Human Immune Response to COVID-19 Infection and Potential Role of Chloroquine Family of Drugs
A Review
DOI:
https://doi.org/10.21467/preprints.201Abstract
Currently, world is witnessing a massive morbidity and mortality due to COVID-19 pandemic. A novel strain of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the causative agent of coronavirus disease 2019 (COVID-19). The virus enters inside the body and infect the cells through angiotensin-converting enzyme 2 (ACE2) receptor. The S1 protein of SARS-CoV-2 binds to the ACE2 receptor which results in endocytosis and transfer of virus into endosomes of body cells. Entry of SARS-CoV-2 results in activation of innate immune responses first followed by adaptive immune responses. The effective host immune responses are crucial to control and prevent viral infection. However, excessive production of proinflammatory cytokines and decrease in number of T-lymphocytes are the major reasons associated with severity of COVID-19. Therapies and drugs that can modulate the immune responses appropriately may play a crucial role to control and prevent the progression of disease. Chloroquine (CQ) and hydroxychloroquine (HCQ) have anti-inflammatory, immunomodulatory, antitumor, antimicrobial and antithrombotic effects. These drugs have already been registered in many countries to treat arthritis, lupus and malaria. The treatment responses of COVID-19 patients to these drugs have been found positive in some cases and clinical studies are underway for evaluating these drugs for the same. However, there are some serious side effects and health hazards associated. Many regulatory bodies are demanding more conclusive data on efficacy and safety from the clinical studies. Moreover, some regulatory bodies such as Food and Drug Administration (FDA) and European Medicines Agency (EMA) have recommended to use these drugs in emergency and chronic situation to treat critically ill COVID-19 patients under doctor’s supervision with all issued guidelines. The national task force (NTF) set up by Indian Council of Medical Research has recommended high risk individuals to take HCQ for prophylaxis. This review summarizes human immune response and various aspects of CQ and HCQ with special reference to COVID-19.
Keywords:
Chloroquine, COVID-19, Hydroxychloroquine, Immune response, SARS-CoV-2Downloads
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