https://researchopenworld.com/trials-of-low-dose-cytostatic-drugs-in-severe-covid-19-should-be-considered/#

H. Olsson, Olof Hjorthorn, I. Bostedt
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Abstract

It is now becoming a general notion that a hyperactive / dysregulated immune system, with an image that in an autoimmune response, is a significant factor behind the mortality of covid-19 disease [1]. The reaction often arrives late (1-3 weeks after illness) and rapidly in the course of the disease. So far, attempts to find effective drugs have had very limited success. Derivatives of antimalaria drugs and anti-ebola drugs are under review, as is the supply of convalescent plasma from previously infected [1-3]. Autoimmune diseases and also autoimmune reactions in immune checkpoint inhibitors in tumor diseases are often treated with corticosteroids [4]. In severe autoimmune diseases, biological drugs such as TNF blockers, interleukin-1 and 6 inhibitors, and inhibitors of T and B cell surface markers have been used [5]. In very severe autoimmune disease, cytostatic drugs such as methotrexate and cyclophosphamide have been used successfully in, for example, rheumatoid arthritis or vasculitis [6-8]. We now propose that in more severe cases of covid-19 this possibility be tested for the following reasons:
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https://researchopenworld.com/trials-of-low-dose-cytostatic-drugs-in-severe-covid-19-should-be-considered/#
目前,人们普遍认为,免疫系统过度活跃/失调,在自身免疫反应中表现出的形象,是导致covid-19疾病死亡的一个重要因素[1]。这种反应通常很晚才出现(发病后1-3周),在病程中迅速出现。到目前为止,寻找有效药物的努力收效甚微。目前正在审查抗疟疾药物和抗埃博拉药物的衍生物,以及既往感染者的恢复期血浆的供应[1-3]。自身免疫性疾病以及肿瘤疾病中免疫检查点抑制剂的自身免疫性反应通常使用皮质类固醇治疗[4]。在严重的自身免疫性疾病中,生物药物如TNF阻滞剂、白细胞介素-1和6抑制剂以及T和B细胞表面标记物抑制剂已被使用[5]。在非常严重的自身免疫性疾病中,细胞抑制剂如甲氨蝶呤和环磷酰胺已成功用于类风湿性关节炎或血管炎等疾病[6-8]。我们现在建议在更严重的covid-19病例中测试这种可能性,原因如下:
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