Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic

In this period of global pandemic caused by SARS-Cov-2, it is of paramount importance to recognize all risk factors that may increase the likelihood of infection. In addition to the risk factors known as pre-existing diseases and old age, risk factors could be drug treatments for chronic diseases, s...

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Autores principales: Francesco Ferrara, Priscilla Santilli, Vilma D'Aiuto, Antonio Vitiello
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Lenguaje:EN
Publicado: Tabriz University of Medical Sciences 2020
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Acceso en línea:https://doaj.org/article/be82549c30b841528d3e8c6aa0df7dea
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spelling oai:doaj.org-article:be82549c30b841528d3e8c6aa0df7dea2021-12-05T07:59:15ZClinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic2228-58812251-730810.34172/apb.2021.045https://doaj.org/article/be82549c30b841528d3e8c6aa0df7dea2020-10-01T00:00:00Zhttps://apb.tbzmed.ac.ir/PDF/apb-11-393.pdfhttps://doaj.org/toc/2228-5881https://doaj.org/toc/2251-7308In this period of global pandemic caused by SARS-Cov-2, it is of paramount importance to recognize all risk factors that may increase the likelihood of infection. In addition to the risk factors known as pre-existing diseases and old age, risk factors could be drug treatments for chronic diseases, such as immunomodulating drugs that can alter immune defences and response to infectious agents. Antibodies that inhibit tumor necrosis factor (TNF) such as adalimumab infliximab etanercept and golimumab have been used for over 20 years in severe cases of autoimmune diseases such as rheumatoid arthritis, inflammatory bowel disease or ankylosing spondylitis. Due to their mechanism of action they reduce inflammation and can stop the progression of the disease by inhibiting a key factor of inflammation such as TNF. In this article we want to examine the possible correlation between therapy with TNF inhibitors and the increased risk of SARS-CoV-2 infection, and the possible paradoxical therapeutic efficacy in patients with ongoing infection, especially in phase two and three. We express our opinion on this very complex and sensitive topic which is the subject of discussion among physicians and experts, based on current knowledge of the literature.Francesco FerraraPriscilla SantilliVilma D'AiutoAntonio VitielloTabriz University of Medical Sciences articletnf inhibitorssars-cov-2immunomodulatinginfectionhyperinflammatoryTherapeutics. PharmacologyRM1-950ENAdvanced Pharmaceutical Bulletin, Vol 11, Iss 3, Pp 393-394 (2020)
institution DOAJ
collection DOAJ
language EN
topic tnf inhibitors
sars-cov-2
immunomodulating
infection
hyperinflammatory
Therapeutics. Pharmacology
RM1-950
spellingShingle tnf inhibitors
sars-cov-2
immunomodulating
infection
hyperinflammatory
Therapeutics. Pharmacology
RM1-950
Francesco Ferrara
Priscilla Santilli
Vilma D'Aiuto
Antonio Vitiello
Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic
description In this period of global pandemic caused by SARS-Cov-2, it is of paramount importance to recognize all risk factors that may increase the likelihood of infection. In addition to the risk factors known as pre-existing diseases and old age, risk factors could be drug treatments for chronic diseases, such as immunomodulating drugs that can alter immune defences and response to infectious agents. Antibodies that inhibit tumor necrosis factor (TNF) such as adalimumab infliximab etanercept and golimumab have been used for over 20 years in severe cases of autoimmune diseases such as rheumatoid arthritis, inflammatory bowel disease or ankylosing spondylitis. Due to their mechanism of action they reduce inflammation and can stop the progression of the disease by inhibiting a key factor of inflammation such as TNF. In this article we want to examine the possible correlation between therapy with TNF inhibitors and the increased risk of SARS-CoV-2 infection, and the possible paradoxical therapeutic efficacy in patients with ongoing infection, especially in phase two and three. We express our opinion on this very complex and sensitive topic which is the subject of discussion among physicians and experts, based on current knowledge of the literature.
format article
author Francesco Ferrara
Priscilla Santilli
Vilma D'Aiuto
Antonio Vitiello
author_facet Francesco Ferrara
Priscilla Santilli
Vilma D'Aiuto
Antonio Vitiello
author_sort Francesco Ferrara
title Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic
title_short Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic
title_full Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic
title_fullStr Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic
title_full_unstemmed Clinical Pharmacology Aspects in Patients Treated with TNF Inhibitors During SARS-Cov-2 Pandemic
title_sort clinical pharmacology aspects in patients treated with tnf inhibitors during sars-cov-2 pandemic
publisher Tabriz University of Medical Sciences
publishDate 2020
url https://doaj.org/article/be82549c30b841528d3e8c6aa0df7dea
work_keys_str_mv AT francescoferrara clinicalpharmacologyaspectsinpatientstreatedwithtnfinhibitorsduringsarscov2pandemic
AT priscillasantilli clinicalpharmacologyaspectsinpatientstreatedwithtnfinhibitorsduringsarscov2pandemic
AT vilmadaiuto clinicalpharmacologyaspectsinpatientstreatedwithtnfinhibitorsduringsarscov2pandemic
AT antoniovitiello clinicalpharmacologyaspectsinpatientstreatedwithtnfinhibitorsduringsarscov2pandemic
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