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10.1038/s41392-021-00496-5

http://scihub22266oqcxt.onion/10.1038/s41392-021-00496-5
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33658482!7925812!33658482
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suck abstract from ncbi


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pmid33658482      Signal+Transduct+Target+Ther 2021 ; 6 (1): 107
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  • Clinical evidence of an interferon-glucocorticoid therapeutic synergy in COVID-19 #MMPMID33658482
  • Lu Y; Liu F; Tong G; Qiu F; Song P; Wang X; Zou X; Wan D; Cui M; Xu Y; Zheng Z; Hong P
  • Signal Transduct Target Ther 2021[Mar]; 6 (1): 107 PMID33658482show ga
  • Synthetic glucocorticoid dexamethasone is the first trial-proven drug that reduces COVID-19 mortality by suppressing immune system. In contrast, interferons are a crucial component of host antiviral immunity and can be directly suppressed by glucocorticoids. To investigate whether therapeutic interferons can compensate glucocorticoids-induced loss of antiviral immunity, we retrospectively analyzed a cohort of 387 PCR-confirmed COVID-19 patients with quasi-random exposure to interferons and conditional exposure to glucocorticoids. Among patients receiving glucocorticoids, early interferon therapy was associated with earlier hospital discharge (adjusted HR 1.68, 95% CI 1.19-2.37) and symptom relief (adjusted HR 1.48, 95% CI 1.06-2.08), while these associations were insignificant among glucocorticoids nonusers. Early interferon therapy was also associated with lower prevalence of prolonged viral shedding (adjusted OR 0.24, 95% CI 0.10-0.57) only among glucocorticoids users. Additionally, these associations were glucocorticoid cumulative dose- and timing-dependent. These findings reveal potential therapeutic synergy between interferons and glucocorticoids in COVID-19 that warrants further investigation.
  • |*COVID-19 Drug Treatment[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/diagnosis/mortality[MESH]
  • |Dexamethasone/*administration & dosage/agonists[MESH]
  • |Drug Synergism[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Interferons/*administration & dosage/agonists[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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