托珠单抗在Covid-19患者中的临床应用

Pranjal Chandrakar, Hemasri Velmurugan, P. T, D. Dash, Vaibhav Tripathi
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引用次数: 0

摘要

在过去的几年里,与2019冠状病毒感染患者打交道的临床医生发现,病毒诱导的大量炎症反应是导致急性呼吸窘迫综合征(ARDS)和多器官功能障碍的重要原因,这在大多数致命病例中都会发生。目前,还没有一种药物被批准为治疗冠状病毒感染的真正药物,在这段时间里,免疫调节剂对冠状病毒感染表现出令人鼓舞的反应。最初发现白细胞介素-6 (IL-6)水平在严重的COVID-19中升高,并独立预测发生ARDS和最终死亡的风险,这些结果使临床研究集中在这种具有促燃烧性和多效性的细胞因子上。Tocilizumab (TCZ)是一种人源化抗白细胞介素6受体单克隆免疫剂,已被批准用于不同的风湿病。目前,许多类固醇作为免疫调节剂在COVID - 19感染者中使用时显示出良好的治疗效果,这些临床数据提倡使用托珠单抗来对抗冠状病毒感染。因COVID-19引发的肺炎而处于生命危险状态的患者出现了严重加重。这种药物减少了由于淋巴细胞聚集引起的患者的进一步衰退,并降低了高CRP (c反应蛋白)的程度。尽管如此,一些临床研究正在进行中,以确定药物的特征。因此,TCZ可以以最佳的疗效和最小的不良事件风险用于COVID患者。在这篇文章中,我们试图包含有关TCZ药理学的所有相关信息,这必将有助于了解药物的临床行为。
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Clinical Application of Tocilizumab in Covid-19 Patients
Over these previous years, clinicians dealing with patients with COVID infection 2019 have discovered that the abundant inflammatory response induced by the virus serves as a significant cause of the acute respiratory distress syndrome (ARDS) and multi-organ dysfunction, which happen in majority of the lethal cases. Presently, there is not a single drug available as an approved and genuine medication for corona infection, in this sphere of time immunomodulatory agents has exhibited encouraging response against coronavirus infection. The initial finding that interleukin-6 (IL-6) levels are raised in serious COVID-19 and independently foresee the risk of developing ARDS and finally death, such results had centered the clinical investigations on this pro-incendiary and pleiotropic cytokine. Tocilizumab (TCZ) is humanized anti-interleukin 6 receptor monoclonal immunizer and has been endorsed for different rheumatological ailments. Currently, many steroids as they act as an immunomodulatory agent have shown fantastic therapeutic effects while used in COVID infected peoples, such clinical data advocated the application of tocilizumab to combat corona infection. Patients who were in life threatening condition because of COVID-19 initiated pneumonia developed hyper aggravation. This medication lessens the further decay of the patient caused because of agglomeration of lymphocytic cells and diminishes the degree of high CRP (C-responsive protein). Nevertheless, several clinical investigations have been in progress to ascertain the drug profile. So that TCZ may be used in COVID patients with optimal effectiveness associated with minimum risk of adverse events. In this article, we have tried to encompass all relevant information about the pharmacology of TCZ, which will surely help to understand clinical behaviour of the drug.
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