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.