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地塞米松的大流行方面:分子机制与临床应用。

Pandemic aspect of dexamethasone: Molecular mechanisms and clinical application.

机构信息

Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2021 Mar 1;84(3):245-247. doi: 10.1097/JCMA.0000000000000485.

Abstract

The rapid spread of coronavirus disease (COVID-19) in many countries has caused inconvenience in conducting daily life activities, and even deaths. Dexamethasone is a corticosteroid applied in clinical medicine since 1957, especially in immune therapy fields. Herein, we present the characteristics of Dexamethasone, from molecular mechanisms such as genomic and nongenomic pathways by cellular signal regulations, to clinical applications in various phases of the disease. During COVID-19 pandemic, Dexamethasone given to patients who required oxygen or ventilation therapy showed improved life efficacy.

摘要

新型冠状病毒病(COVID-19)在许多国家迅速传播,给日常生活活动带来不便,甚至导致死亡。地塞米松是一种自 1957 年以来应用于临床医学的皮质类固醇,尤其在免疫治疗领域。在此,我们介绍了地塞米松的特点,从基因组和非基因组途径的细胞信号调节等分子机制,到疾病各个阶段的临床应用。在 COVID-19 大流行期间,给予需要氧疗或通气治疗的患者地塞米松可提高疗效。

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