减轻新型冠状病毒肺炎(SARS-CoV-2)感染诱导的细胞因子风暴的影响及其意义
Attenuating the Effects of Novel COVID-19 (SARS-CoV-2) Infection-Induced Cytokine Storm and the Implications.
作者信息
Rowaiye Adekunle Babajide, Okpalefe Okiemute Ajiroghene, Onuh Adejoke Olukemi, Ogidigo Joyce Oloaigbe, Hannah Oladipo Oluwakemi, Ogu Amoge Chidinma, Oli Angus Nnamdi, Olofinase Samson, Onyekwere Onyekachi, Rabiu Abubakar Abdullahi, Jahan Dilshad, Islam Salequl, Dutta Siddhartha, Haque Mainul
机构信息
Department of Pharmaceutical Microbiology and Biotechnology, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.
Department of Genetics, Genomics, Bioinformatics, National Biotechnology Development Agency, Abuja, Nigeria.
出版信息
J Inflamm Res. 2021 Apr 16;14:1487-1510. doi: 10.2147/JIR.S301784. eCollection 2021.
The COVID-19 pandemic constitutes an arduous global health challenge, and the increasing number of fatalities calls for the speedy pursuit of a remedy. This review emphasizes the changing aspects of the COVID-19 disease, featuring the cytokine storm's pathological processes. Furthermore, we briefly reviewed potential therapeutic agents that may modulate and alleviate cytokine storms. The literature exploration was made using PubMed, Embase, MEDLINE, Google scholar, and China National Knowledge Infrastructure databases to retrieve the most recent literature on the etiology, diagnostic markers, and the possible prophylactic and therapeutic options for the management of cytokine storm in patients hospitalized with COVID-19 disease. The causative agent, severe acute respiratory coronavirus-2 (SARS-CoV-2), continually threatens the efficiency of the immune system of the infected individuals. As the first responder, the innate immune system provides primary protection against COVID-19, affecting the disease's progression, clinical outcome, and prognosis. Evidence suggests that the fatalities associated with COVID-19 are primarily due to hyper-inflammation and an aberrant immune function. Accordingly, the magnitude of the release of pro-inflammatory cytokines such as interleukin (IL)-1, (IL-6), and tumor necrosis alpha (TNF-α) significantly differentiate between mild and severe cases of COVID-19. The early prediction of a cytokine storm is made possible by several serum chemistry and hematological markers. The prompt use of these markers for diagnosis and the aggressive prevention and management of a cytokine release syndrome is critical in determining the level of morbidity and fatality associated with COVID-19. The prophylaxis and the rapid treatment of cytokine storm by clinicians will significantly enhance the fight against the dreaded COVID-19 disease.
新冠疫情是一项艰巨的全球健康挑战,死亡人数不断增加促使人们迅速寻求治疗方法。本综述强调了新冠疾病不断变化的方面,重点介绍了细胞因子风暴的病理过程。此外,我们简要回顾了可能调节和缓解细胞因子风暴的潜在治疗药物。通过使用PubMed、Embase、MEDLINE、谷歌学术和中国知网数据库进行文献检索,以获取有关病因、诊断标志物以及新冠疾病住院患者细胞因子风暴管理的可能预防和治疗选择的最新文献。病原体严重急性呼吸综合征冠状病毒2(SARS-CoV-2)持续威胁着感染者免疫系统的效能。作为第一反应者,先天免疫系统为抵御新冠病毒提供了主要保护,影响着疾病的进展、临床结果和预后。有证据表明,与新冠相关的死亡主要是由于过度炎症反应和异常免疫功能。因此,促炎细胞因子如白细胞介素(IL)-1、(IL-6)和肿瘤坏死因子α(TNF-α)的释放量在新冠轻症和重症病例之间有显著差异。通过多种血清化学和血液学标志物可以实现对细胞因子风暴的早期预测。及时使用这些标志物进行诊断以及积极预防和管理细胞因子释放综合征对于确定与新冠相关的发病和死亡水平至关重要。临床医生对细胞因子风暴的预防和快速治疗将显著增强对抗可怕的新冠疾病的斗争。