Hypothesis of COVID-19 therapy with sildenafil

Backgound: Bacterial or viral infections often cause acute and severe systemic inflammation, which affects the lungs lipopolysaccharide (LPS), a pathogenic component of the membrane of gram-negative bacteria, stimulates active innate immune cells, monocytes, macrophages to produce inducible nitric o...

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Main Authors: Limodio Mario, Menicagli Roberto, Limodio Marta, Casotti Maria Teresa, Menicagli Laura
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=76;epage=76;aulast=Mario
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author Limodio Mario
Menicagli Roberto
Limodio Marta
Casotti Maria Teresa
Menicagli Laura
author_facet Limodio Mario
Menicagli Roberto
Limodio Marta
Casotti Maria Teresa
Menicagli Laura
author_sort Limodio Mario
collection DOAJ
description Backgound: Bacterial or viral infections often cause acute and severe systemic inflammation, which affects the lungs lipopolysaccharide (LPS), a pathogenic component of the membrane of gram-negative bacteria, stimulates active innate immune cells, monocytes, macrophages to produce inducible nitric oxide synthase (iNOS). Excess production of this compound occurs in COVID-19 resulting in inflammatory cascade and thromboembolism. We intend to propose the use of sildenafil to reduce this production. Method: The analysis of biochemical pathways shows that viral infection produces a high amount of nitric oxide (NO), with an acute inflammatory process. Results: In the case of COVID-19 infection we verified that numerous biochemical processes activate a cascade of inflammatory processes through the activation of iNOS with uncontrolled generation of (NO). Conclusions: iNOS is the cause of damage to host cells with a consequent pulmonary thromboembolic lung phenomenon in a contest of interstitial pneumonia. This study proposes the use of sildenafil to counter the inflammatory cascade and thromboembolic episodes.
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spelling doaj.art-c4dc1af3a0454d96a8a7529b3037b2112022-12-22T01:25:51ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132020-01-01111767610.4103/ijpvm.IJPVM_258_20Hypothesis of COVID-19 therapy with sildenafilLimodio MarioMenicagli RobertoLimodio MartaCasotti Maria TeresaMenicagli LauraBackgound: Bacterial or viral infections often cause acute and severe systemic inflammation, which affects the lungs lipopolysaccharide (LPS), a pathogenic component of the membrane of gram-negative bacteria, stimulates active innate immune cells, monocytes, macrophages to produce inducible nitric oxide synthase (iNOS). Excess production of this compound occurs in COVID-19 resulting in inflammatory cascade and thromboembolism. We intend to propose the use of sildenafil to reduce this production. Method: The analysis of biochemical pathways shows that viral infection produces a high amount of nitric oxide (NO), with an acute inflammatory process. Results: In the case of COVID-19 infection we verified that numerous biochemical processes activate a cascade of inflammatory processes through the activation of iNOS with uncontrolled generation of (NO). Conclusions: iNOS is the cause of damage to host cells with a consequent pulmonary thromboembolic lung phenomenon in a contest of interstitial pneumonia. This study proposes the use of sildenafil to counter the inflammatory cascade and thromboembolic episodes.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=76;epage=76;aulast=Mariocovid-19nitric oxidesildenafil citrate
spellingShingle Limodio Mario
Menicagli Roberto
Limodio Marta
Casotti Maria Teresa
Menicagli Laura
Hypothesis of COVID-19 therapy with sildenafil
International Journal of Preventive Medicine
covid-19
nitric oxide
sildenafil citrate
title Hypothesis of COVID-19 therapy with sildenafil
title_full Hypothesis of COVID-19 therapy with sildenafil
title_fullStr Hypothesis of COVID-19 therapy with sildenafil
title_full_unstemmed Hypothesis of COVID-19 therapy with sildenafil
title_short Hypothesis of COVID-19 therapy with sildenafil
title_sort hypothesis of covid 19 therapy with sildenafil
topic covid-19
nitric oxide
sildenafil citrate
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=76;epage=76;aulast=Mario
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