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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Acta+Pharm+Sin+B 2020 ; 10 (7): 1205-1215 Nephropedia Template TP
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Potential therapeutic effects of dipyridamole in the severely ill patients with COVID-19 #MMPMID32318327
Liu X; Li Z; Liu S; Sun J; Chen Z; Jiang M; Zhang Q; Wei Y; Wang X; Huang YY; Shi Y; Xu Y; Xian H; Bai F; Ou C; Xiong B; Lew AM; Cui J; Fang R; Huang H; Zhao J; Hong X; Zhang Y; Zhou F; Luo HB
Acta Pharm Sin B 2020[Jul]; 10 (7): 1205-1215 PMID32318327show ga
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can cause acute respiratory distress syndrome, hypercoagulability, hypertension, and multiorgan dysfunction. Effective antivirals with safe clinical profile are urgently needed to improve the overall prognosis. In an analysis of a randomly collected cohort of 124 patients with COVID-19, we found that hypercoagulability as indicated by elevated concentrations of D-dimers was associated with disease severity. By virtual screening of a U.S. FDA approved drug library, we identified an anticoagulation agent dipyridamole (DIP) in silico, which suppressed SARS-CoV-2 replication in vitro. In a proof-of-concept trial involving 31 patients with COVID-19, DIP supplementation was associated with significantly decreased concentrations of D-dimers (P < 0.05), increased lymphocyte and platelet recovery in the circulation, and markedly improved clinical outcomes in comparison to the control patients. In particular, all 8 of the DIP-treated severely ill patients showed remarkable improvement: 7 patients (87.5%) achieved clinical cure and were discharged from the hospitals while the remaining 1 patient (12.5%) was in clinical remission.