Repurposing of drugs targeting the cytokine storm induced by SARS-CoV-2

Br J Pharmacol. 2023 Jan;180(2):133-143. doi: 10.1111/bph.15987. Epub 2022 Nov 30.

Abstract

A cytokine storm is one of the leading causes of acute respiratory distress syndrome (ARDS) and sepsis-associated multiple organ failure in many respiratory viral infections, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The coronavirus disease 2019 (COVID-19) pandemic has caused millions of deaths worldwide, resulting in an urgent need for effective therapeutic interventions. Repurposing immunosuppressive drugs that target cytokines with immunomodulatory properties is a promising approach to counteract SARS-CoV-2-induced ARDS at the infective and post-infective stages. In this minireview, we examine drugs targeting IL-1β, IL-4/IL-13, IL-6 and TNF-α tested in COVID-19 patients.

Keywords: COVID-19; SARS-CoV-2; cytokine storm; immunosuppressive drugs.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19*
  • Cytokine Release Syndrome / drug therapy
  • Cytokines
  • Drug Repositioning
  • Humans
  • Respiratory Distress Syndrome*
  • SARS-CoV-2

Substances

  • Cytokines