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2020 ; 57
(ä): 102836
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Targeting innate immunity by blocking CD14: Novel approach to control
inflammation and organ dysfunction in COVID-19 illness
#MMPMID32574958
Martin TR
; Wurfel MM
; Zanoni I
; Ulevitch R
EBioMedicine
2020[Jul]; 57
(ä): 102836
PMID32574958
show ga
The SARS-CoV-2 pandemic has produced an unprecedented rush to develop new
therapies, ranging from immunizations and antivirals to host-directed therapies
to dampen potentially deleterious host inflammatory responses. With a sense of
urgency, many groups have proposed repurposing approved drugs for other
indications that might be deployed rapidly to control the viral infection or
improve host responses. However, many of these therapies are based on drug
availability rather than on a rational understanding of important steps in
pathogenesis, particularly in the lungs, that lead to critical illness and
life-threatening acute respiratory failure. Here we propose that the viral
infection initially triggers a profound activation of innate immunity in the
lungs that generates a self-perpetuating cytokine storm affecting the entire
body. Inhibiting key proximal points in innate immunity pathways is feasible and
offers a science-based approach to improving outcomes in moderate to severe
COVID-19 illness.