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吸入一氧化氮:它能成为治疗新冠肺炎及相关呼吸和心血管疾病的救星吗?

Inhaled nitric oxide: can it serve as a savior for COVID-19 and related respiratory and cardiovascular diseases?

作者信息

Zhao Yifan, Li Cheng, Zhang Shuai, Cheng Jiayu, Liu Yucheng, Han Xiaorong, Wang Yinghui, Wang Yonggang

机构信息

Department of Cardiovascular Center, The First Hospital of Jilin University, Changchun, China.

Department of Family and Community Medicine, Feinberg School of Medicine, McGaw Medical Center of Northwestern University, Chicago, IL, United States.

出版信息

Front Microbiol. 2023 Oct 2;14:1277552. doi: 10.3389/fmicb.2023.1277552. eCollection 2023.


DOI:10.3389/fmicb.2023.1277552
PMID:37849924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10577426/
Abstract

Nitric oxide (NO), as an important gaseous medium, plays a pivotal role in the human body, such as maintaining vascular homeostasis, regulating immune-inflammatory responses, inhibiting platelet aggregation, and inhibiting leukocyte adhesion. In recent years, the rapid prevalence of coronavirus disease 2019 (COVID-19) has greatly affected the daily lives and physical and mental health of people all over the world, and the therapeutic efficacy and resuscitation strategies for critically ill patients need to be further improved and perfected. Inhaled nitric oxide (iNO) is a selective pulmonary vasodilator, and some studies have demonstrated its potential therapeutic use for COVID-19, severe respiratory distress syndrome, pulmonary infections, and pulmonary hypertension. In this article, we describe the biochemistry and basic characteristics of NO and discuss whether iNO can act as a "savior" for COVID-19 and related respiratory and cardiovascular disorders to exert a potent clinical protective effect.

摘要

一氧化氮(NO)作为一种重要的气体介质,在人体中发挥着关键作用,如维持血管稳态、调节免疫炎症反应、抑制血小板聚集以及抑制白细胞黏附。近年来,2019冠状病毒病(COVID-19)的迅速流行极大地影响了全世界人们的日常生活以及身心健康,危重症患者的治疗效果和复苏策略有待进一步改进和完善。吸入一氧化氮(iNO)是一种选择性肺血管扩张剂,一些研究已证明其在治疗COVID-19、严重呼吸窘迫综合征、肺部感染及肺动脉高压方面具有潜在的治疗用途。在本文中,我们描述了NO的生物化学及基本特性,并探讨iNO是否能作为COVID-19及相关呼吸和心血管疾病的“救星”发挥强大的临床保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b89/10577426/8c3853957274/fmicb-14-1277552-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b89/10577426/a6dbf6aebab2/fmicb-14-1277552-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b89/10577426/8c3853957274/fmicb-14-1277552-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b89/10577426/a6dbf6aebab2/fmicb-14-1277552-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b89/10577426/8c3853957274/fmicb-14-1277552-g002.jpg

相似文献

[1]
Inhaled nitric oxide: can it serve as a savior for COVID-19 and related respiratory and cardiovascular diseases?

Front Microbiol. 2023-10-2

[2]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
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[2]
Cytokines from Macrophages Activated by Spike S1 of SARS-CoV-2 Cause eNOS/Arginase Imbalance in Endothelial Cells.

Int J Mol Sci. 2025-6-19

[3]
A safety evaluation of intermittent high-dose inhaled nitric oxide in viral pneumonia due to COVID-19: a randomised clinical study.

Sci Rep. 2024-7-26

本文引用的文献

[1]
Inhaled nitric oxide in patients with acute respiratory distress syndrome caused by COVID-19: treatment modalities, clinical response, and outcomes.

Ann Intensive Care. 2023-6-27

[2]
Update on the Role of FeNO in Asthma Management.

Diagnostics (Basel). 2023-4-15

[3]
Recent Advances in Strategies to Combat Bacterial Drug Resistance: Antimicrobial Materials and Drug Delivery Systems.

Pharmaceutics. 2023-4-7

[4]
Inhaled Nitric Oxide in Acute Respiratory Distress Syndrome Subsets: Rationale and Clinical Applications.

J Aerosol Med Pulm Drug Deliv. 2023-6

[5]
Signaling pathways in vascular function and hypertension: molecular mechanisms and therapeutic interventions.

Signal Transduct Target Ther. 2023-4-20

[6]
Platelets and Cardioprotection: The Role of Nitric Oxide and Carbon Oxide.

Int J Mol Sci. 2023-3-24

[7]
Live to die another day: novel insights may explain the pathophysiology behind smoker's paradox in SARS-CoV-2 infection.

Mol Cell Biochem. 2023-11

[8]
Nitric oxide mediated hypoxia dynamics in COVID-19.

Nitric Oxide. 2023-4-1

[9]
Gaseous nitric oxide failed to inhibit the replication cycle of SARS-CoV-2 in vitro.

Nitric Oxide. 2023-3-1

[10]
Prognostic value of follow-up vasoreactivity test in pulmonary arterial hypertension.

J Cardiol. 2023-7

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