The Controversies Surrounding Tocilizumab Administration Following Pathogen-Associated Molecular Pattern (PAMP) Induced by COVID-19
Abstract
A new corona virus disease (COVID-19) is affected more than 5 million people worldwide to date and has become a global pandemic. Since there is no definitive cure for this life threatening disease, many clinical studies are underway in this regard. Pathogen-associated molecular patterns (PAMP) prompting by coronavirus seems to generate cellular, structural, and functional derangement induced by immune dysregulation and many biological abnormalities including cytokine storm. The role of IL-6 in viral pneumonia and also the impact of its inhibition on the prevention of organ damage are not known yet.IL-6 seems to behave as a double blade evil cytokine, with a valuable role in cell to cell natural physiological communication. Tocilizumab as an inhibitor of interleukin (IL)-6, may interrupt the paracrine system while causing dissemination of bacterial, fungal, and other viral infections, especially COVID-19, who are at high-risk development of sepsis and life-threatening superinfection.
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Issue | Vol 8, No 3 (Summer 2020) | |
Section | Review Article(s) | |
DOI | https://doi.org/10.18502/jpc.v8i3.4549 | |
Keywords | ||
Tocilizumab Betacoronavirus Coronavirus Infections COVID-19 Pathogen-Associated Molecular Pattern |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |