COVID-19: Consider IL-6 receptor antagonist for the therapy of cytokine storm syndrome in SARS-CoV-2 infected patients

J Med Virol. 2020 Nov;92(11):2260-2262. doi: 10.1002/jmv.26078. Epub 2020 Jun 19.

Abstract

COVID-19 leads to mortality of several patients and the cytokine storm is reportedly critical in the patients. To reduce the cytokine storm, we would like to propose the interleukin (IL) 6 receptor (IL-6R) antagonist therapy for the COVID-19 patients. Two humanized monoclonal antibodies are in clinical trial following IL-6R antagonist therapies namely tocilizumab and sarilumab. However, researchers and physicians should look for more IL-6R antagonists for the therapy of cytokine storm syndrome severe acute respiratory syndrome coronavirus 2 infected persons to enhance the therapeutic options for cytokine storm.

Keywords: IL-6R antagonist; cytokine storm; sarilumab; therapeutic option; tocilizumab.

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use
  • COVID-19 Drug Treatment*
  • Cytokine Release Syndrome / drug therapy*
  • Humans
  • Receptors, Interleukin-6 / antagonists & inhibitors*

Substances

  • Antibodies, Monoclonal, Humanized
  • Receptors, Interleukin-6
  • tocilizumab
  • sarilumab