Skip to main content
. 2020 Oct 7;99(9):1953–1965. doi: 10.1007/s00277-020-04182-4

Table 2.

Therapeutic possibilities for coagulative alterations in SARS-CoV-2 infection

Drug Action Effects Ref.
Low-molecular-weight heparin Anti-inflammatory action Reduction of neutrophil chemotaxis; diminished leukocyte migration; effect on histones; action on NF-kB and MAPK pathways [29, 95104]
Unfractionated heparin

Anticoagulant properties

Anti-inflammatory action

Interactions with antiviral therapy [29, 95104]
Thrombolytic agents Elimination of microclots Stimulation of endogenous plasmin [105107]
Complement inhibitors Reduced pulmonary injury Diminished cytokine response [50, 7981]
NE, PDA4, gasdermin 4 inhibitors (silvelestat, elafil, alvelestat, lonodelestat, CHF6333), DNAse NETs inhibition

Action on plasma-kallicrein-kinin system; reduction of inflammation;

action on micro-thrombosis

[35, 45, 108112]
ACE inhibitors, angiotensin II receptor blockers Reduction of inflammatory cytokines Reduction of inflammatory and thrombotic processes evoked by angiotensin II hyperactivity [9294]