Corticosteroids in COVID-19: pros and cons

被引:16
作者
Bahsoun, Aymen [1 ]
Fakih, Yeva [1 ]
Zareef, Rana [1 ,2 ]
Bitar, Fadi [1 ,2 ,3 ]
Arabi, Mariam [1 ,2 ,3 ]
机构
[1] Amer Univ Beirut, Fac Med, Med Ctr, Beirut, Lebanon
[2] Amer Univ Beirut, Med Ctr, Pediat Dept, Beirut, Lebanon
[3] Amer Univ Beirut, Med Ctr, Pediat Dept, Div Pediat Cardiol, Beirut, Lebanon
关键词
corticosteroids; glucocorticoids; steroids; COVID-19; SARS-CoV-2; coronavirus; GLUCOCORTICOID TREATMENT; GENE-EXPRESSION; PHARMACOLOGY; COMPLICATIONS; DEXAMETHASONE; CYTOKINE;
D O I
10.3389/fmed.2023.1202504
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The wide and rapid spread of the COVID-19 pandemic has placed an unanticipated burden on the global healthcare sector. This necessitated a swift response from the international community to reach a solution. Efforts were made in parallel to develop preventative and therapeutic modalities. Since then, drug repurposing has blossomed as a potentially rapid resolution and has included various agents with anti-viral and anti-inflammatory properties. Corticosteroids, being potent anti-inflammatory agents, have been placed under extensive investigation. Various trials have recorded the beneficial outcome of corticosteroids in decreasing the mortality and morbidity of COVID-19. With the high pace of escalating events, the quality and study design of clinical trials are varied. Therefore, this study aims to explore the role of corticosteroids in COVID-19 disease. It inspects the molecular, pharmacologic, and clinical proof behind this theory.
引用
收藏
页数:13
相关论文
共 112 条
[1]   Therapeutic role of immunomodulators during the COVID-19 pandemic - a narrative review [J].
Al-Hajeri, Hebah ;
Baroun, Fatemah ;
Abutiban, Fatemah ;
Al-Mutairi, Muna ;
Ali, Yasser ;
Alawadhi, Adel ;
Albasri, Anwar ;
Aldei, Ali ;
AlEnizi, Ahmad ;
Alhadhood, Naser ;
Al-Herz, Adeeba ;
Alkadi, Amjad ;
Alkanderi, Waleed ;
Almathkoori, Ammar ;
Almutairi, Nora ;
Alsayegh, Saud ;
Alturki, Ali ;
Bahbahani, Husain ;
Dehrab, Ahmad ;
Ghanem, Aqeel ;
Hasan, Eman Haji ;
Hayat, Sawsan ;
Saleh, Khuloud ;
Tarakmeh, Hoda .
POSTGRADUATE MEDICINE, 2022, 134 (02) :160-179
[2]   COVID-19 and mucormycosis superinfection: the perfect storm [J].
Al-Tawfiq, Jaffar A. ;
Alhumaid, Saad ;
Alshukairi, Abeer N. ;
Temsah, Mohamad-Hani ;
Barry, Mazin ;
Al Mutair, Abbas ;
Rabaan, Ali A. ;
Al-Omari, Awadh ;
Tirupathi, Raghavendra ;
AlQahtani, Manaf ;
AlBahrani, Salma ;
Dhama, Kuldeep .
INFECTION, 2021, 49 (05) :833-853
[3]   Regulation of cytokine and cytokine receptor expression by glucocorticoids [J].
Almawi, WY ;
Beyhum, HN ;
Rahme, AA ;
Rieder, MJ .
JOURNAL OF LEUKOCYTE BIOLOGY, 1996, 60 (05) :563-572
[4]   Efficacy and safety of nirmatrelvir/ritonavir (Paxlovid) for COVID-19: A rapid review and meta-analysis [J].
Amani, Behnam ;
Amani, Bahman .
JOURNAL OF MEDICAL VIROLOGY, 2023, 95 (02)
[5]   Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19 The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial [J].
Angus, Derek C. ;
Derde, Lennie ;
Al-Beidh, Farah ;
Annane, Djillali ;
Arabi, Yaseen ;
Beane, Abigail ;
Van Bentum-Puijk, Wilma ;
Berry, Lindsay ;
Bhimani, Zahra ;
Bonten, Marc ;
Bradbury, Charlotte ;
Brunkhorst, Frank ;
Buxton, Meredith ;
Buzgau, Adrian ;
Cheng, Allen C. ;
de Jong, Menno ;
Detry, Michelle ;
Estcourt, Lise ;
Fitzgerald, Mark ;
Goossens, Herman ;
Green, Cameron ;
Haniffa, Rashan ;
Higgins, Alisa M. ;
Horvat, Christopher ;
Hullegie, Sebastiaan J. ;
Kruger, Peter ;
Lamontagne, Francois ;
Lawler, Patrick R. ;
Linstrum, Kelsey ;
Litton, Edward ;
Lorenzi, Elizabeth ;
Marshall, John ;
McAuley, Daniel ;
McGlothin, Anna ;
McGuinness, Shay ;
McVerry, Bryan ;
Montgomery, Stephanie ;
Mouncey, Paul ;
Murthy, Srinivas ;
Nichol, Alistair ;
Parke, Rachael ;
Parker, Jane ;
Rowan, Kathryn ;
Sanil, Ashish ;
Santos, Marlene ;
Saunders, Christina ;
Seymour, Christopher ;
Turner, Anne ;
van de Veerdonk, Frank ;
Venkatesh, Balasubramanian .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 324 (13) :1317-1329
[6]   Adrenal corticosteroid biosynthesis, metabolism, and action [J].
Arlt, W ;
Stewart, PM .
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 2005, 34 (02) :293-+
[7]   Steroid harms if given early in COVID-19 viraemia [J].
Arora, Kanupriya ;
Panda, Prasan Kumar .
BMJ CASE REPORTS, 2021, 14 (02)
[8]   IMMUNOSUPPRESSION BY GLUCOCORTICOIDS - INHIBITION OF NF-KAPPA-B ACTIVITY THROUGH INDUCTION OF I-KAPPA-B SYNTHESIS [J].
AUPHAN, N ;
DIDONATO, JA ;
ROSETTE, C ;
HELMBERG, A ;
KARIN, M .
SCIENCE, 1995, 270 (5234) :286-290
[9]   Timing of corticosteroids impacts mortality in hospitalized COVID-19 patients [J].
Bahl, Amit ;
Johnson, Steven ;
Chen, Nai-Wei .
INTERNAL AND EMERGENCY MEDICINE, 2021, 16 (06) :1593-1603
[10]   GLUCOCORTICOID SUPPRESSION OF MACROPHAGE MIGRATION INHIBITORY FACTOR [J].
BALOW, JE ;
ROSENTHAL, AS .
JOURNAL OF EXPERIMENTAL MEDICINE, 1973, 137 (04) :1031-1041