NF-κB Pathway as a Potential Target for Treatment of Critical Stage COVID-19 Patients
Patients infected with SARS-CoV-2 show a wide spectrum of clinical manifestations ranging from mild febrile illness and cough up to acute respiratory distress syndrome, multiple organ failure, and death. Data from patients with severe clinical manifestations compared to patients with mild symptoms i...
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Published in | Frontiers in immunology Vol. 11; p. 598444 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Switzerland
Frontiers Media S.A
10.12.2020
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Subjects | |
Online Access | Get full text |
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Summary: | Patients infected with SARS-CoV-2 show a wide spectrum of clinical manifestations ranging from mild febrile illness and cough up to acute respiratory distress syndrome, multiple organ failure, and death. Data from patients with severe clinical manifestations compared to patients with mild symptoms indicate that highly dysregulated exuberant inflammatory responses correlate with severity of disease and lethality. Epithelial-immune cell interactions and elevated cytokine and chemokine levels, i.e. cytokine storm, seem to play a central role in severity and lethality in COVID-19. The present perspective places a central cellular pro-inflammatory signal pathway, NF-κB, in the context of recently published data for COVID-19 and provides a hypothesis for a therapeutic approach aiming at the simultaneous inhibition of whole cascades of pro-inflammatory cytokines and chemokines. The simultaneous inhibition of multiple cytokines/chemokines is expected to have much higher therapeutic potential as compared to single target approaches to prevent cascade (i.e. redundant, triggering, amplifying, and synergistic) effects of multiple induced cytokines and chemokines in critical stage COVID-19 patients. |
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Bibliography: | Reviewed by: Pio Conti, University of Studies G. d'Annunzio Chieti and Pescara, Italy; Chengping Wen, Zhejiang Chinese Medical University, China Edited by: Caroline Petitdemange, Institut Pasteur, France Present address: Ralf Kircheis, Syntacoll GmbH, Saal a.d. Donau, Germany; Emanuel Haasbach, State Agency for Nature, Environment and Consumer Protection of North Rhine-Westphalia, Recklinghausen, Germany; Daniel Lueftenegger, Biogen GmbH, Munich, Germany; Willm T. Heyken, TÜV SÜD Product Service, Munich, Germany Matthias Ocker, Translational Medicine & Clinical Pharmacology, Boehringer Ingelheim Pharma GmbH, Ingelheim, Germany and Charité University Medicine Berlin, Berlin, Germany This article was submitted to Viral Immunology, a section of the journal Frontiers in Immunology |
ISSN: | 1664-3224 1664-3224 |
DOI: | 10.3389/fimmu.2020.598444 |