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选择性5-羟色胺再摄取抑制剂:对抗新冠病毒的新希望。

Selective serotonin reuptake inhibitors: New hope in the fight against COVID-19.

作者信息

Asadi Anar Mahsa, Foroughi Elaheh, Sohrabi Elika, Peiravi Samira, Tavakoli Yasaman, Kameli Khouzani Mozhgan, Behshood Parisa, Shamshiri Melika, Faridzadeh Arezoo, Keylani Kimia, Langari Seyedeh Faride, Ansari Akram, Khalaji Amirmohammad, Garousi Setareh, Mottahedi Mehran, Honari Sara, Deravi Niloofar

机构信息

Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Front Pharmacol. 2022 Nov 30;13:1036093. doi: 10.3389/fphar.2022.1036093. eCollection 2022.

DOI:10.3389/fphar.2022.1036093
PMID:36532776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9748354/
Abstract

The emerging COVID-19 pandemic led to a dramatic increase in global mortality and morbidity rates. As in most infections, fatal complications of coronavirus affliction are triggered by an untrammeled host inflammatory response. Cytokine storms created by high levels of interleukin and other cytokines elucidate the pathology of severe COVID-19. In this respect, repurposing drugs that are already available and might exhibit anti-inflammatory effects have received significant attention. With the and clinical investigation of several studies on the effect of antidepressants on COVID-19 prognosis, previous data suggest that selective serotonin reuptake inhibitors (SSRIs) might be the new hope for the early treatment of severely afflicted patients. SSRIs' low cost and availability make them potentially eligible for COVID-19 repurposing. This review summarizes current achievements and literature about the connection between SSRIs administration and COVID-19 prognosis.

摘要

新出现的新冠疫情导致全球死亡率和发病率急剧上升。与大多数感染一样,冠状病毒感染的致命并发症是由不受控制的宿主炎症反应引发的。高水平的白细胞介素和其他细胞因子引发的细胞因子风暴阐明了重症新冠的病理机制。在这方面,重新利用已有的、可能具有抗炎作用的药物受到了广泛关注。随着多项关于抗抑郁药对新冠预后影响的研究的开展和临床调查,先前的数据表明,选择性5-羟色胺再摄取抑制剂(SSRI)可能是重症患者早期治疗的新希望。SSRI成本低且容易获得,使其有可能适用于新冠治疗。这篇综述总结了目前关于使用SSRI与新冠预后之间联系的研究成果和文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90e8/9748354/d0ea855e32a0/fphar-13-1036093-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90e8/9748354/09cbf1c6e253/fphar-13-1036093-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90e8/9748354/d0ea855e32a0/fphar-13-1036093-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90e8/9748354/09cbf1c6e253/fphar-13-1036093-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90e8/9748354/d0ea855e32a0/fphar-13-1036093-g002.jpg

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本文引用的文献

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Fluoxetine pharmacokinetics and tissue distribution quantitatively supports a therapeutic role in COVID-19 at a minimum dose of 20 mg per day.氟西汀的药代动力学和组织分布定量支持在 COVID-19 中以每天至少 20 毫克的剂量发挥治疗作用。
F1000Res. 2021 Jun 16;10:477. doi: 10.12688/f1000research.53275.2. eCollection 2021.
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Fluoxetine and Molnupiravir: A Synergistic Combination for COVID-19 Treatment?氟西汀与莫努匹拉韦:治疗新冠病毒病的协同组合?
Hosp Pharm. 2022 Oct;57(5):603-604. doi: 10.1177/00185787211073465. Epub 2022 Jan 31.
3
Randomized Trial of Metformin, Ivermectin, and Fluvoxamine for Covid-19.
二甲双胍、伊维菌素和氟伏沙明治疗 COVID-19 的随机试验。
N Engl J Med. 2022 Aug 18;387(7):599-610. doi: 10.1056/NEJMoa2201662.
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Comments to "Fluvoxamine and long COVID-19: a new role for sigma-1 receptor (S1R) agonists" by Khani and Entezari-Maleki.对哈尼和恩特扎里 - 马莱基所著《氟伏沙明与长新冠:西格玛 - 1受体(S1R)激动剂的新作用》的评论
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Mol Psychiatry. 2022 Sep;27(9):3562. doi: 10.1038/s41380-022-01545-3. Epub 2022 Apr 6.
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