Are we fully exploiting type I Interferons in today's fight against COVID-19 pandemic?

Cytokine Growth Factor Rev. 2020 Aug:54:43-50. doi: 10.1016/j.cytogfr.2020.07.010. Epub 2020 Jul 4.

Abstract

Coronavirus disease 2019 (COVID-19) first emerged in late 2019 in China. At the time of writing, its causative agent SARS-CoV-2 has spread worldwide infecting over 9 million individuals and causing more than 460,000 deaths. In the absence of vaccines, we are facing the dramatic challenge of controlling COVID-19 pandemic. Among currently available drugs, type I Interferons (IFN-I) - mainly IFN-α and β -represent ideal candidates given their direct and immune-mediated antiviral effects and the long record of clinical use. However, the best modalities of using these cytokines in SARS-CoV-2 infected patients is a matter of debate. Here, we discuss how we can exploit the current knowledge on IFN-I system to tailor the most promising dosing, timing and route of administration of IFN-I to the disease stage, with the final aim of making these cytokines a valuable therapeutic strategy in today's fight against COVID-19 pandemic.

Keywords: Antiviral Immune Response; Antiviral therapy; Beta Interferon; COVID-19; Coronavirus; Immunomodulation; Mucosal treatments; SARS-CoV-2; Type I Interferons.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Betacoronavirus / drug effects*
  • COVID-19
  • Coronavirus Infections / prevention & control*
  • Humans
  • Immunotherapy / methods
  • Interferon-alpha / therapeutic use*
  • Interferon-beta / therapeutic use*
  • Pandemics / prevention & control*
  • Pneumonia, Viral / prevention & control*
  • SARS-CoV-2
  • Secondary Prevention / methods

Substances

  • Antiviral Agents
  • Interferon-alpha
  • Interferon-beta