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10.1016/j.ebiom.2020.102969

http://scihub22266oqcxt.onion/10.1016/j.ebiom.2020.102969
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suck abstract from ncbi


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pmid32853989      EBioMedicine 2020 ; 59 (ä): 102969
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  • Beneficial non-anticoagulant mechanisms underlying heparin treatment of COVID-19 patients #MMPMID32853989
  • Buijsers B; Yanginlar C; Maciej-Hulme ML; de Mast Q; van der Vlag J
  • EBioMedicine 2020[Sep]; 59 (ä): 102969 PMID32853989show ga
  • Coronavirus disease-2019 (COVID-19) is associated with severe inflammation in mainly the lung, and kidney. Reports suggest a beneficial effect of the use of heparin/low molecular weight heparin (LMWH) on mortality in COVID-19. In part, this beneficial effect could be explained by the anticoagulant properties of heparin/LMWH. Here, we summarise potential beneficial, non-anticoagulant mechanisms underlying treatment of COVID-19 patients with heparin/LMWH, which include: (i) Inhibition of heparanase activity, responsible for endothelial leakage; (ii) Neutralisation of chemokines, and cytokines; (iii) Interference with leukocyte trafficking; (iv) Reducing viral cellular entry, and (v) Neutralisation of extracellular cytotoxic histones. Considering the multiple inflammatory and pathogenic mechanisms targeted by heparin/LMWH, it is warranted to conduct clinical studies that evaluate therapeutic doses of heparin/LMWH in COVID-19 patients. In addition, identification of specific heparin-derived sequences that are functional in targeting non-anticoagulant mechanisms may have even higher therapeutic potential for COVID-19 patients, and patients suffering from other inflammatory diseases.
  • |Anti-Inflammatory Agents/metabolism/pharmacology/*therapeutic use[MESH]
  • |Betacoronavirus/isolation & purification/physiology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*drug therapy/pathology/virology[MESH]
  • |Glucuronidase/antagonists & inhibitors/metabolism[MESH]
  • |Heparin, Low-Molecular-Weight/metabolism/pharmacology/therapeutic use[MESH]
  • |Heparin/metabolism/pharmacology/*therapeutic use[MESH]
  • |Histones/blood/metabolism[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*drug therapy/pathology/virology[MESH]
  • |SARS-CoV-2[MESH]


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