N-Acetylcysteine to Combat COVID-19: An Evidence Review

Zhongcheng Shi,1,2 Carlos A Puyo3 1Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA; 2Department of Pathology, Texas Children’s Hospital, Houston, TX, USA; 3Department of Anesthesia and Critical Care, Holy Family Hospital, Steward Health Care, Methuen, M...

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Main Authors: Shi Z, Puyo CA
Format: Article
Language:English
Published: Dove Medical Press 2020-11-01
Series:Therapeutics and Clinical Risk Management
Subjects:
Online Access:https://www.dovepress.com/n-acetylcysteine-to-combat-covid-19-an-evidence-review-peer-reviewed-article-TCRM
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author Shi Z
Puyo CA
author_facet Shi Z
Puyo CA
author_sort Shi Z
collection DOAJ
description Zhongcheng Shi,1,2 Carlos A Puyo3 1Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA; 2Department of Pathology, Texas Children’s Hospital, Houston, TX, USA; 3Department of Anesthesia and Critical Care, Holy Family Hospital, Steward Health Care, Methuen, MA, USACorrespondence: Zhongcheng Shi Tel +1- 832-824-0814Email zhongchs@bcm.eduAbstract: The novel coronavirus disease (COVID-19) is caused by a virus (SARS-Cov-2) and is known for inducing multisystem organ dysfunction associated with significant morbidity and mortality. Current therapeutic strategies for COVID-19 have failed to effectively reduce mortality rate, especially for elderly patients. A newly developed vaccine against SARS-Cov-2 has been reported to induce the production of neutralizing antibodies in young volunteers. However, the vaccine has shown limited benefit in the elderly, suggesting an age-dependent immune response. As a result, exploring new applications of existing medications could potentially provide valuable treatments for COVID-19. N-acetylcysteine (NAC) has been used in clinical practice to treat critically ill septic patients, and more recently for COVID-19 patients. NAC has antioxidant, anti-inflammatory and immune-modulating characteristics that may prove beneficial in the treatment and prevention of SARS-Cov-2. This review offers a thorough analysis of NAC and discusses its potential use for treatment of COVID-19.Keywords: N-acetylcysteine, SARS-Cov-2, COVID-19
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spelling doaj.art-7462d7358ee64346ab9b8d5838d7d1992022-12-21T20:34:47ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2020-11-01Volume 161047105558833N-Acetylcysteine to Combat COVID-19: An Evidence ReviewShi ZPuyo CAZhongcheng Shi,1,2 Carlos A Puyo3 1Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA; 2Department of Pathology, Texas Children’s Hospital, Houston, TX, USA; 3Department of Anesthesia and Critical Care, Holy Family Hospital, Steward Health Care, Methuen, MA, USACorrespondence: Zhongcheng Shi Tel +1- 832-824-0814Email zhongchs@bcm.eduAbstract: The novel coronavirus disease (COVID-19) is caused by a virus (SARS-Cov-2) and is known for inducing multisystem organ dysfunction associated with significant morbidity and mortality. Current therapeutic strategies for COVID-19 have failed to effectively reduce mortality rate, especially for elderly patients. A newly developed vaccine against SARS-Cov-2 has been reported to induce the production of neutralizing antibodies in young volunteers. However, the vaccine has shown limited benefit in the elderly, suggesting an age-dependent immune response. As a result, exploring new applications of existing medications could potentially provide valuable treatments for COVID-19. N-acetylcysteine (NAC) has been used in clinical practice to treat critically ill septic patients, and more recently for COVID-19 patients. NAC has antioxidant, anti-inflammatory and immune-modulating characteristics that may prove beneficial in the treatment and prevention of SARS-Cov-2. This review offers a thorough analysis of NAC and discusses its potential use for treatment of COVID-19.Keywords: N-acetylcysteine, SARS-Cov-2, COVID-19https://www.dovepress.com/n-acetylcysteine-to-combat-covid-19-an-evidence-review-peer-reviewed-article-TCRMn-acetylcysteinesars-cov-2covid-19
spellingShingle Shi Z
Puyo CA
N-Acetylcysteine to Combat COVID-19: An Evidence Review
Therapeutics and Clinical Risk Management
n-acetylcysteine
sars-cov-2
covid-19
title N-Acetylcysteine to Combat COVID-19: An Evidence Review
title_full N-Acetylcysteine to Combat COVID-19: An Evidence Review
title_fullStr N-Acetylcysteine to Combat COVID-19: An Evidence Review
title_full_unstemmed N-Acetylcysteine to Combat COVID-19: An Evidence Review
title_short N-Acetylcysteine to Combat COVID-19: An Evidence Review
title_sort n acetylcysteine to combat covid 19 an evidence review
topic n-acetylcysteine
sars-cov-2
covid-19
url https://www.dovepress.com/n-acetylcysteine-to-combat-covid-19-an-evidence-review-peer-reviewed-article-TCRM
work_keys_str_mv AT shiz nacetylcysteinetocombatcovid19anevidencereview
AT puyoca nacetylcysteinetocombatcovid19anevidencereview