Role of leukotriene pathway and montelukast in pulmonary and extrapulmonary manifestations of Covid-19: The enigmatic entity.

Role of leukotriene pathway and montelukast in pulmonary and extrapulmonary manifestations of Covid-19: The enigmatic entity.
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DOI:
10.1016/j.ejphar.2021.174196
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发表时间:
2021-08-05
影响因子:
5
通讯作者:
El-Saber Batiha G
El-Saber Batiha G
中科院分区:
医学2区
文献类型:
--
作者:
Al-Kuraishy HM;Al-Gareeb AI;Almulaiky YQ;Cruz-Martins N;El-Saber Batiha G

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严重急性呼吸综合征-冠状病毒2(SARS-CoV-2)是导致2019年冠状病毒病(新冠肺炎)的病原体,其入口点是通过与血管紧张素转换酶2(ACE2)受体相互作用,在肺泡II型细胞和其他组织,如心脏、胰腺、脑和血管内皮细胞中高表达。该综述旨在阐明白三烯(LTS)在SARS-CoV-2感染的发病机制和临床表现中的潜在作用,并揭示LT途径受体拮抗剂和抑制剂在新冠肺炎治疗中的关键作用。在PubMed、Scope us、Web of Science和Google Scholar数据库中进行文献搜索,以寻找孟鲁司特和其他LT抑制剂在治疗SARS-CoV-2引发的肺和肺外表现中的潜在作用。到目前为止获得的数据表明,新冠肺炎的肺和肺外表现是由于SARS-CoV2通过表达ACE2受体而直接作用,或通过依赖NF-κB诱导细胞因子风暴而间接作用的。孟鲁司特可直接通过阻断不同脏器的Cys-ltrs或间接通过抑制NF-κB信号通路来改善新冠肺炎的肺外表现。
Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), the responsible agent for the coronavirus disease 2019 (Covid-19), has its entry point through interaction with angiotensin converting enzyme 2 (ACE2) receptors, highly expressed in lung type II alveolar cells and other tissues, like heart, pancreas, brain, and vascular endothelium. This review aimed to elucidate the potential role of leukotrienes (LTs) in the pathogenesis and clinical presentation of SARS-CoV-2 infection, and to reveal the critical role of LT pathway receptor antagonists and inhibitors in Covid-19 management. A literature search was done in PubMed, Scopus, Web of Science and Google Scholar databases to find the potential role of montelukast and other LT inhibitors in the management of pulmonary and extra-pulmonary manifestations triggered by SARS-CoV-2. Data obtained so far underline that pulmonary and extra-pulmonary manifestations in Covid-19 are attributed to a direct effect of SARS-CoV-2 in expressed ACE2 receptors or indirectly through NF-κB dependent induction of a cytokine storm. Montelukast can ameliorate extra-pulmonary manifestations in Covid-19 either directly through blocking of Cys-LTRs in different organs or indirectly through inhibition of the NF-κB signaling pathway.
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