Cardiovascular Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Chemical Engineering Department, Faculty of Engineering, Ferdowsi University of Mashhad, Mashhad, Iran.
J Med Virol. 2022 Jan;94(1):119-130. doi: 10.1002/jmv.27273. Epub 2021 Aug 26.
This study investigates the effect of the nanostructure of squalene in the form of microemulsion on COVID-19 patients. In this blinded clinical trial, a comparison was made between the efficacy of squalene treatment and controls. A total of 30 COVID-19 patients admitted to the emergency department, and the infection ward was equally allocated to case (n = 15) and control (n = 15) groups according to their age and underlying diseases. The baseline characteristics of subjects, including age, gender, time of treatment onset, underlying condition, white blood cells count, and lymphocyte count were similar (p < 0.05). Baseline laboratory tests and computed tomography (CT) scans were performed for the study groups. The treatment group received 5 mg of intravenous squalene twice a day and standard treatment for 6 days, while controls received only standard treatment. After 6 days of treatment, clinical and CT scan changes were evaluated and compared in intervention and control groups. The need for oxygen therapy (p = 0.020), 2 days of no fever (p = 0.025), cough alleviation (p = 0.010), and lung high-resolution computed tomography improvement (p = 0.033) were significantly different between cases and controls within 7 days of admission. No adverse effects were observed in the treatment group. Our data suggest that squalene could be considered as a potential treatment for COVID-19, and further studies are required to confirm the results.
本研究旨在探讨角鲨烯纳米结构微乳液形式对 COVID-19 患者的影响。在这项盲法临床试验中,比较了角鲨烯治疗和对照组的疗效。共有 30 名因 COVID-19 而被收入急诊部和感染病房的患者,根据年龄和基础疾病将他们平均分配到病例组(n=15)和对照组(n=15)。病例组和对照组患者的基本特征(年龄、性别、治疗开始时间、基础疾病、白细胞计数和淋巴细胞计数)相似(p<0.05)。对两组患者进行了基线实验室检查和计算机断层扫描(CT)检查。治疗组每天接受两次 5mg 静脉注射角鲨烯和标准治疗,共 6 天,而对照组仅接受标准治疗。在治疗 6 天后,评估和比较了干预组和对照组的临床和 CT 扫描变化。在入院后 7 天内,病例组和对照组在需要氧疗(p=0.020)、2 天不发热(p=0.025)、咳嗽缓解(p=0.010)和肺部高分辨率 CT 改善(p=0.033)方面有显著差异。治疗组未观察到不良反应。我们的数据表明,角鲨烯可被视为 COVID-19 的一种潜在治疗方法,需要进一步研究来证实这些结果。