Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms

Mohsin Ali Khan,1 Zaw Ali Khan,1 Mark Charles,2 Pushpendra Pratap,2 Abdul Naeem,2 Zainab Siddiqui,3 Nigar Naqvi,4 Shikha Srivastava4 1Reseach & Development Department, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 2Metabolic Research Unit, Era&...

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Autores principales: Khan MA, Khan ZA, Charles M, Pratap P, Naeem A, Siddiqui Z, Naqvi N, Srivastava S
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:7659bbb2b9424572adcdb02eb61fc7af2021-12-02T15:24:16ZCytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms1178-7031https://doaj.org/article/7659bbb2b9424572adcdb02eb61fc7af2021-01-01T00:00:00Zhttps://www.dovepress.com/cytokine-storm-and-mucus-hypersecretion-in-covid-19-review-of-mechanis-peer-reviewed-article-JIRhttps://doaj.org/toc/1178-7031Mohsin Ali Khan,1 Zaw Ali Khan,1 Mark Charles,2 Pushpendra Pratap,2 Abdul Naeem,2 Zainab Siddiqui,3 Nigar Naqvi,4 Shikha Srivastava4 1Reseach & Development Department, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 2Metabolic Research Unit, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 3Department of Pathology, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 4Department of Nutrition, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, IndiaCorrespondence: Zaw Ali Khan Era’s Lucknow Medical College & HospitalEra University, Hardoi Road, Lucknow, Uttar Pradesh 226001, IndiaTel +91 9839445514Email zawali@erauniversity.inAbstract: Mucus is an integral part of the respiratory physiology. It protects the respiratory tract by acting as a physical barrier against inhaled particles and microbes. Excessive inflammation in conditions such as COVID-19 can result in over-production of mucus which obstructs the airway. Build-up of mucus can also contribute to recurrent airway infection, causing further obstruction. This article summarizes the current understanding and knowledge of respiratory mucus production and proposes the role of cytokine storm in inducing sudden mucus hypersecretion in COVID-19. Based on these cascades, the active constituents that inhibit or activate several potential targets are outlined for further research. These may be explored for the discovery and design of drugs to combat cytokine storm and its ensuing complications.Keywords: COVID-19, cytokine storm, mucus, coronavirus, viral infectionKhan MAKhan ZACharles MPratap PNaeem ASiddiqui ZNaqvi NSrivastava SDove Medical Pressarticlecovid-19cytokine stormmucuscoronavirusviral infectionPathologyRB1-214Therapeutics. PharmacologyRM1-950ENJournal of Inflammation Research, Vol Volume 14, Pp 175-189 (2021)
institution DOAJ
collection DOAJ
language EN
topic covid-19
cytokine storm
mucus
coronavirus
viral infection
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
spellingShingle covid-19
cytokine storm
mucus
coronavirus
viral infection
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
Khan MA
Khan ZA
Charles M
Pratap P
Naeem A
Siddiqui Z
Naqvi N
Srivastava S
Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms
description Mohsin Ali Khan,1 Zaw Ali Khan,1 Mark Charles,2 Pushpendra Pratap,2 Abdul Naeem,2 Zainab Siddiqui,3 Nigar Naqvi,4 Shikha Srivastava4 1Reseach & Development Department, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 2Metabolic Research Unit, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 3Department of Pathology, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India; 4Department of Nutrition, Era’s Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, IndiaCorrespondence: Zaw Ali Khan Era’s Lucknow Medical College & HospitalEra University, Hardoi Road, Lucknow, Uttar Pradesh 226001, IndiaTel +91 9839445514Email zawali@erauniversity.inAbstract: Mucus is an integral part of the respiratory physiology. It protects the respiratory tract by acting as a physical barrier against inhaled particles and microbes. Excessive inflammation in conditions such as COVID-19 can result in over-production of mucus which obstructs the airway. Build-up of mucus can also contribute to recurrent airway infection, causing further obstruction. This article summarizes the current understanding and knowledge of respiratory mucus production and proposes the role of cytokine storm in inducing sudden mucus hypersecretion in COVID-19. Based on these cascades, the active constituents that inhibit or activate several potential targets are outlined for further research. These may be explored for the discovery and design of drugs to combat cytokine storm and its ensuing complications.Keywords: COVID-19, cytokine storm, mucus, coronavirus, viral infection
format article
author Khan MA
Khan ZA
Charles M
Pratap P
Naeem A
Siddiqui Z
Naqvi N
Srivastava S
author_facet Khan MA
Khan ZA
Charles M
Pratap P
Naeem A
Siddiqui Z
Naqvi N
Srivastava S
author_sort Khan MA
title Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms
title_short Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms
title_full Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms
title_fullStr Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms
title_full_unstemmed Cytokine Storm and Mucus Hypersecretion in COVID-19: Review of Mechanisms
title_sort cytokine storm and mucus hypersecretion in covid-19: review of mechanisms
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/7659bbb2b9424572adcdb02eb61fc7af
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