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10.1007/s43440-021-00255-x

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suck abstract from ncbi


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pmid33880743      Pharmacol+Rep 2021 ; 73 (3): 712-727
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  • Role of pirfenidone in TGF-beta pathways and other inflammatory pathways in acute respiratory syndrome coronavirus 2 (SARS-Cov-2) infection: a theoretical perspective #MMPMID33880743
  • Hamidi SH; Kadamboor Veethil S; Hamidi SH
  • Pharmacol Rep 2021[Jun]; 73 (3): 712-727 PMID33880743show ga
  • BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes pulmonary injury or multiple-organ injury by various pathological pathways. Transforming growth factor-beta (TGF-beta) is a key factor that is released during SARS-CoV-2 infection. TGF-beta, by internalization of the epithelial sodium channel (ENaC), suppresses the anti-oxidant system, downregulates the cystic fibrosis transmembrane conductance regulator (CFTR), and activates the plasminogen activator inhibitor 1 (PAI-1) and nuclear factor-kappa-light-chain-enhancer of activated B cells (NF-kB). These changes cause inflammation and lung injury along with coagulopathy. Moreover, reactive oxygen species play a significant role in lung injury, which levels up during SARS-CoV-2 infection. DRUG SUGGESTION: Pirfenidone is an anti-fibrotic drug with an anti-oxidant activity that can prevent lung injury during SARS-CoV-2 infection by blocking the maturation process of transforming growth factor-beta (TGF-beta) and enhancing the protective role of peroxisome proliferator-activated receptors (PPARs). Pirfenidone is a safe drug for patients with hypertension or diabetes and its side effect tolerated well. CONCLUSION: The drug as a theoretical perspective may be an effective and safe choice for suppressing the inflammatory response during COVID-19. The recommendation would be a combination of pirfenidone and N-acetylcysteine to achieve maximum benefit during SARS-CoV-2 treatment.
  • |*COVID-19 Drug Treatment[MESH]
  • |Anti-Inflammatory Agents, Non-Steroidal/pharmacology[MESH]
  • |COVID-19/*metabolism/virology[MESH]
  • |Humans[MESH]
  • |Inflammation/*drug therapy/metabolism[MESH]
  • |Lung Injury/*metabolism/virology[MESH]
  • |Pyridones/*therapeutic use[MESH]
  • |SARS-CoV-2/pathogenicity[MESH]
  • |Signal Transduction/*drug effects[MESH]


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