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10.1016/j.biopha.2021.111586

http://scihub22266oqcxt.onion/10.1016/j.biopha.2021.111586
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suck abstract from ncbi


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pmid33866132      Biomed+Pharmacother 2021 ; 139 (ä): 111586
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  • Babaodan controls excessive immune responses and may represent a cytokine-targeted agent suitable for COVID-19 treatment #MMPMID33866132
  • Qian J; Xu H; Lv D; Liu W; Chen E; Zhou Y; Wang Y; Ying K; Fan X
  • Biomed Pharmacother 2021[Jul]; 139 (ä): 111586 PMID33866132show ga
  • It has become evident that the actions of pro-inflammatory cytokines and/or the development of a cytokine storm are responsible for the occurrence of severe COVID-19 during SARS-CoV-2 infection. Although immunomodulatory mechanisms vary among viruses, the activation of multiple TLRs that occurs primarily through the recruitment of adapter proteins such as MyD88 and TRIF contributes to the induction of a cytokine storm. Based on this, controlling the robust production of pro-inflammatory cytokines by macrophages may be applicable as a cellular approach to investigate potential cytokine-targeted therapies against COVID-19. In the current study, we utilized TLR2/MyD88 and TLR3/TRIF co-activated macrophages and evaluated the anti-cytokine storm effect of the traditional Chinese medicine (TCM) formula Babaodan (BBD). An RNA-seq-based transcriptomic approach was used to determine the molecular mode of action. Additionally, we evaluated the anti-inflammatory activity of BBD in vivo using a mouse model of post-viral bacterial infection-induced pneumonia and seven severely ill COVID-19 patients. Our study reveals the protective role of BBD against excessive immune responses in macrophages, where the underlying mechanisms involve the inhibition of the NF-kappaB and MAPK signaling pathways. In vivo, BBD significantly inhibited the release of IL-6, thus resulting in increased survival rates in mice. Based on limited data, we demonstrated that severely ill COVID-19 patients benefited from BBD treatment due to a reduction in the overproduction of IL-6. In conclusion, our study indicated that BBD controls excessive immune responses and may thus represent a cytokine-targeted agent that could be considered to treating COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |Animals[MESH]
  • |Anti-Inflammatory Agents/*administration & dosage[MESH]
  • |COVID-19/complications/*immunology[MESH]
  • |Cytokines/*immunology[MESH]
  • |Female[MESH]
  • |Gene Expression Profiling[MESH]
  • |Humans[MESH]
  • |Lung Injury/etiology/prevention & control[MESH]
  • |Medicine, Chinese Traditional/*methods[MESH]
  • |Mice[MESH]
  • |Mice, Inbred C57BL[MESH]


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