Morpho-Functional Sciences II Department, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Medical III Department, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Expert Rev Respir Med. 2022 Mar;16(3):257-261. doi: 10.1080/17476348.2022.2008910. Epub 2021 Dec 2.
SARS-COV2 infection represents a therapeutic challenge due to the limited number of effective therapies available and due to the fact that it is not clear which host response in terms of inflammation pattern is the most predictive for an optimal (and rapid) recovery. Interferon β pathway is impaired in SARS-COV2 infection and this is associated with a bigger disease burden. Exogenous inhaled interferon might be beneficial in this setting.
Nebulized interferon-β is currently investigated as a potential therapy for SARS-COV2 because the available data from a phase II study demonstrate that this medication is able to accelerate the recovery from disease.
Further clinical studies are needed in order to better document the efficacy of this therapy especially in severe forms of COVID-19, the optimal duration of therapy and if such a medication is appropriate for domiciliary use. Also combined regimens with antivirals or with compounds which are able to enhance the endogenous production of interferon might be of promise.
由于有效的治疗方法有限,而且目前尚不清楚哪种炎症模式的宿主反应对最佳(和快速)恢复最具预测性,因此,SARS-CoV2 感染是一个治疗上的挑战。SARS-CoV2 感染会损害干扰素 β 通路,这与更大的疾病负担有关。在这种情况下,外源性吸入干扰素可能是有益的。
目前正在研究雾化干扰素-β作为 SARS-CoV2 的一种潜在治疗方法,因为一项 II 期研究的现有数据表明,这种药物能够加速疾病的康复。
需要进一步的临床研究,以更好地记录这种治疗方法的疗效,特别是在 COVID-19 的严重形式中,以及最佳的治疗持续时间,以及这种药物是否适合家庭使用。此外,联合抗病毒药物或能够增强内源性干扰素产生的化合物的联合治疗方案可能具有前景。