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10.1080/1744666X.2021.1847084

http://scihub22266oqcxt.onion/10.1080/1744666X.2021.1847084
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33146561!7879704!33146561
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suck abstract from ncbi

pmid33146561      Expert+Rev+Clin+Immunol 2020 ; 16 (12): 1185-1204
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  • Coronavirus disease 2019: investigational therapies in the prevention and treatment of hyperinflammation #MMPMID33146561
  • Amigues I; Pearlman AH; Patel A; Reid P; Robinson PC; Sinha R; Kim AH; Youngstein T; Jayatilleke A; Konig M
  • Expert Rev Clin Immunol 2020[Dec]; 16 (12): 1185-1204 PMID33146561show ga
  • Introduction: The mortality of coronavirus disease 2019 (COVID-19) is frequently driven by an injurious immune response characterized by the development of acute respiratory distress syndrome (ARDS), endotheliitis, coagulopathy, and multi-organ failure. This spectrum of hyperinflammation in COVID-19 is commonly referred to as cytokine storm syndrome (CSS). Areas covered: Medline and Google Scholar were searched up until 15th of August 2020 for relevant literature. Evidence supports a role of dysregulated immune responses in the immunopathogenesis of severe COVID-19. CSS associated with SARS-CoV-2 shows similarities to the exuberant cytokine production in some patients with viral infection (e.g.SARS-CoV-1) and may be confused with other syndromes of hyperinflammation like the cytokine release syndrome (CRS) in CAR-T cell therapy. Interleukin (IL)-6, IL-8, and tumor necrosis factor-alpha have emerged as predictors of COVID-19 severity and in-hospital mortality. Expert opinion: Despite similarities, COVID-19-CSS appears to be distinct from HLH, MAS, and CRS, and the application of HLH diagnostic scores and criteria to COVID-19 is not supported by emerging data. While immunosuppressive therapy with glucocorticoids has shown a mortality benefit, cytokine inhibitors may hold promise as 'rescue therapies' in severe COVID-19. Given the arguably limited benefit in advanced disease, strategies to prevent the development of COVID-19-CSS are needed.
  • |*COVID-19/blood/mortality/prevention & control/therapy[MESH]
  • |*Cytokine Release Syndrome/blood/mortality/prevention & control/therapy[MESH]
  • |*Therapies, Investigational[MESH]
  • |Cytokines/*blood[MESH]
  • |Humans[MESH]


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