Anti-inflammatory and immune therapy in severe coronavirus disease 2019 (COVID-19) patients: An update

Clin Immunol. 2022 Jun:239:109022. doi: 10.1016/j.clim.2022.109022. Epub 2022 Apr 25.

Abstract

In March 2020, when coronavirus disease 2019 (COVID-19) was just beginning to spread around the world, we presented the potential benefits and controversies of anti-inflammatory therapy in COVID-19 patients based on the limited experience and proposed some types of anti-inflammatory drugs with potential therapeutic value, while without evidence-based data. In the past one more year, many clinical trials or real-world studies have been performed, either confirm or deny the efficacy of certain anti-inflammatory drugs in the treatment of COVID-19. In this review we summarize the progress of anti-inflammatory and immune therapy in COVID-19, including glucocorticoids, IL-6 antagonist, IL-1 inhibitor, kinase inhibitors, non-steroidal anti-inflammatory drugs and chloroquine/hydroxychloroquine.

Keywords: Anti-inflammation treatment; Coronavirus disease 2019 (COVID-19); Cytokine storm; Immune therapy.

Publication types

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

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • COVID-19 Drug Treatment*
  • Chloroquine / therapeutic use
  • Humans
  • Hydroxychloroquine / therapeutic use
  • SARS-CoV-2

Substances

  • Anti-Inflammatory Agents
  • Hydroxychloroquine
  • Chloroquine