Why tocilizumab could be an effective treatment for severe COVID-19?
Abstract A severe pneumonia-associated respiratory syndrome caused by a new coronavirus was identified in December 2019 (COVID-19), spread rapidly and has become a world-wide public health challenge. About 25% of COVID-19 patients experienced severe complications including acute respiratory distress...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | Journal of Translational Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12967-020-02339-3 |
| _version_ | 1818441762403778560 |
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| author | Binqing Fu Xiaoling Xu Haiming Wei |
| author_facet | Binqing Fu Xiaoling Xu Haiming Wei |
| author_sort | Binqing Fu |
| collection | DOAJ |
| description | Abstract A severe pneumonia-associated respiratory syndrome caused by a new coronavirus was identified in December 2019 (COVID-19), spread rapidly and has become a world-wide public health challenge. About 25% of COVID-19 patients experienced severe complications including acute respiratory distress syndrome (ARDS), and even progressed into an intensive care unit (ICU) admission and died. The exploration for the mortality causes and advancing novel therapeutic development of severe COVID-19 is crucial at the moment. The biopsy samples analysis at autopsy suggested that increased alveolar exudate caused by aberrant host immune response and inflammatory cytokine storm probably impedes alveolar gas exchange and contributes to the high mortality of severe COVID-19 patients. Our research has identified that pathogenic T cells and inflammatory monocytes incite inflammatory storm with large amount of interleukin 6, therefore monoclonal antibody that targets the IL-6 pathways may potentially curb inflammatory storm. Moreover, Tocilizumab treatment that blocking IL-6 receptors showed inspiring clinical results including temperature returned to normal quickly and respiratory function improved. Therefore, we suggest that Tocilizumab is an effective treatment in severe patients of COVID-19 to calm the inflammatory storm and reduce mortality. |
| first_indexed | 2024-12-14T18:33:24Z |
| format | Article |
| id | doaj.art-a0db5c63dbec4ffaba09b76cb3e387ba |
| institution | Directory Open Access Journal |
| issn | 1479-5876 |
| language | English |
| last_indexed | 2024-12-14T18:33:24Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Translational Medicine |
| spelling | doaj.art-a0db5c63dbec4ffaba09b76cb3e387ba2022-12-21T22:51:42ZengBMCJournal of Translational Medicine1479-58762020-04-011811510.1186/s12967-020-02339-3Why tocilizumab could be an effective treatment for severe COVID-19?Binqing Fu0Xiaoling Xu1Haiming Wei2Institute of Immunology and the CAS Key Laboratory of Innate Immunity and Chronic Disease, School of Life Science and Medical Center, University of Science and Technology of ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of ChinaInstitute of Immunology and the CAS Key Laboratory of Innate Immunity and Chronic Disease, School of Life Science and Medical Center, University of Science and Technology of ChinaAbstract A severe pneumonia-associated respiratory syndrome caused by a new coronavirus was identified in December 2019 (COVID-19), spread rapidly and has become a world-wide public health challenge. About 25% of COVID-19 patients experienced severe complications including acute respiratory distress syndrome (ARDS), and even progressed into an intensive care unit (ICU) admission and died. The exploration for the mortality causes and advancing novel therapeutic development of severe COVID-19 is crucial at the moment. The biopsy samples analysis at autopsy suggested that increased alveolar exudate caused by aberrant host immune response and inflammatory cytokine storm probably impedes alveolar gas exchange and contributes to the high mortality of severe COVID-19 patients. Our research has identified that pathogenic T cells and inflammatory monocytes incite inflammatory storm with large amount of interleukin 6, therefore monoclonal antibody that targets the IL-6 pathways may potentially curb inflammatory storm. Moreover, Tocilizumab treatment that blocking IL-6 receptors showed inspiring clinical results including temperature returned to normal quickly and respiratory function improved. Therefore, we suggest that Tocilizumab is an effective treatment in severe patients of COVID-19 to calm the inflammatory storm and reduce mortality.http://link.springer.com/article/10.1186/s12967-020-02339-3COVID-19SARS-CoV-2Acute respiratory distress syndrome (ARDS)Inflammatory stormIL-6Tocilizumab |
| spellingShingle | Binqing Fu Xiaoling Xu Haiming Wei Why tocilizumab could be an effective treatment for severe COVID-19? Journal of Translational Medicine COVID-19 SARS-CoV-2 Acute respiratory distress syndrome (ARDS) Inflammatory storm IL-6 Tocilizumab |
| title | Why tocilizumab could be an effective treatment for severe COVID-19? |
| title_full | Why tocilizumab could be an effective treatment for severe COVID-19? |
| title_fullStr | Why tocilizumab could be an effective treatment for severe COVID-19? |
| title_full_unstemmed | Why tocilizumab could be an effective treatment for severe COVID-19? |
| title_short | Why tocilizumab could be an effective treatment for severe COVID-19? |
| title_sort | why tocilizumab could be an effective treatment for severe covid 19 |
| topic | COVID-19 SARS-CoV-2 Acute respiratory distress syndrome (ARDS) Inflammatory storm IL-6 Tocilizumab |
| url | http://link.springer.com/article/10.1186/s12967-020-02339-3 |
| work_keys_str_mv | AT binqingfu whytocilizumabcouldbeaneffectivetreatmentforseverecovid19 AT xiaolingxu whytocilizumabcouldbeaneffectivetreatmentforseverecovid19 AT haimingwei whytocilizumabcouldbeaneffectivetreatmentforseverecovid19 |