Cojocaru Elena, Cojocaru Tudor, Pînzariu Giulia Mihaela, Vasiliu Ioana, Armașu Ioana, Cojocaru Cristian
Morpho-Functional Sciences II Department, "Grigore T. Popa" University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania.
Faculty of Medicine, University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania.
J Pers Med. 2023 Dec 29;14(1):51. doi: 10.3390/jpm14010051.
Pulmonary fibrosis, a critical outcome of chronic inflammatory diseases, has gained prominence in the context of post-coronavirus (post-COVID-19) complications. This review delves into the multifaceted landscape of post-COVID-19 pulmonary fibrosis, elucidating the intricate molecular mechanisms underlying its pathogenesis and highlighting promising therapeutic avenues. Examining the aftermath of severe acute respiratory syndrome-2 (SARS-CoV-2) infection, the review reveals key signaling pathways implicated in the fibrotic cascade. Drawing parallels with previous coronavirus outbreaks enhances our understanding of the distinctive features of post-COVID-19 fibrosis. Antifibrotic drugs, like pirfenidone and nintedanib, take center stage; their mechanisms of action and potential applications in post-COVID-19 cases are thoroughly explored. Beyond the established treatments, this review investigates emerging therapeutic modalities, including anti-interleukin agents, immunosuppressants, and experimental compounds, like buloxybutide, saracatinib, sirolimus, and resveratrol. Emphasizing the critical importance of early intervention, this review highlights the dynamic nature of post-COVID-19 pulmonary fibrosis research. In conclusion, the synthesis of current knowledge offers a foundation for advancing our approaches to the prevention and treatment of these consequential sequelae of COVID-19.
肺纤维化是慢性炎症性疾病的一个关键后果,在冠状病毒病后(COVID-19后)并发症的背景下日益受到关注。本综述深入探讨了COVID-19后肺纤维化的多方面情况,阐明了其发病机制背后复杂的分子机制,并突出了有前景的治疗途径。通过研究严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的后果,该综述揭示了参与纤维化级联反应的关键信号通路。与以往冠状病毒爆发进行比较,有助于我们更好地理解COVID-19后纤维化的独特特征。抗纤维化药物,如吡非尼酮和尼达尼布,成为关注焦点;对它们在COVID-19病例中的作用机制和潜在应用进行了深入探讨。除了既定的治疗方法,本综述还研究了新兴的治疗方式,包括抗白细胞介素药物、免疫抑制剂以及实验性化合物,如布洛昔布、萨拉卡替尼、西罗莫司和白藜芦醇。强调早期干预的至关重要性,本综述突出了COVID-19后肺纤维化研究的动态性质。总之,对当前知识的综合为推进我们对这些COVID-19严重后遗症的预防和治疗方法提供了基础。