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Statins: Could an old friend help in the fight against COVID‐19?

The COVID‐19 pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has overwhelmed healthcare systems requiring the rapid development of treatments, at least, to reduce COVID‐19 severity. Drug repurposing offers a fast track. Here, we discuss the potential beneficial ef...

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Published in:British journal of pharmacology 2020-11, Vol.177 (21), p.4873-4886
Main Authors: Rodrigues‐Diez, Raul R., Tejera‐Muñoz, Antonio, Marquez‐Exposito, Laura, Rayego‐Mateos, Sandra, Santos Sanchez, Laura, Marchant, Vanessa, Tejedor Santamaria, Lucía, Ramos, Adrian M., Ortiz, Alberto, Egido, Jesus, Ruiz‐Ortega, Marta
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creator Rodrigues‐Diez, Raul R.
Tejera‐Muñoz, Antonio
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description The COVID‐19 pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has overwhelmed healthcare systems requiring the rapid development of treatments, at least, to reduce COVID‐19 severity. Drug repurposing offers a fast track. Here, we discuss the potential beneficial effects of statins in COVID‐19 patients based on evidence that they may target virus receptors, replication, degradation, and downstream responses in infected cells, addressing both basic research and epidemiological information. Briefly, statins could modulate virus entry, acting on the SARS‐CoV‐2 receptors, ACE2 and CD147, and/or lipid rafts engagement. Statins, by inducing autophagy activation, could regulate virus replication or degradation, exerting protective effects. The well‐known anti‐inflammatory properties of statins, by blocking several molecular mechanisms, including NF‐κB and NLRP3 inflammasomes, could limit the “cytokine storm” in severe COVID‐19 patients which is linked to fatal outcome. Finally, statin moderation of coagulation response activation may also contribute to improving COVID‐19 outcomes. Linked Articles This article is part of a themed issue on The Pharmacology of COVID‐19. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v177.21/issuetoc
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subjects ACE2
Angiotensin-converting enzyme 2
Animals
Autophagy
Betacoronavirus - isolation & purification
CD147 antigen
Coronavirus Infections - drug therapy
Coronavirus Infections - immunology
Coronavirus Infections - virology
Coronaviruses
COVID-19
COVID-19 Drug Treatment
Cytokine storm
Cytokines - immunology
Drug Repositioning
Epidemiology
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology
Inflammasomes
Inflammation
Lipid rafts
Molecular modelling
Pandemics
Phagocytosis
Pneumonia, Viral - drug therapy
Pneumonia, Viral - immunology
Pneumonia, Viral - virology
Replication
Review
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Statins
Themed Issue: Review
Virus Internalization - drug effects
title Statins: Could an old friend help in the fight against COVID‐19?
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