Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, is currently developing into a rapidly disseminating and an overwhelming worldwide pandemic. In severe COVID-19 cases, hypercoagulability and inflammation are two crucial complications responsible for poor prog...

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Main Authors: Mohamed S. Abdel-Bakky, Elham Amin, Mohamed G. Ewees, Nesreen I. Mahmoud, Hamdoon A. Mohammed, Waleed M. Altowayan, Ahmed A. H. Abdellatif
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/2/228
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author Mohamed S. Abdel-Bakky
Elham Amin
Mohamed G. Ewees
Nesreen I. Mahmoud
Hamdoon A. Mohammed
Waleed M. Altowayan
Ahmed A. H. Abdellatif
author_facet Mohamed S. Abdel-Bakky
Elham Amin
Mohamed G. Ewees
Nesreen I. Mahmoud
Hamdoon A. Mohammed
Waleed M. Altowayan
Ahmed A. H. Abdellatif
author_sort Mohamed S. Abdel-Bakky
collection DOAJ
description The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, is currently developing into a rapidly disseminating and an overwhelming worldwide pandemic. In severe COVID-19 cases, hypercoagulability and inflammation are two crucial complications responsible for poor prognosis and mortality. In addition, coagulation system activation and inflammation overlap and produce life-threatening complications, including coagulopathy and cytokine storm, which are associated with overproduction of cytokines and activation of the immune system; they might be a lead cause of organ damage. However, patients with severe COVID-19 who received anticoagulant therapy had lower mortality, especially with elevated D-dimer or fibrin degradation products (FDP). In this regard, the discovery of natural products with anticoagulant potential may help mitigate the numerous side effects of the available synthetic drugs. This review sheds light on blood coagulation and its impact on the complication associated with COVID-19. Furthermore, the sources of natural anticoagulants, the role of nanoparticle formulation in this outbreak, and the prevalence of thrombosis with thrombocytopenia syndrome (TTS) after COVID-19 vaccines are also reviewed. These combined data provide many research ideas related to the possibility of using these anticoagulant agents as a treatment to relieve acute symptoms of COVID-19 infection.
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spelling doaj.art-6dba1762846f43bc925c2fbc39da5e2a2023-11-23T22:29:33ZengMDPI AGViruses1999-49152022-01-0114222810.3390/v14020228Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 VaccinesMohamed S. Abdel-Bakky0Elham Amin1Mohamed G. Ewees2Nesreen I. Mahmoud3Hamdoon A. Mohammed4Waleed M. Altowayan5Ahmed A. H. Abdellatif6Department of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Qassim 52471, Saudi ArabiaDepartment of Pharmacognosy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62514, EgyptDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Nahda University, Beni-Suef 11787, EgyptDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Nahda University, Beni-Suef 11787, EgyptDepartment of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, Qassim University, Qassim 52471, Saudi ArabiaDepartment of Pharmacy Practice, College of Pharmacy, Qassim University, Qassim 52471, Saudi ArabiaDepartment of Pharmaceutics, College of Pharmacy, Qassim University, Qasssim 52471, Saudi ArabiaThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, is currently developing into a rapidly disseminating and an overwhelming worldwide pandemic. In severe COVID-19 cases, hypercoagulability and inflammation are two crucial complications responsible for poor prognosis and mortality. In addition, coagulation system activation and inflammation overlap and produce life-threatening complications, including coagulopathy and cytokine storm, which are associated with overproduction of cytokines and activation of the immune system; they might be a lead cause of organ damage. However, patients with severe COVID-19 who received anticoagulant therapy had lower mortality, especially with elevated D-dimer or fibrin degradation products (FDP). In this regard, the discovery of natural products with anticoagulant potential may help mitigate the numerous side effects of the available synthetic drugs. This review sheds light on blood coagulation and its impact on the complication associated with COVID-19. Furthermore, the sources of natural anticoagulants, the role of nanoparticle formulation in this outbreak, and the prevalence of thrombosis with thrombocytopenia syndrome (TTS) after COVID-19 vaccines are also reviewed. These combined data provide many research ideas related to the possibility of using these anticoagulant agents as a treatment to relieve acute symptoms of COVID-19 infection.https://www.mdpi.com/1999-4915/14/2/228hypercoagulabilityCOVID-19natural anticoagulantsnanoparticlestargetingCOVID-19 vaccines
spellingShingle Mohamed S. Abdel-Bakky
Elham Amin
Mohamed G. Ewees
Nesreen I. Mahmoud
Hamdoon A. Mohammed
Waleed M. Altowayan
Ahmed A. H. Abdellatif
Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines
Viruses
hypercoagulability
COVID-19
natural anticoagulants
nanoparticles
targeting
COVID-19 vaccines
title Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines
title_full Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines
title_fullStr Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines
title_full_unstemmed Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines
title_short Coagulation System Activation for Targeting of COVID-19: Insights into Anticoagulants, Vaccine-Loaded Nanoparticles, and Hypercoagulability in COVID-19 Vaccines
title_sort coagulation system activation for targeting of covid 19 insights into anticoagulants vaccine loaded nanoparticles and hypercoagulability in covid 19 vaccines
topic hypercoagulability
COVID-19
natural anticoagulants
nanoparticles
targeting
COVID-19 vaccines
url https://www.mdpi.com/1999-4915/14/2/228
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