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. 2020 May 20;2(7):e428–e436. doi: 10.1016/S2665-9913(20)30120-X

Table.

Repurposing of immune-modulating therapies for COVID-19

Mechanism of action
csDMARDs
Chloroquine or hydroxychloroquine Interference with ACE2 to block virus invasion; increase of endosomal pH required for virus fusion; mild immune suppression
Glucocorticoids Suppression of immune and inflammatory responses
Leflunomide Inhibition of virus replication
Thalidomide Reduction of inflammatory cell infiltration; reduction of cytokine storm; reduction of lung damage and pulmonary interstitial fibrosis
bDMARDs
Tocilizumab Blockade of IL-6 receptor and its downstream signalling pathways
Anakinra Blockade of IL-1 receptor and its downstream signalling pathways
tsDMARDs
Baricitinib JAK inhibitor; blockade of viral invasion through the inhibition of AAK1; immune suppression
Ruxolitinib JAK inhibitor; immune suppression
Cell therapy
Stem cells Suppression of inflammation; proviral silencing
Plasma therapy
Convalescent plasma Promotion of virus elimination via virus-specific antibodies

AAK1=AP2-associated protein kinase 1. ACE2=angiotensin-converting enzyme 2. bDMARDs=biologic disease-modifying anti-rheumatic drugs. csDMARDs=conventional synthetic disease-modifying anti-rheumatic drugs. IL=interleukin. JAK=Janus kinase. tsDMARDs=targeted synthetic disease-modifying anti-rheumatic drugs.