The potential role of the combined PARP-1 and VEGF inhibition in severe SARS-CoV-2 (COVID-19) infection

J Infect Dev Ctries. 2022 Jan 31;16(1):101-111. doi: 10.3855/jidc.15386.

Abstract

Introduction: During the evolution of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, several drug candidates have been proposed for repositioning towards a quest for more effective treatments.

Methodology: We reviewed recent literature (Pubmed, Google, Clinicaltrials.gov), as of the middle of May 2021, for evidence regarding the potential benefit from poly(ADP-ribose)-polymerase inhibitors and vascular endothelial growth factor blockade in severe SARS-CoV-2 infection.

Results: poly(ADP-ribose)-polymerase inhibitors have been suggested as potential agents against coronavirus disease 2019 (COVID-19) by a variety of mechanisms. vascular endothelial growth factor-associated vascular permeability is implicated with increased vascular leakage and pulmonary oedema. Thus, anti-angiogenesis factors, such as bevacizumab are being investigated in critically ill COVID-19 patients.

Conclusions: The synergistic potential of these two classes of inhibitors in severe COVID-19 management could be beneficial. Further research should be carried out in order to support this hypothesis.

Keywords: PARP-1 inhibitors; SARS-CoV-2; VEGF; bevacizumab; olaparib.

Publication types

  • Review

MeSH terms

  • COVID-19 Drug Treatment*
  • COVID-19* / epidemiology
  • Humans
  • Pandemics
  • Patient Acuity
  • Poly(ADP-ribose) Polymerase Inhibitors* / pharmacology
  • SARS-CoV-2
  • Vascular Endothelial Growth Factor A* / pharmacology

Substances

  • Poly(ADP-ribose) Polymerase Inhibitors
  • Vascular Endothelial Growth Factor A