The Anti-inflammatory Effect of the Tricyclic Antidepressant Clomipramine and Its High Penetration in the Brain Might Be Useful to Prevent the Psychiatric Consequences of SARS-CoV-2 Infection.

COVID-19 SARS-CoV-2 antidepressants clomipramine inflammation psychiatric pathology

Journal

Frontiers in pharmacology
ISSN: 1663-9812
Titre abrégé: Front Pharmacol
Pays: Switzerland
ID NLM: 101548923

Informations de publication

Date de publication:
2021
Historique:
received: 12 10 2020
accepted: 04 02 2021
entrez: 26 3 2021
pubmed: 27 3 2021
medline: 27 3 2021
Statut: epublish

Résumé

At the time of writing (December 2020), coronavirus disease 2019 (COVID-19) has already caused more than one million deaths worldwide, and therefore, it is imperative to find effective treatments. The "cytokine storm" induced by Severe Acute Respiratory Syndrome-Coronavirus type 2 (SARS-CoV-2) is a good target to prevent disease worsening, as indicated by the results obtained with tocilizumab and dexamethasone. SARS-CoV-2 can also invade the brain and cause neuro-inflammation with dramatic neurological manifestations, such as viral encephalitis. This could lead to potentially incapacitating long-term consequences, such as the development of psychiatric disorders, as previously observed with SARS-CoV. Several pathways/mechanisms could explain the link between viral infection and development of psychiatric diseases, especially neuro-inflammation induced by SARS-CoV-2. Therefore, it is important to find molecules with anti-inflammatory properties that penetrate easily into the brain. For instance, some antidepressants have anti-inflammatory action and pass easily through the blood brain barrier. Among them, clomipramine has shown very strong anti-inflammatory properties

Identifiants

pubmed: 33767623
doi: 10.3389/fphar.2021.615695
pii: 615695
pmc: PMC7985338
doi:

Types de publication

Journal Article

Langues

eng

Pagination

615695

Informations de copyright

Copyright © 2021 Nobile, Durand, Olié, Guillaume, Molès, Haffen and Courtet.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

B Nobile (B)

Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France.
IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France.

M Durand (M)

Pathogenesis and Control of Chronic Infection, University of Montpellier, INSERM, EFS; CHU Montpellier, Montpellier, France.

E Olié (E)

Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France.
IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France.
FondaMental Foundation, Créteil, France.

S Guillaume (S)

Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France.
IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France.
FondaMental Foundation, Créteil, France.

J P Molès (JP)

Pathogenesis and Control of Chronic Infection, University of Montpellier, INSERM, EFS; CHU Montpellier, Montpellier, France.

E Haffen (E)

FondaMental Foundation, Créteil, France.
Service de Psychiatrie de l'Adulte, CIC-1431 INSERM, CHU de Besançon, Laboratoire de Neurosciences, Université de Franche-Comté, Besancon, France.

P Courtet (P)

Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France.
IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France.
FondaMental Foundation, Créteil, France.

Classifications MeSH