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10.1016/j.mehy.2020.110150

http://scihub22266oqcxt.onion/10.1016/j.mehy.2020.110150
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32763660!7392953!32763660
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suck abstract from ncbi


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pmid32763660      Med+Hypotheses 2020 ; 143 (ä): 110150
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  • Ankaferd hemostat (ABS) as a potential mucosal topical agent for the management of COVID-19 syndrome based on its PAR-1 inhibitory effect and oestrogen content #MMPMID32763660
  • Beyazit F; Beyazit Y; Tanoglu A; Haznedaroglu IC
  • Med Hypotheses 2020[Oct]; 143 (ä): 110150 PMID32763660show ga
  • COVID-19 due to the SARS-CoV-2 infection is a multi-systemic immune syndrome affecting mainly the lungs, oropharyngeal region, and other vascular endothelial beds. There are tremendous ongoing efforts for the aim of developing drugs against the COVID-19 syndrome-associated inflammation. However, currently no specific medicine is present for the absolute pharmacological cure of COVID-19 mucositis. The re-purposing/re-positioning of already existing drugs is a very important strategy for the management of ongoing pandemy since the development of a new drug needs decades. Apart from altering angiotensin signaling pathways, novel drug candidates for re-purposing comprise medications shall target COVID-19 pathobiology, including pharmaceutical formulations that antagonize proteinase-activated receptors (PARs), mainly PAR-1. Activation of the PAR-1, mediators and hormones impact on the hemostasis, endothelial activation, alveolar epithelial cells and mucosal inflammatory responses which are the essentials of the COVID-19 pathophysiology. In this context, Ankaferd hemostat (Ankaferd Blood Stopper, ABS) which is an already approved hemostatic agent affecting via vital erythroid aggregation and fibrinogen gamma could be a potential topical remedy for the mucosal management of COVID-19. ABS is a clinically safe and effective topical hemostatic agent of plant origin capable of exerting pleiotropic effects on the endothelial cells, angiogenesis, cell proliferation and vascular dynamics. ABS had been approved as a topically applied hemostatic agent for the management of post-surgical/dental bleedings and healing of infected inflammatory mucosal wounds. The anti-inflammatory and proteinase-activated receptor axis properties of ABS with a considerable amount of oestrogenic hormone presence highlight this unique topical hemostatic drug regarding the clinical re-positioning for COVID-19-associated mucositis. Topical ABS as a biological response modifier may lessen SARS-CoV-2 associated microthrombosis, endothelial dysfunction, oropharyngeal inflammation and mucosal lung damage. Moreover, PAR-1 inhibition ability of ABS might be helpful for reducing the initial virus propagation and mocasal spread of COVID-19.
  • |*Betacoronavirus[MESH]
  • |*Pandemics[MESH]
  • |*Phytotherapy[MESH]
  • |Administration, Topical[MESH]
  • |Age Distribution[MESH]
  • |Anti-Inflammatory Agents/administration & dosage/*therapeutic use[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |Coronavirus Infections/blood/*complications/drug therapy/epidemiology[MESH]
  • |Cytokine Release Syndrome/etiology/physiopathology[MESH]
  • |Drug Repositioning[MESH]
  • |Endothelium, Vascular/drug effects[MESH]
  • |Estrogens/agonists/*physiology[MESH]
  • |Hemostatics/administration & dosage/*therapeutic use[MESH]
  • |Humans[MESH]
  • |Mucositis/*drug therapy/etiology[MESH]
  • |Phytoestrogens/administration & dosage/*therapeutic use[MESH]
  • |Plant Extracts/administration & dosage/chemistry/*therapeutic use[MESH]
  • |Pneumonia, Viral/blood/*complications/drug therapy/epidemiology[MESH]
  • |Receptor, PAR-1/*antagonists & inhibitors/physiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Stomatitis/drug therapy/etiology[MESH]


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