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A digital health platform for assisting the diagnosis and monitoring of COVID-19 progression: An adjuvant approach for augmenting the antiviral response and mitigating the immune-mediated target organ damage

Authors :
Assaf Potruch
Marc D. Berg
Samuel Agus
Yuval Ishay
Khurram Jamil
Yaron Ilan
Asaf Schwartz
Source :
Biomedicine & Pharmacotherapy, Vol 143, Iss, Pp 112228-(2021), Biomedicine & Pharmacotherapy
Publication Year :
2021
Publisher :
Elsevier BV, 2021.

Abstract

Coronavirus disease 2019 (COVID-19), which is a respiratory illness associated with high mortality, has been classified as a pandemic. The major obstacles for the clinicians to contain the disease are limited information availability, difficulty in disease diagnosis, predicting disease prognosis, and lack of disease monitoring tools. Additionally, the lack of valid therapies has further contributed to the difficulties in containing the pandemic. Recent studies have reported that the dysregulation of the immune system leads to an ineffective antiviral response and promotes pathological immune response, which manifests as ARDS, myocarditis, and hepatitis. In this study, a novel platform has been described for disseminating information to physicians for the diagnosis and monitoring of patients with COVID-19. An adjuvant approach using compounds that can potentiate antiviral immune response and mitigate COVID-19-induced immune-mediated target organ damage has been presented. A prolonged beneficial effect is achieved by implementing algorithm-based individualized variability measures in the treatment regimen.

Subjects

Subjects :
ARDS
medicine.medical_treatment
CoV, coronavirus
IFNR, type I IFN receptor
RIG-I, retinoic acid-inducible gene I
PRM, patterns recognition molecules
Disease
Antiviral therapy
Severity of Illness Index
RT-PCR, reverse transcriptase polymerase chain reaction
NK cells, natural killer cells
Pandemic
TLR, toll-like receptors
MT, microtubules
SK1, sphingokinase 1
Th cells, T helper cells
NLR, neutrophil-lymphocyte ratio
COVID-19, coronavirus disease 2019
TNF, tumor necrosis factor
Immunity, Cellular
Disease Management
SphK, sphingosine kinase
General Medicine
ICU, intensive care unit
S-1P, sphingosine-1-phosphate
Chemotherapy, Adjuvant
Antiviral response
Tregs, regulatory T cells
Disease Progression
Digital health
Adjuvant
Algorithms
NF-κB, nuclear factor kappa-light-chain
medicine.medical_specialty
Myocarditis
JAK-STAT, Janus kinase signal transducer and activation of transcription
CD, cluster of differentiation
HLH, hemophagocytic lymphohistiocytosis
IG, immunoglobulin
IFNβ, interferon-beta
IP-10, IFN gamma-induced protein 10
RM1-950
HRV, heart rate variability
Antiviral Agents
Article
Immune system
Severity of illness
medicine
Humans
IFN, interferon
APC, antigen-presenting cells
NKT, NK T cells
HBC, hyperimmune bovine colostrum
SARS, severe acute respiratory syndrome
Intensive care medicine
ARDS, acute respiratory distress syndrome
Pharmacology
Hepatitis
business.industry
MERS, Middle East respiratory syndrome
COVID-19
CTL, cytotoxic T cells
MCP, monocyte chemoattractant protein
medicine.disease
IL, interleukin
Immunity, Humoral
COVID-19 Drug Treatment
Gastrointestinal Tract
Coronavirus
GC, glucosylceramide
RNA, ribonucleic acid
dsRNA, double-stranded RNA
Therapeutics. Pharmacology
HCC, hepatocellular carcinoma
business
Medical Informatics
IRF, interferon regulatory factor

Details

ISSN :
07533322
Volume :
143
Database :
OpenAIRE
Journal :
Biomedicine & Pharmacotherapy
Accession number :
edsair.doi.dedup.....481205401dcda8f6a9b942a6c54d87e1
Full Text :
https://doi.org/10.1016/j.biopha.2021.112228