Colchicine reduces the activation of NLRP3 inflammasome in COVID-19 patients

Objective To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19. Methods We present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatm...

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Published inInflammation research Vol. 72; no. 5; pp. 895 - 899
Main Authors Amaral, N. B., Rodrigues, T. S., Giannini, M. C., Lopes, M. I., Bonjorno, L. P., Menezes, P. I. S. O., Dib, S. M., Gigante, S. L. G., Benatti, M. N., Rezek, U. C., Emrich-Filho, L. L., Sousa, B. A., Almeida, S. C. L., Luppino-Assad, R., Veras, F. P., Schneider, A. H., Leiria, L. O. S., Cunha, L. D., Alves-Filho, J. C., Cunha, T. M., Arruda, E., Miranda, C. H., Pazin-Filho, A., Auxiliadora-Martins, M., Borges, M. C., Fonseca, B. A. L., Bollela, V. R., Del-Ben, C. M., Cunha, F. Q., Santana, R. C., Vilar, F. C., Zamboni, D. S., Louzada-Junior, P., Oliveira, R. D. R.
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 01.05.2023
Springer Nature B.V
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Abstract Objective To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19. Methods We present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatment of COVID-19. Serum levels of NOD-like receptor protein 3 (NLRP3) inflammasome products—active caspase-1 (Casp1p20), IL-1β, and IL-18—were assessed at enrollment and after 48–72 h of treatment in patients receiving standard-of-care (SOC) plus placebo vs. those receiving SOC plus colchicine. The colchicine regimen was 0.5 mg tid for 5 days, followed by 0.5 mg bid for another 5 days. Results Thirty-six patients received SOC plus colchicine, and thirty-six received SOC plus placebo. Colchicine reduced the need for supplemental oxygen and the length of hospitalization. On Days 2–3, colchicine lowered the serum levels of Casp1p20 and IL-18, but not IL-1β. Conclusion Treatment with colchicine inhibited the activation of the NLRP3 inflammasome, an event triggering the ‘cytokine storm’ in COVID-19. Trial registration numbers RBR-8jyhxh
AbstractList ObjectiveTo evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19.MethodsWe present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatment of COVID-19. Serum levels of NOD-like receptor protein 3 (NLRP3) inflammasome products—active caspase-1 (Casp1p20), IL-1β, and IL-18—were assessed at enrollment and after 48–72 h of treatment in patients receiving standard-of-care (SOC) plus placebo vs. those receiving SOC plus colchicine. The colchicine regimen was 0.5 mg tid for 5 days, followed by 0.5 mg bid for another 5 days.ResultsThirty-six patients received SOC plus colchicine, and thirty-six received SOC plus placebo. Colchicine reduced the need for supplemental oxygen and the length of hospitalization. On Days 2–3, colchicine lowered the serum levels of Casp1p20 and IL-18, but not IL-1β.ConclusionTreatment with colchicine inhibited the activation of the NLRP3 inflammasome, an event triggering the ‘cytokine storm’ in COVID-19.Trial registration numbersRBR-8jyhxh
Objective To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19. Methods We present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatment of COVID-19. Serum levels of NOD-like receptor protein 3 (NLRP3) inflammasome products—active caspase-1 (Casp1p20), IL-1β, and IL-18—were assessed at enrollment and after 48–72 h of treatment in patients receiving standard-of-care (SOC) plus placebo vs. those receiving SOC plus colchicine. The colchicine regimen was 0.5 mg tid for 5 days, followed by 0.5 mg bid for another 5 days. Results Thirty-six patients received SOC plus colchicine, and thirty-six received SOC plus placebo. Colchicine reduced the need for supplemental oxygen and the length of hospitalization. On Days 2–3, colchicine lowered the serum levels of Casp1p20 and IL-18, but not IL-1β. Conclusion Treatment with colchicine inhibited the activation of the NLRP3 inflammasome, an event triggering the ‘cytokine storm’ in COVID-19. Trial registration numbers RBR-8jyhxh
To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19.OBJECTIVETo evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19.We present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatment of COVID-19. Serum levels of NOD-like receptor protein 3 (NLRP3) inflammasome products-active caspase-1 (Casp1p20), IL-1β, and IL-18-were assessed at enrollment and after 48-72 h of treatment in patients receiving standard-of-care (SOC) plus placebo vs. those receiving SOC plus colchicine. The colchicine regimen was 0.5 mg tid for 5 days, followed by 0.5 mg bid for another 5 days.METHODSWe present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatment of COVID-19. Serum levels of NOD-like receptor protein 3 (NLRP3) inflammasome products-active caspase-1 (Casp1p20), IL-1β, and IL-18-were assessed at enrollment and after 48-72 h of treatment in patients receiving standard-of-care (SOC) plus placebo vs. those receiving SOC plus colchicine. The colchicine regimen was 0.5 mg tid for 5 days, followed by 0.5 mg bid for another 5 days.Thirty-six patients received SOC plus colchicine, and thirty-six received SOC plus placebo. Colchicine reduced the need for supplemental oxygen and the length of hospitalization. On Days 2-3, colchicine lowered the serum levels of Casp1p20 and IL-18, but not IL-1β.RESULTSThirty-six patients received SOC plus colchicine, and thirty-six received SOC plus placebo. Colchicine reduced the need for supplemental oxygen and the length of hospitalization. On Days 2-3, colchicine lowered the serum levels of Casp1p20 and IL-18, but not IL-1β.Treatment with colchicine inhibited the activation of the NLRP3 inflammasome, an event triggering the 'cytokine storm' in COVID-19.CONCLUSIONTreatment with colchicine inhibited the activation of the NLRP3 inflammasome, an event triggering the 'cytokine storm' in COVID-19.RBR-8jyhxh.TRIAL REGISTRATION NUMBERSRBR-8jyhxh.
