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神经激肽-1 受体作为 COVID-19 治疗的潜在药物靶点。

Neurokinin-1 Receptor as a potential drug target for COVID-19 treatment.

机构信息

Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan; Lahore Medical Research Center, LLP, Lahore, Pakistan.

出版信息

Biomed Pharmacother. 2021 Nov;143:112159. doi: 10.1016/j.biopha.2021.112159. Epub 2021 Sep 13.

Abstract

Novel Coronavirus infection (COVID-19) has become a pandemic in these days. It is an acute respiratory and infectious disease with no known etiology and treatment. It is continuously causing losses of precious lives and economy at a global scale on daily basis. It is the need of the hour to find more treatment strategies by either developing a drug or to boost the immune system. This opinion article aims to provide Substance P (SP) as a possible cause of the initiation of cytokine storm developed in COVID-19 infection and to suggest Neurokinin-1 Receptor (NK-1R) antagonist, Aprepitant, as a drug to be used for its treatment. This perspective will provide directions to the Biomedical scientists to explore SP and NK-1R and prepare a drug to alleviate the symptoms and cure the disease. It is very important to work on this perspective at earliest to reach to some conclusion regarding the therapeutic intervention. Clinical studies may also be conducted if proven successful. SP is a neurotransmitter and neuromodulator, released from the trigeminal nerve of brainstem as a result of nociception. It is directly related to the respiratory illness as in COVID-19 infection. It is responsible for the increased inflammation and the signature symptoms associated with this disease. It is the main switch that needs to be switched off by administering Aprepitant along with glucocorticosteroid, dexamethasone.

摘要

新型冠状病毒感染(COVID-19)已在这些天成为大流行。这是一种急性呼吸道传染病,病因和治疗方法均未知。它每天都在以全球规模不断造成宝贵生命和经济损失。寻找更多的治疗策略,无论是开发药物还是增强免疫系统,都是当务之急。本文旨在提出神经激肽-1 受体(NK-1R)拮抗剂阿瑞匹坦作为治疗 COVID-19 感染中细胞因子风暴的可能原因。这种观点将为生物医学科学家提供方向,探索 P 物质(SP)和 NK-1R,并准备一种药物来减轻症状和治愈疾病。尽早研究这一观点非常重要,以便在治疗干预方面得出某些结论。如果证明成功,也可以进行临床研究。SP 是一种神经递质和神经调质,作为脑干三叉神经痛觉的结果而释放。它与 COVID-19 感染等呼吸道疾病直接相关。它负责增加炎症和与这种疾病相关的特征性症状。通过给予阿瑞匹坦和糖皮质激素地塞米松来关闭这个主要开关是至关重要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c654/8435369/a8cdc80ee7d3/ga1_lrg.jpg

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