Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19

The COVID-19 pandemic is posing an unprecedented sanitary threat. In the absence of specific vaccines and anti-SARS-CoV-2 drugs, medicines that may assist in tackling the emergency and limiting the high number of fatalities are urgently needed. The repositioning of available drugs to treat COVID-19...

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Main Authors: Piero Sestili, Vilberto Stocchi
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphar.2020.00854/full
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author Piero Sestili
Vilberto Stocchi
author_facet Piero Sestili
Vilberto Stocchi
author_sort Piero Sestili
collection DOAJ
description The COVID-19 pandemic is posing an unprecedented sanitary threat. In the absence of specific vaccines and anti-SARS-CoV-2 drugs, medicines that may assist in tackling the emergency and limiting the high number of fatalities are urgently needed. The repositioning of available drugs to treat COVID-19 is the only and rapid option in the face of the lack of direct antiviral agents and vaccines available. In this light it is important to focus on available drugs, which, based on their pharmacodynamics, could plausibly attenuate viral growth as well as COVID-19’s worst complications. This is the case of chloroquine and tocilizumab which seem to limit virus replication and the severity of interstitial pneumonia, respectively. However, these treatments, particularly those aimed at containing inflammation, are still reserved for the most severe cases. This commentary elaborates on the pharmacological rationale of repositioning the mast cell stabilizer chromones as an adjunctive treatment for SARS‐CoV‐2 infection, and proposes their practical clinical testing as an early, safe, and cost-effective anti-inflammatory intervention in COVID-19 to limit the eventual secondary progression toward life-threatening respiratory complications.
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spelling doaj.art-6fc95d4c88b34d658bde91e64462bd492022-12-22T01:08:24ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122020-06-011110.3389/fphar.2020.00854551125Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19Piero SestiliVilberto StocchiThe COVID-19 pandemic is posing an unprecedented sanitary threat. In the absence of specific vaccines and anti-SARS-CoV-2 drugs, medicines that may assist in tackling the emergency and limiting the high number of fatalities are urgently needed. The repositioning of available drugs to treat COVID-19 is the only and rapid option in the face of the lack of direct antiviral agents and vaccines available. In this light it is important to focus on available drugs, which, based on their pharmacodynamics, could plausibly attenuate viral growth as well as COVID-19’s worst complications. This is the case of chloroquine and tocilizumab which seem to limit virus replication and the severity of interstitial pneumonia, respectively. However, these treatments, particularly those aimed at containing inflammation, are still reserved for the most severe cases. This commentary elaborates on the pharmacological rationale of repositioning the mast cell stabilizer chromones as an adjunctive treatment for SARS‐CoV‐2 infection, and proposes their practical clinical testing as an early, safe, and cost-effective anti-inflammatory intervention in COVID-19 to limit the eventual secondary progression toward life-threatening respiratory complications.https://www.frontiersin.org/article/10.3389/fphar.2020.00854/fullCOVID-19inflammationlung injurychromonesmast cells
spellingShingle Piero Sestili
Vilberto Stocchi
Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19
Frontiers in Pharmacology
COVID-19
inflammation
lung injury
chromones
mast cells
title Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19
title_full Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19
title_fullStr Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19
title_full_unstemmed Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19
title_short Repositioning Chromones for Early Anti-inflammatory Treatment of COVID-19
title_sort repositioning chromones for early anti inflammatory treatment of covid 19
topic COVID-19
inflammation
lung injury
chromones
mast cells
url https://www.frontiersin.org/article/10.3389/fphar.2020.00854/full
work_keys_str_mv AT pierosestili repositioningchromonesforearlyantiinflammatorytreatmentofcovid19
AT vilbertostocchi repositioningchromonesforearlyantiinflammatorytreatmentofcovid19