Multiple potential targets of opioids in the treatment of acute respiratory distress syndrome from COVID-19

被引:6
作者
Cismaru, Cosmin Andrei [1 ,2 ]
Cismaru, Gabriel Laurentiu [3 ]
Nabavi, Seyed Fazel [4 ]
Ghanei, Mostafa [5 ]
Burz, Claudia Cristina [2 ]
Nabavi, Seyed Mohammad [4 ]
Berindan Neagoe, Ioana [1 ,6 ]
机构
[1] Iuliu Hatieganu Univ Med & Pharm, Res Ctr Funct Genom Biomed & Translat Med, Str Gh Marinescu 23, Cluj Napoca 400337, Romania
[2] Iuliu Hatieganu Univ Med & Pharm, Dept Funct Sci Immunol & Allergol, Cluj Napoca, Romania
[3] Iuliu Hatieganu Univ Med & Pharm, Dept Internal Med Cardiol Rehabilitat, Cluj Napoca, Romania
[4] Baqiyatallah Univ Med Sci, Appl Biotechnol Res Ctr, Tehran, Iran
[5] Baqiyatallah Univ Med Sci, Syst Biol & Poisoning Inst, Chem Injuries Res Ctr, Tehran, Iran
[6] Oncol Inst Prof Dr Ion Chiricuta, Funct Genom Dept, Cluj Napoca, Romania
关键词
ARDS; COVID-19; cytokine storm; dyspnoea; immunomodulation; opioids; PALLIATIVE CARE PATIENTS; VENTILATORY RESPONSE; SYMPTOMATIC THERAPY; CANCER-PATIENTS; DYSPNEA; MORPHINE; RECEPTORS; PAIN; RECOMMENDATIONS; BREATHLESSNESS;
D O I
10.1111/jcmm.15927
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
COVID-19 can present with a variety of clinical features, ranging from asymptomatic or mild respiratory symptoms to fulminant acute respiratory distress syndrome (ARDS) depending on the host's immune responses and the extent of the associated pathologies. This implies that several measures need to be taken to limit severely impairing symptoms caused by viral-induced pathology in vital organs. Opioids are most exploited for their analgesic effects but their usage in the palliation of dyspnoea, immunomodulation and lysosomotropism may represent potential usages of opioids in COVID-19. Here, we describe the mechanisms involved in each of these potential usages, highlighting the benefits of using opioids in the treatment of ARDS from SARS-CoV-2 infection.
引用
收藏
页码:591 / 595
页数:5
相关论文
共 62 条
[1]   How effective are supplementary doses of opioids for dyspnea in terminally ill cancer patients? A randomized continuous sequential clinical trial [J].
Allard, P ;
Lamontagne, C ;
Bernard, P ;
Tremblay, C .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1999, 17 (04) :256-265
[2]  
[Anonymous], 2018, Global Initiative for Chronic Obstructive Lung Disease (GOLD): global strategy for the diagnosis
[3]  
[Anonymous], MORPH US DOS SID EFF
[4]   Non-Analgesic Effects of Opioids: Opioid-induced Respiratory Depression [J].
Boom, Merel ;
Niesters, Marieke ;
Sarton, Elise ;
Aarts, Leon ;
Smith, Terry W. ;
Dahan, Albert .
CURRENT PHARMACEUTICAL DESIGN, 2012, 18 (37) :5994-6004
[5]   Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC [J].
Caraceni, Augusto ;
Hanks, Geoff Rey ;
Kaasa, Stein ;
Bennett, Michael I. ;
Brunelli, Cinzia ;
Cherny, Nathan ;
Dale, Ola ;
De Conno, Franco ;
Fallon, Marie ;
Hanna, Magdi ;
Haugen, Dagny Faksvag ;
Juhl, Gitte ;
King, Samuel ;
Klepstad, Pal ;
Laugsand, Eivor A. ;
Maltoni, Marco ;
Mercadante, Sebastiano ;
Nabal, Maria ;
Pigni, Alessandra ;
Radbruch, Lukas ;
Reid, Colette ;
Sjogren, Per ;
Stone, Patrick C. ;
Tassinari, Davide ;
Zeppetella, Giovambattista .
LANCET ONCOLOGY, 2012, 13 (02) :E58-E68
[6]   Pathogenic human coronavirus infections: causes and consequences of cytokine storm and immunopathology [J].
Channappanavar, Rudragouda ;
Perlman, Stanley .
SEMINARS IN IMMUNOPATHOLOGY, 2017, 39 (05) :529-539
[7]  
Cismaru AC, 2020, ARCH MED SCI, V16
[8]   Is there a higher risk of respiratory depression in opioid-naive palliative care patients during symptomatic therapy of dyspnea with strong opioids? [J].
Clemens, Katri Elina ;
Quednau, Ines ;
Klaschik, Eberhard .
JOURNAL OF PALLIATIVE MEDICINE, 2008, 11 (02) :204-216
[9]   Effect of hydromorphone on ventilation in palliative care patients with dyspnea [J].
Clemens, Katri Elina ;
Klaschik, Eberhard .
SUPPORTIVE CARE IN CANCER, 2008, 16 (01) :93-99
[10]   Symptomatic therapy of dyspnea with strong opioids and its effect on ventilation in palliative care patients [J].
Clemens, Katri Elina ;
Klaschik, Eberhard .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2007, 33 (04) :473-481