feasible approach to combat COVID-19?

摘要

这样的考验和艰难时期可能在人类历史上前所未见。新型冠状病毒病简称为COVID-19,是一场自2019年12月底进入人类生活的持续健康危机。人与人之间传播的便利性以及早期难以检测使得COVID-19令人恐惧且史无前例。该疾病的特征是肺炎发展为呼吸困难、急性呼吸窘迫综合征(ARDS)和多器官衰竭。临床研究表明,炎症介质的过度释放会导致细胞因子风暴,这一现象在COVID-19中似乎具有潜在的生命威胁。在全球范围内,当世界各国当局努力控制病毒时,我们的综述对该病毒的结构、病理生理学进行了概述,并进一步阐明了与该疾病相关的各种临床并发症,以便为探索COVID-19的各种可能理论靶点开辟/拓展新的视野。该综述还提出了一个问题并引发了争论:针对细胞因子风暴能否成为对抗COVID-19的可行方法?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/232f/7831473/ea1886dafe06/ga1_lrg.jpg

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