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新冠治疗中高剂量吸入气态一氧化氮

High Dose Inhalation with Gaseous Nitric Oxide in COVID-19 Treatment.

作者信息

Pechyonkin E V, Kovrizhkin A V, Pekshev A V, Vagapov A B, Sharapov N A, Vanin A F

机构信息

Stavropol State Medical University, 355017 Stavropol, Russia.

City Clinical Hospital no. 3, 355029 Stavropol, Russia.

出版信息

Biophysics (Oxf). 2022;67(6):1023-1032. doi: 10.1134/S0006350922060185. Epub 2023 Mar 3.

DOI:10.1134/S0006350922060185
PMID:36883180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9984126/
Abstract

A method of treatment of a new coronavirus infection COVID-19 in patients undergoing high flow oxygenation is proposed and technically implemented; the method is based on high-dose inhalation of gaseous nitric oxide (NO) with the patient's spontaneous breathing. The results of the treatment of this disease demonstrating the high efficiency of the new method are presented. A possible mechanism of the blocking effect of high doses of inhaled nitric oxide on the replication of the SARS-CoV-2 virus is discussed; it is based on the formation of dinitrosyl iron complexes in the respiratory tract and lungs of COVID-19 patients with thiol-containing ligands acting as donors of NO and nitrosonium NO cations in a living organism that have a cytotoxic effect on the SARS CoV-2 virus.

摘要

提出并在技术上实施了一种针对接受高流量氧疗的新型冠状病毒感染COVID-19患者的治疗方法;该方法基于在患者自主呼吸时高剂量吸入气态一氧化氮(NO)。展示了该新方法高效性的这种疾病的治疗结果。讨论了高剂量吸入一氧化氮对SARS-CoV-2病毒复制的阻断作用的可能机制;它基于在COVID-19患者的呼吸道和肺部形成二亚硝基铁配合物,含硫醇配体在活生物体中作为NO供体和亚硝基阳离子NO发挥作用,对SARS-CoV-2病毒具有细胞毒性作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/5df8b5897e36/11439_2023_9609_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/20039a2cb9eb/11439_2023_9609_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/7bc2ded454dc/11439_2023_9609_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/33f90bb4c57f/11439_2023_9609_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/41c43e44ec32/11439_2023_9609_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/7a6ee7c26547/11439_2023_9609_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/5df8b5897e36/11439_2023_9609_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/20039a2cb9eb/11439_2023_9609_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/7bc2ded454dc/11439_2023_9609_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/33f90bb4c57f/11439_2023_9609_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/41c43e44ec32/11439_2023_9609_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/7a6ee7c26547/11439_2023_9609_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f47/9984126/5df8b5897e36/11439_2023_9609_Fig6_HTML.jpg

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本文引用的文献

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Biophysics (Oxf). 2021;66(1):155-163. doi: 10.1134/S0006350921010218. Epub 2021 Apr 27.
2
Nitrosonium Cation as a Cytotoxic Component of Dinitrosyl Iron Complexes with Thiol-containing Ligands (based on the Experimental Work on MCF7 Human Breast Cancer Cell Culture).亚硝酰阳离子作为含巯基配体的二硝基金属配合物的细胞毒性成分(基于 MCF7 人乳腺癌细胞培养的实验工作)。
Cell Biochem Biophys. 2021 Mar;79(1):93-102. doi: 10.1007/s12013-020-00962-x. Epub 2021 Jan 25.
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Antimicrobial effects of nitric oxide in murine models of Klebsiella pneumonia.
一氧化氮对肺炎克雷伯菌小鼠模型的抗菌作用。
Redox Biol. 2021 Feb;39:101826. doi: 10.1016/j.redox.2020.101826. Epub 2020 Dec 11.
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Rescue Treatment With High-Dose Gaseous Nitric Oxide in Spontaneously Breathing Patients With Severe Coronavirus Disease 2019.严重2019冠状病毒病自主呼吸患者的高剂量气态一氧化氮抢救治疗
Crit Care Explor. 2020 Nov 16;2(11):e0277. doi: 10.1097/CCE.0000000000000277. eCollection 2020 Nov.
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High Concentrations of Nitric Oxide Inhalation Therapy in Pregnant Patients With Severe Coronavirus Disease 2019 (COVID-19).高浓度一氧化氮吸入疗法治疗重症 2019 冠状病毒病(COVID-19)孕妇。
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Could the decrease in the endothelial nitric oxide (NO) production and NO bioavailability be the crucial cause of COVID-19 related deaths?内皮一氧化氮(NO)生成量及NO生物利用度的降低会是新型冠状病毒肺炎相关死亡的关键原因吗?
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