Mucolytic and Antioxidant Properties of Carbocysteine as a Strategy in COVID-19 Therapy.

COPD COVID-19 Carbocysteine SARS-CoV-2 antioxidants mucolytics

Journal

Life (Basel, Switzerland)
ISSN: 2075-1729
Titre abrégé: Life (Basel)
Pays: Switzerland
ID NLM: 101580444

Informations de publication

Date de publication:
08 Nov 2022
Historique:
received: 25 09 2022
revised: 01 11 2022
accepted: 02 11 2022
entrez: 11 11 2022
pubmed: 12 11 2022
medline: 12 11 2022
Statut: epublish

Résumé

SARS-CoV-2 infection leads to a heterogenous spectrum of clinical conditions ranging from self-limiting upper airway infection to severe respiratory failure. Carbocysteine is a thioether mucolytic with antioxidant and anti-inflammatory activities. Carbocysteine has been shown to have anti-viral effects on human rhinovirus, RSV and the influenza virus as well as interfering with upper airway ciliary motility, the first site of SARS-CoV-2 infection, leading to more effective mucus clearance and potential containment of viral spread towards the lower airway. Positive effects, in terms of limiting superimposed bacterial infection and reducing oxidative stress, have also been documented in COPD patients. Accordingly, Carbocysteine should also be considered in both post-exposure prophylaxis and early-phase treatment of COVID-19 in combination with other agents (monoclonal antibodies, antivirals, non-steroidal anti-inflammatory agents, and inhaled corticosteroids). In this review, we explored the pharmacokinetic and pharmacodynamic aspects of Carbocysteine to delineate its potential therapeutic impact in patients with COVID-19.

Identifiants

pubmed: 36362979
pii: life12111824
doi: 10.3390/life12111824
pmc: PMC9692377
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflict of interest

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Auteurs

Andrea Bianco (A)

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
U.O.C. Clinica Pneumologica "L. Vanvitelli", A.O. dei Colli, Ospedale Monaldi, 80131 Naples, Italy.

Stefano Conte (S)

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
U.O.C. Clinica Pneumologica "L. Vanvitelli", A.O. dei Colli, Ospedale Monaldi, 80131 Naples, Italy.

Domenica Francesca Mariniello (DF)

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
U.O.C. Clinica Pneumologica "L. Vanvitelli", A.O. dei Colli, Ospedale Monaldi, 80131 Naples, Italy.

Valentino Allocca (V)

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
U.O.C. Clinica Pneumologica "L. Vanvitelli", A.O. dei Colli, Ospedale Monaldi, 80131 Naples, Italy.

Maria Gabriella Matera (MG)

Unit of Pharmacology, Department of Experimental Medicine, University of Campania "L. Vanvitelli", 80131 Naples, Italy.

Vito D'Agnano (V)

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
U.O.C. Clinica Pneumologica "L. Vanvitelli", A.O. dei Colli, Ospedale Monaldi, 80131 Naples, Italy.

Luigi Lanata (L)

Medical Department, Dompé Farmaceutici SpA, 20122 Milan, Italy.

Mario Cazzola (M)

Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.

Fabio Perrotta (F)

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
U.O.C. Clinica Pneumologica "L. Vanvitelli", A.O. dei Colli, Ospedale Monaldi, 80131 Naples, Italy.

Classifications MeSH