To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19. We present a post hoc analysis from a double-blinded placebo-controlled randomized clinical trial (RCT) on the effect of colchicine for the treatment of COVID-19. Serum levels of NOD-like receptor protein 3 (NLRP3) inflammasome products-active caspase-1 (Casp1p20), IL-1β, and IL-18-were assessed at enrollment and after 48-72 h of treatment in patients receiving standard-of-care (SOC) plus placebo vs. those receiving SOC plus colchicine. The colchicine regimen was 0.5 mg tid for 5 days, followed by 0.5 mg bid for another 5 days. Thirty-six patients received SOC plus colchicine, and thirty-six received SOC plus placebo. Colchicine reduced the need for supplemental oxygen and the length of hospitalization. On Days 2-3, colchicine lowered the serum levels of Casp1p20 and IL-18, but not IL-1β. Treatment with colchicine inhibited the activation of the NLRP3 inflammasome, an event triggering the 'cytokine storm' in COVID-19. RBR-8jyhxh.
Author Rodrigues, T. S.
Miranda, C. H.
Cunha, F. Q.
Veras, F. P.
Zamboni, D. S.
Almeida, S. C. L.
Cunha, T. M.
Bonjorno, L. P.
Dib, S. M.
Louzada-Junior, P.
Bollela, V. R.
Cunha, L. D.
Borges, M. C.
Arruda, E.
Sousa, B. A.
Giannini, M. C.
Vilar, F. C.
Gigante, S. L. G.
Pazin-Filho, A.
Menezes, P. I. S. O.
Santana, R. C.
Amaral, N. B.
Leiria, L. O. S.
Fonseca, B. A. L.
Auxiliadora-Martins, M.
Schneider, A. H.
Benatti, M. N.
Emrich-Filho, L. L.
Del-Ben, C. M.
Lopes, M. I.
Luppino-Assad, R.
Alves-Filho, J. C.
Oliveira, R. D. R.
Rezek, U. C.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/36917217$$D View this record in MEDLINE/PubMed
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2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
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– notice: 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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Issue 5
Keywords COVID-19
Inflammasome
Colchicine
Cytokines
Language English
License 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
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  year: 2022
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  publication-title: J Clin Med
  doi: 10.3390/jcm11092615
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  year: 2021
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  publication-title: Lancet Respir Med
  doi: 10.1016/S2213-2600(21)00435-5
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  year: 2022
  ident: 1718_CR14
  publication-title: Clin Microbiol Infect
  doi: 10.1016/j.cmi.2022.08.013
– volume: 370
  year: 2020
  ident: 1718_CR12
  publication-title: BMJ
  doi: 10.1136/bmj.m3379
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Snippet Objective To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19. Methods We...
To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19. We present a post hoc...
ObjectiveTo evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19.MethodsWe...
To evaluate whether colchicine treatment was associated with the inhibition of NLRP3 inflammasome activation in patients with COVID-19.OBJECTIVETo evaluate...
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SubjectTerms Allergology
Biomedical and Life Sciences
Biomedicine
Brief Report
Caspase-1
Clinical trials
Colchicine
Colchicine - therapeutic use
Coronaviruses
COVID-19
Cytokine storm
Dermatology
Humans
IL-1β
Immunology
Inflammasomes
Inflammasomes - metabolism
Interleukin 18
Interleukin-1beta - metabolism
Neurology
NLR Family, Pyrin Domain-Containing 3 Protein - metabolism
NLR Proteins
Patients
Pharmacology/Toxicology
Placebos
RBR
RBR8jyhxh
Rheumatology
Serum levels
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Title Colchicine reduces the activation of NLRP3 inflammasome in COVID-19 patients
URI https://link.springer.com/article/10.1007/s00011-023-01718-y
https://www.ncbi.nlm.nih.gov/pubmed/36917217
https://www.proquest.com/docview/2815842553
https://www.proquest.com/docview/2786812354
https://pubmed.ncbi.nlm.nih.gov/PMC10013297
Volume 72
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