Postulated adjuvant therapeutic strategies for COVID-19

AO Ferreira, HC Polonini, ECF Dijkers - Journal of Personalized Medicine, 2020 - mdpi.com
AO Ferreira, HC Polonini, ECF Dijkers
Journal of Personalized Medicine, 2020mdpi.com
The number of COVID-19 patients is still growing exponentially worldwide due to the high
transmissibility of the SARS-CoV-2 virus. Therapeutic agents currently under investigation
are antiviral drugs, vaccines, and other adjuvants that could relieve symptoms or improve
the healing process. In this review, twelve therapeutic agents that could play a role in
prophylaxis or improvement of the COVID-19-associated symptoms (as add-on substances)
are discussed. Agents were identified based on their known pharmacologic mechanism of …
The number of COVID-19 patients is still growing exponentially worldwide due to the high transmissibility of the SARS-CoV-2 virus. Therapeutic agents currently under investigation are antiviral drugs, vaccines, and other adjuvants that could relieve symptoms or improve the healing process. In this review, twelve therapeutic agents that could play a role in prophylaxis or improvement of the COVID-19-associated symptoms (as add-on substances) are discussed. Agents were identified based on their known pharmacologic mechanism of action in viral and/or nonviral fields and are postulated to interact with one or more of the seven known mechanisms associated with the SARS-CoV-2 virus: (i) regulation of the immune system; (ii) virus entrance in the cell; (iii) virus replication; (iv) hyperinflammation; (v) oxidative stress; (vi) thrombosis; and (vii) endotheliitis. Selected agents were immune transfer factor (oligo- and polypeptides from porcine spleen, ultrafiltered at <10 kDa; Imuno TF®), anti-inflammatory natural blend (Uncaria tomentosa, Endopleura uchi and Haematoccocus pluvialis; Miodesin®), zinc, selenium, ascorbic acid, cholecalciferol, ferulic acid, spirulina, N-acetylcysteine, glucosamine sulfate potassium hydrochloride, trans-resveratrol, and maltodextrin-stabilized orthosilicic acid (SiliciuMax®). This review gives the scientific background on the hypothesis that these therapeutic agents can act in synergy in the prevention and improvement of COVID-19-associated symptoms.
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