Liu Yan-Miao, Zhang Jing, Wu Jing-Jing, Guo Wei-Wei, Tang Fu-Shan
The First Clinical Institute, Zunyi Medical University, Zunyi 563006, Guizhou Province, China.
Key Laboratory of Clinical Pharmacy in Zunyi City, Zunyi Medical University, Zunyi 563006, Guizhou Province, China.
World J Clin Cases. 2024 Feb 16;12(5):875-879. doi: 10.12998/wjcc.v12.i5.875.
The global spread of severe acute respiratory syndrome coronavirus 2 has resulted in a significant number of individuals developing pulmonary fibrosis (PF), an irreversible lung injury. This condition can manifest within a short interval following the onset of pneumonia symptoms, sometimes even within a few days. While lung transplantation is a potentially lifesaving procedure, its limited availability, high costs, intricate surgeries, and risk of immunological rejection present significant drawbacks. The optimal timing of medication administration for coronavirus disease 2019 (COVID-19)-induced PF remains controversial. Despite this, it is crucial to explore pharmacotherapy interventions, involving early and preventative treatment as well as pharmacotherapy options for advanced-stage PF. Additionally, studies have demonstrated disparities in anti-fibrotic treatment based on race and gender factors. Genetic mutations may also impact therapeutic efficacy. Enhancing research efforts on pharmacotherapy interventions, while considering relevant pharmacological factors and optimizing the timing and dosage of medication administration, will lead to enhanced, personalized, and fair treatment for individuals impacted by COVID-19-related PF. These measures are crucial in lessening the burden of the disease on healthcare systems and improving patients' quality of life.
严重急性呼吸综合征冠状病毒2的全球传播导致大量个体出现肺纤维化(PF),这是一种不可逆的肺损伤。这种情况可在肺炎症状出现后的短时间内表现出来,有时甚至在几天内就会出现。虽然肺移植是一种可能挽救生命的手术,但其可用性有限、成本高昂、手术复杂以及存在免疫排斥风险等都存在重大缺陷。2019冠状病毒病(COVID-19)诱发的PF的最佳用药时机仍存在争议。尽管如此,探索药物治疗干预措施至关重要,包括早期和预防性治疗以及晚期PF的药物治疗选择。此外,研究表明基于种族和性别因素的抗纤维化治疗存在差异。基因突变也可能影响治疗效果。加强药物治疗干预研究,同时考虑相关药理学因素并优化用药时机和剂量,将为受COVID-19相关PF影响的个体带来更好的、个性化的和公平的治疗。这些措施对于减轻疾病对医疗系统的负担以及改善患者生活质量至关重要。