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Tocilizumab: A Therapeutic Option for the Treatment of Cytokine Storm Syndrome in COVID-19.
Archives of Medical Research ( IF 7.7 ) Pub Date : 2020-05-21 , DOI: 10.1016/j.arcmed.2020.05.009
Abinit Saha 1 , Ashish Ranjan Sharma 2 , Manojit Bhattacharya 3 , Garima Sharma 4 , Sang-Soo Lee 2 , Chiranjib Chakraborty 1
Affiliation  

Presently, we need more therapeutic molecules for this COVID-19 outbreak. The severity and mortality of the disease is associated with a high level of release of cytokine in the patients which is known as CRS (cytokine release syndrome) or cytokine storm syndrome. IL-6 is a type of pro-inflammatory cytokine which release in the severe COVID-19 patients. This cytokine initiates CRS the JAK-STAT or MAPK/NF-κB-IL-6 pathway. Tocilizumab, a humanized monoclonal antibody, is designed to bind both mIL-6R (membrane bound receptor for IL-6) and sIL-6R (soluble receptor for IL-6) and inhibit the JAK-STAT or MAPK/NF-κB-IL-6 signaling pathway. It finally stops the cytokine storm syndrome. However, we need to understand that how tocilizumab is bound with mIL-6R or sIL-6R. Similarly, we also need to understand more about the real molecular mechanism of activity of tocilizumab.



中文翻译:

Tocilizumab:治疗 COVID-19 细胞因子风暴综合征的治疗选择。

目前,我们需要更多的治疗分子来应对 COVID-19 的爆发。该疾病的严重性和死亡率与患者体内细胞因子的高水平释放有关,这被称为 CRS(细胞因子释放综合征)或细胞因子风暴综合征。IL-6 是一种促炎细胞因子,在重症 COVID-19 患者中释放。这种细胞因子通过 JAK-STAT 或 MAPK/NF-κB-IL-6 通路启动 CRS。Tocilizumab 是一种人源化单克隆抗体,旨在结合 mIL-6R(IL-6 膜结合受体)和 sIL-6R(IL-6 可溶性受体)并抑制 JAK-STAT 或 MAPK/NF-κB-IL -6 信号通路。它最终阻止了细胞因子风暴综合症。但是,我们需要了解tocilizumab 是如何与mIL-6R 或sIL-6R 结合的。相似地,

更新日期:2020-05-21
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