Anti-inflammatory therapy for COVID-19 infection: the case for colchicine.
Aaron Z ReyesKelly A HuJacob TepermanTheresa L Wampler MuskardinJean-Claude TardifBinita ShahMichael H PillingerPublished in: Annals of the rheumatic diseases (2020)
The search for effective COVID-19 management strategies continues to evolve. Current understanding of SARS-CoV-2 mechanisms suggests a central role for exaggerated activation of the innate immune system as an important contributor to COVID-19 adverse outcomes. The actions of colchicine, one of the oldest anti-inflammatory therapeutics, target multiple mechanisms associated with COVID-19 excessive inflammation. While many COVID-19 trials have sought to manipulate SARS-CoV-2 or dampen the inflammatory response once patients are hospitalised, few examine therapeutics to prevent the need for hospitalisation. Colchicine is easily administered, generally well tolerated and inexpensive, and holds particular promise to reduce the risk of hospitalisation and mortality due to COVID-19 in the outpatient setting. Successful outpatient treatment of COVID-19 could greatly reduce morbidity, mortality and the demand for rare or expensive care resources (front-line healthcare workers, hospital beds, ventilators, biological therapies), to the benefit of both resource-replete and resource-poor regions.
Keyphrases
- sars cov
- coronavirus disease
- respiratory syndrome coronavirus
- anti inflammatory
- inflammatory response
- end stage renal disease
- healthcare
- oxidative stress
- small molecule
- chronic kidney disease
- newly diagnosed
- cardiovascular events
- risk factors
- emergency department
- cardiovascular disease
- ejection fraction
- machine learning
- peritoneal dialysis
- physical activity
- body mass index
- big data
- patient reported outcomes
- pain management
- weight gain
- lps induced