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10.1016/j.mehy.2020.109850

http://scihub22266oqcxt.onion/10.1016/j.mehy.2020.109850
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suck abstract from ncbi


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pmid32526511
      Med+Hypotheses 2020 ; 144 (ä): 109850
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  • A potential role for cyclophosphamide in the mitigation of acute respiratory distress syndrome among patients with SARS-CoV-2 #MMPMID32526511
  • Revannasiddaiah S ; Kumar Devadas S ; Palassery R ; Kumar Pant N ; Maka VV
  • Med Hypotheses 2020[Nov]; 144 (ä): 109850 PMID32526511 show ga
  • While humanity struggles to develop a vaccine against SARS-CoV-2, it is imperative that effective and affordable therapeutic strategies be evolved. Since a majority of the SARS-CoV-2 deaths are due to acute respiratory distress syndrome (ARDS), a strategy to mitigate the same could save countless lives. Since SARS-CoV-2 related ARDS has a strong immunological component, many investigators are utilizing monoclonal antibodies against IL-6, TNF-alpha and CCR5. However, targeting a single cytokine with an expensive monoclonal antibody could be a less pragmatic approach. We propose the use of cyclophosphamide as an immunomodulator, given its proven role in various settings including autoimmune diseases, and in the post-haploidentical stem cell transplant. Cyclophosphamide could deplete cytotoxic and effector T cell populations while relatively sparing the regulatory T cells (Tregs). Cyclophosphamide could tip the balance away from the overtly pro-inflammatory and could be a less expensive and effective alternative to the currently investigated monoclonal antibodies.
  • |*COVID-19 Drug Treatment [MESH]
  • |Antibodies, Monoclonal/therapeutic use [MESH]
  • |COVID-19/complications [MESH]
  • |Cyclophosphamide/*therapeutic use [MESH]
  • |Humans [MESH]
  • |Immune System/drug effects [MESH]
  • |Patient Safety [MESH]
  • |Respiratory Distress Syndrome/*drug therapy/virology [MESH]


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