Role of IL-6 inhibitor in treatment of COVID-19-related cytokine release syndrome.

Role of IL-6 inhibitor in treatment of COVID-19-related cytokine release syndrome.
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DOI:
10.7150/ijms.53564
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发表时间:
2021
影响因子:
3.6
通讯作者:
Wang Y
Wang Y
中科院分区:
医学4区
文献类型:
--
作者:
Du P;Geng J;Wang F;Chen X;Huang Z;Wang Y

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细胞因子释放综合征(CRS)可能是2019年重症冠状病毒病(COVID-19)病理学的关键因素。作为引发 COVID-19 患者 CRS 的主要驱动因素,白细胞介素 6 (IL-6) 似乎是一个有希望的治疗靶点。根据迄今为止的几项小型研究和病例报告,使用市售 IL-6 抑制剂(托珠单抗、西妥昔单抗和 sarilumab)抑制反式和经典信号传导对重症 COVID-19 患者是有效的。在这篇综述中,我们描述了 COVID-19 患者中 IL-6 反应的证据,阐明了 IL-6 介导的 CRS 在重症 COVID-19 中的发病机制,并强调了使用抗 IL-6 药物的基本原理以及有关这些 IL-6 抑制剂在 COVID-19 患者中潜在特征的关键信息。
Cytokine release syndrome (CRS) may be the key factor in the pathology of severe coronavirus disease 2019 (COVID-19). As a major driver in triggering CRS in patients with COVID-19, interleukin-6 (IL-6) appears to be a promising target for therapeutics. The results of inhibiting both trans- and classical- signaling with marketed IL-6 inhibitors (tocilizumab, siltuximab and sarilumab) in severe COVID-19 patients are effective based on several small studies and case reports thus far. In this review, we described the evidence of the IL-6 response in patients with COVID-19, clarified the pathogenesis of the role of IL-6-mediated CRS in severe COVID-19, and highlighted the rationale for the use of anti-IL-6 agents and key information regarding the potential features of these IL-6 inhibitors in COVID-19 patients.
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