The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19

Coronavirus disease 2019 (COVID-19) currently has few effective treatments. Given the uncertainty surrounding the effectiveness and uptake of a vaccine, it is important that the search for treatments continue. An exaggerated inflammatory state is likely responsible for much of the morbidity and mort...

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Main Authors: Robinson, PC, Liew, DFL, Liew, JW, Monaco, C, Richards, D, Shivakumar, S, Tanner, HL, Feldmann, M
Format: Journal article
Language:English
Published: Elsevier 2020
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author Robinson, PC
Liew, DFL
Liew, JW
Monaco, C
Richards, D
Shivakumar, S
Tanner, HL
Feldmann, M
author_facet Robinson, PC
Liew, DFL
Liew, JW
Monaco, C
Richards, D
Shivakumar, S
Tanner, HL
Feldmann, M
author_sort Robinson, PC
collection OXFORD
description Coronavirus disease 2019 (COVID-19) currently has few effective treatments. Given the uncertainty surrounding the effectiveness and uptake of a vaccine, it is important that the search for treatments continue. An exaggerated inflammatory state is likely responsible for much of the morbidity and mortality in COVID-19. Elevated levels of tumor necrosis factor (TNF), a key pro-inflammatory cytokine, have been shown to be associated with increased COVID-19 mortality. In patients with rheumatoid arthritis, TNF blockade reduces not only biologically active TNF but other pro-inflammatory cytokines important in COVID-19 hyperinflammation. Observational data from patients already on anti-TNF therapy show a reduced rate of COVID-19 poor outcomes and death compared with other immune-suppressing therapies. Anti-TNF has a long history of safe use, including in special at-risk populations, and is widely available. The case to adequately assess anti-TNF as a treatment for COVID-19 is compelling.
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spelling oxford-uuid:6daff309-76ae-4f94-bc4b-92fd6a8944c12022-03-26T19:19:30ZThe potential for repurposing anti-TNF as a therapy for the treatment of COVID-19Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6daff309-76ae-4f94-bc4b-92fd6a8944c1EnglishSymplectic ElementsElsevier2020Robinson, PCLiew, DFLLiew, JWMonaco, CRichards, DShivakumar, STanner, HLFeldmann, MCoronavirus disease 2019 (COVID-19) currently has few effective treatments. Given the uncertainty surrounding the effectiveness and uptake of a vaccine, it is important that the search for treatments continue. An exaggerated inflammatory state is likely responsible for much of the morbidity and mortality in COVID-19. Elevated levels of tumor necrosis factor (TNF), a key pro-inflammatory cytokine, have been shown to be associated with increased COVID-19 mortality. In patients with rheumatoid arthritis, TNF blockade reduces not only biologically active TNF but other pro-inflammatory cytokines important in COVID-19 hyperinflammation. Observational data from patients already on anti-TNF therapy show a reduced rate of COVID-19 poor outcomes and death compared with other immune-suppressing therapies. Anti-TNF has a long history of safe use, including in special at-risk populations, and is widely available. The case to adequately assess anti-TNF as a treatment for COVID-19 is compelling.
spellingShingle Robinson, PC
Liew, DFL
Liew, JW
Monaco, C
Richards, D
Shivakumar, S
Tanner, HL
Feldmann, M
The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19
title The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19
title_full The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19
title_fullStr The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19
title_full_unstemmed The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19
title_short The potential for repurposing anti-TNF as a therapy for the treatment of COVID-19
title_sort potential for repurposing anti tnf as a therapy for the treatment of covid 19
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