The 15-Months Clinical Experience of SARS-CoV-2: A Literature Review of Therapies and Adjuvants.

SARS-CoV-2 (COVID-19) anticoagulants antimalarials antioxidants antivirals autologous stem cells corticosteroids immunomodulators immunotherapy vaccines

Journal

Antioxidants (Basel, Switzerland)
ISSN: 2076-3921
Titre abrégé: Antioxidants (Basel)
Pays: Switzerland
ID NLM: 101668981

Informations de publication

Date de publication:
31 May 2021
Historique:
received: 22 04 2021
revised: 23 05 2021
accepted: 26 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 3 6 2021
Statut: epublish

Résumé

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus responsible for the coronavirus disease of 2019 (COVID-19) that emerged in December 2019 in Wuhan, China, and rapidly spread worldwide, with a daily increase in confirmed cases and infection-related deaths. The World Health Organization declared a pandemic on the 11th of March 2020. COVID-19 presents flu-like symptoms that become severe in high-risk medically compromised subjects. The aim of this study was to perform an updated overview of the treatments and adjuvant protocols for COVID-19. A systematic literature search of databases was performed (MEDLINE PubMed, Google Scholar, UpToDate, Embase, and Web of Science) using the keywords: "COVID-19", "2019-nCoV", "coronavirus" and "SARS-CoV-2" (date range: 1 January 2019 to 31st October 2020), focused on clinical features and treatments. The main treatments retrieved were antivirals, antimalarials, convalescent plasma, immunomodulators, corticosteroids, anticoagulants, and mesenchymal stem cells. Most of the described treatments may provide benefits to COVID-19 subjects, but no one protocol has definitively proven its efficacy. While many efforts are being spent worldwide in research aimed at identifying early diagnostic methods and evidence-based effective treatments, mass vaccination is thought to be the best option against this disease in the near future.

Sections du résumé

BACKGROUND BACKGROUND
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus responsible for the coronavirus disease of 2019 (COVID-19) that emerged in December 2019 in Wuhan, China, and rapidly spread worldwide, with a daily increase in confirmed cases and infection-related deaths. The World Health Organization declared a pandemic on the 11th of March 2020. COVID-19 presents flu-like symptoms that become severe in high-risk medically compromised subjects. The aim of this study was to perform an updated overview of the treatments and adjuvant protocols for COVID-19.
METHODS METHODS
A systematic literature search of databases was performed (MEDLINE PubMed, Google Scholar, UpToDate, Embase, and Web of Science) using the keywords: "COVID-19", "2019-nCoV", "coronavirus" and "SARS-CoV-2" (date range: 1 January 2019 to 31st October 2020), focused on clinical features and treatments.
RESULTS RESULTS
The main treatments retrieved were antivirals, antimalarials, convalescent plasma, immunomodulators, corticosteroids, anticoagulants, and mesenchymal stem cells. Most of the described treatments may provide benefits to COVID-19 subjects, but no one protocol has definitively proven its efficacy.
CONCLUSIONS CONCLUSIONS
While many efforts are being spent worldwide in research aimed at identifying early diagnostic methods and evidence-based effective treatments, mass vaccination is thought to be the best option against this disease in the near future.

Identifiants

pubmed: 34072708
pii: antiox10060881
doi: 10.3390/antiox10060881
pmc: PMC8226610
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Alessio Danilo Inchingolo (AD)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Gianna Dipalma (G)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Angelo Michele Inchingolo (AM)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Giuseppina Malcangi (G)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Luigi Santacroce (L)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Maria Teresa D'Oria (MT)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.
Department of Medical and Biological Sciences, University of Udine, Via delle Scienze, 206, 33100 Udine, Italy.

Ciro Gargiulo Isacco (CG)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.
Research at Human Stem Cells Research Center HSC, Ho Chi Minh 70000, Vietnam.
Embryology and Regenerative Medicine and Immunology, Pham Chau Trinh University of Medicine Hoi An, Hoi An 70000, Vietnam.

Ioana Roxana Bordea (IR)

Department of Oral Rehabilitation, University of Medicine and Pharmacy "Iuliu Hatieganu", 400012 Cluj-Napoca, Romania.

Sebastian Candrea (S)

Department of Oral Rehabilitation, University of Medicine and Pharmacy "Iuliu Hatieganu", 400012 Cluj-Napoca, Romania.
Department of Pedodontics, County Hospital Cluj-Napoca, 400000 Cluj-Napoca, Romania.

Antonio Scarano (A)

Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy.

Benedetta Morandi (B)

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.
Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.

Massimo Del Fabbro (M)

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.
Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.

Marco Farronato (M)

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.
UOC Maxillo-Facial Surgery and Dentistry, Fondazione IRCCS Ca Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Gianluca Martino Tartaglia (GM)

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.
UOC Maxillo-Facial Surgery and Dentistry, Fondazione IRCCS Ca Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Mario Giosuè Balzanelli (MG)

SET-118, Department of Pre-Hospital and Emergency-San Giuseppe Moscati Hospital, 74100 Taranto, Italy.

Andrea Ballini (A)

Department of Biosciences, Biotechnologies and Biopharmaceutics, Campus Universitario, University of Bari, 70125 Bari, Italy.
Department of Precision Medicine, University of Campania, 80138 Naples, Italy.

Ludovica Nucci (L)

Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80100 Naples, Italy.

Felice Lorusso (F)

Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy.

Silvio Taschieri (S)

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.
Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.
Department of Oral Surgery, Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, 119146 Moscow, Russia.

Francesco Inchingolo (F)

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Classifications MeSH