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10.1159/000508247

http://scihub22266oqcxt.onion/10.1159/000508247
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32392562!7270061!32392562
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suck abstract from ncbi


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pmid32392562      Int+Arch+Allergy+Immunol 2020 ; 181 (6): 467-475
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  • JAK Inhibition as a New Treatment Strategy for Patients with COVID-19 #MMPMID32392562
  • Seif F; Aazami H; Khoshmirsafa M; Kamali M; Mohsenzadegan M; Pornour M; Mansouri D
  • Int Arch Allergy Immunol 2020[]; 181 (6): 467-475 PMID32392562show ga
  • After the advent of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the outbreak of coronavirus disease 2019 (COVID-19) commenced across the world. Understanding the Immunopathogenesis of COVID-19 is essential for interrupting viral infectivity and preventing aberrant immune responses before a vaccine can be developed. In this review, we provide the latest insights into the roles of angiotensin-converting enzyme II (ACE2) and Ang II receptor-1 (AT1-R) in this disease. Novel therapeutic strategies, including recombinant ACE2, ACE inhibitors, AT1-R blockers, and Ang 1-7 peptides, may prevent or reduce viruses-induced pulmonary, cardiac, and renal injuries. However, more studies are needed to clarify the efficacy of these therapeutics. Furthermore, considering the common role of the Janus kinase-signal transducer and activator of transcription (JAK-STAT) pathway in AT1-R expressed on peripheral tissues and cytokine receptors on the surface of immune cells, potential targeting of this pathway using JAK inhibitors (JAKinibs) is suggested as a promising approach in patients with COVID-19 who are admitted to hospitals. In addition to antiviral therapy, potential ACE2- and AT1-R-inhibiting strategies, and other supportive care, we suggest other potential JAKinibs and novel anti-inflammatory combination therapies that affect the JAK-STAT pathway in patients with COVID-19. Since the combination of MTX and baricitinib leads to outstanding clinical outcomes, the addition of baricitinib to MTX might be a potential strategy.
  • |*Pandemics[MESH]
  • |Angiotensin I/*therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/*therapeutic use[MESH]
  • |Antiviral Agents/*therapeutic use[MESH]
  • |Azetidines/*therapeutic use[MESH]
  • |Betacoronavirus/drug effects/immunology/pathogenicity[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*drug therapy/epidemiology/immunology/virology[MESH]
  • |Disease Progression[MESH]
  • |Gene Expression Regulation[MESH]
  • |Host-Pathogen Interactions/genetics/immunology[MESH]
  • |Humans[MESH]
  • |Janus Kinases/antagonists & inhibitors/*genetics/immunology[MESH]
  • |Methotrexate/*therapeutic use[MESH]
  • |Molecular Targeted Therapy/methods[MESH]
  • |Peptide Fragments/*therapeutic use[MESH]
  • |Peptidyl-Dipeptidase A/genetics/immunology[MESH]
  • |Pneumonia, Viral/*drug therapy/epidemiology/immunology/virology[MESH]
  • |Purines[MESH]
  • |Pyrazoles[MESH]
  • |Receptor, Angiotensin, Type 1/genetics/immunology[MESH]
  • |SARS-CoV-2[MESH]
  • |STAT Transcription Factors/antagonists & inhibitors/genetics/immunology[MESH]
  • |Signal Transduction/genetics/immunology[MESH]


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