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What about COVID-19 and arachidonic acid pathway?

Authors :
Hoxha M
Source :
European journal of clinical pharmacology [Eur J Clin Pharmacol] 2020 Nov; Vol. 76 (11), pp. 1501-1504. Date of Electronic Publication: 2020 Jun 25.
Publication Year :
2020

Abstract

Background and Objective: COVID-19 is a highly contagious viral disease. In this study, we tried to define and discuss all the findings on the potential association between arachidonic acid (AA) pathway and COVID-19 pathophysiology.<br />Methods: A literature search across PubMed, Scopus, Embase, and Cochrane database was conducted. A total of 25 studies were identified.<br />Results: The data elucidated that COX-2 and prostaglandins (PGs), particularly PGE <subscript>2</subscript> , have pro-inflammatory action in COVID-19 pathophysiology. Arachidonic acid can act as endogenous antiviral compound. A deficiency in AA can make humans more susceptible to COVID-19. Targeting these pro-inflammatory mediators may help in decreasing the mortality and morbidity rate in COVID-19 patients.<br />Conclusions: PGE <subscript>2</subscript> levels and other PGs levels should be measured in patients with COVID-19. Lowering the PGE <subscript>2</subscript> levels through inhibition of human microsomal prostaglandin E synthase-1 (mPGES-1) can enhance the host immune response against COVID-19. In addition, the hybrid compounds, such as COX-2 inhibitors/TP antagonists, can be an innovative treatment to control the overall balance between AA mediators in patients with COVID-19.

Details

Language :
English
ISSN :
1432-1041
Volume :
76
Issue :
11
Database :
MEDLINE
Journal :
European journal of clinical pharmacology
Publication Type :
Academic Journal
Accession number :
32583353
Full Text :
https://doi.org/10.1007/s00228-020-02941-w