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10.3390/ijms22041797

http://scihub22266oqcxt.onion/10.3390/ijms22041797
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33670304!7918659!33670304
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suck abstract from ncbi


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pmid33670304      Int+J+Mol+Sci 2021 ; 22 (4): ä
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  • Drugs, Metabolites, and Lung Accumulating Small Lysosomotropic Molecules: Multiple Targeting Impedes SARS-CoV-2 Infection and Progress to COVID-19 #MMPMID33670304
  • Blaess M; Kaiser L; Sommerfeld O; Csuk R; Deigner HP
  • Int J Mol Sci 2021[Feb]; 22 (4): ä PMID33670304show ga
  • Lysosomotropism is a biological characteristic of small molecules, independently present of their intrinsic pharmacological effects. Lysosomotropic compounds, in general, affect various targets, such as lipid second messengers originating from lysosomal enzymes promoting endothelial stress response in systemic inflammation; inflammatory messengers, such as IL-6; and cathepsin L-dependent viral entry into host cells. This heterogeneous group of drugs and active metabolites comprise various promising candidates with more favorable drug profiles than initially considered (hydroxy) chloroquine in prophylaxis and treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections/Coronavirus disease 2019 (COVID-19) and cytokine release syndrome (CRS) triggered by bacterial or viral infections. In this hypothesis, we discuss the possible relationships among lysosomotropism, enrichment in lysosomes of pulmonary tissue, SARS-CoV-2 infection, and transition to COVID-19. Moreover, we deduce further suitable approved drugs and active metabolites based with a more favorable drug profile on rational eligibility criteria, including readily available over-the-counter (OTC) drugs. Benefits to patients already receiving lysosomotropic drugs for other pre-existing conditions underline their vital clinical relevance in the current SARS-CoV2/COVID-19 pandemic.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Drug Discovery/methods[MESH]
  • |Antiviral Agents/pharmacokinetics/*pharmacology/therapeutic use[MESH]
  • |COVID-19/immunology/metabolism/virology[MESH]
  • |Chlorpromazine/pharmacokinetics/pharmacology/therapeutic use[MESH]
  • |Cytokine Release Syndrome/drug therapy[MESH]
  • |Drug Repositioning/methods[MESH]
  • |Fluvoxamine/pharmacokinetics/pharmacology/therapeutic use[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/pharmacokinetics/pharmacology/therapeutic use[MESH]
  • |Interleukin-1/antagonists & inhibitors/immunology[MESH]
  • |Interleukin-6/antagonists & inhibitors/immunology[MESH]
  • |Lung/drug effects/immunology/metabolism/virology[MESH]
  • |Lysosomes/*drug effects/immunology/metabolism/virology[MESH]
  • |SARS-CoV-2/*drug effects/immunology/physiology[MESH]
  • |Small Molecule Libraries/pharmacokinetics/*pharmacology/therapeutic use[MESH]


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