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10.1152/ajplung.00161.2020

http://scihub22266oqcxt.onion/10.1152/ajplung.00161.2020
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32401673!7276984!32401673
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suck abstract from ncbi


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pmid32401673      Am+J+Physiol+Lung+Cell+Mol+Physiol 2020 ; 318 (6): L1239-L1243
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  • Urgent reconsideration of lung edema as a preventable outcome in COVID-19: inhibition of TRPV4 represents a promising and feasible approach #MMPMID32401673
  • Kuebler WM; Jordt SE; Liedtke WB
  • Am J Physiol Lung Cell Mol Physiol 2020[Jun]; 318 (6): L1239-L1243 PMID32401673show ga
  • Lethality of coronavirus disease (COVID-19) during the 2020 pandemic, currently still in the exponentially accelerating phase in most countries, is critically driven by disruption of the alveolo-capillary barrier of the lung, leading to lung edema as a direct consequence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We argue for inhibition of the transient receptor potential vanilloid 4 (TRPV4) calcium-permeable ion channel as a strategy to address this issue, based on the rationale that TRPV4 inhibition is protective in various preclinical models of lung edema and that TRPV4 hyperactivation potently damages the alveolo-capillary barrier, with lethal outcome. We believe that TRPV4 inhibition has a powerful prospect at protecting this vital barrier in COVID-19 patients, even to rescue a damaged barrier. A clinical trial using a selective TRPV4 inhibitor demonstrated a benign safety profile in healthy volunteers and in patients suffering from cardiogenic lung edema. We argue for expeditious clinical testing of this inhibitor in COVID-19 patients with respiratory malfunction and at risk for lung edema. Perplexingly, among the currently pursued therapeutic strategies against COVID-19, none is designed to directly protect the alveolo-capillary barrier. Successful protection of the alveolo-capillary barrier will not only reduce COVID-19 lethality but will also preempt a distressing healthcare scenario with insufficient capacity to provide ventilator-assisted respiration.
  • |*Betacoronavirus[MESH]
  • |*Coronavirus Infections/virology[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/virology[MESH]
  • |COVID-19[MESH]
  • |Calcium/metabolism[MESH]
  • |Humans[MESH]
  • |Lung/metabolism/*virology[MESH]
  • |Pulmonary Edema/*prevention & control/virology[MESH]
  • |Respiration, Artificial[MESH]
  • |SARS-CoV-2[MESH]


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