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, 95–104] |
| Unfractionated heparin |
Anticoagulant properties Anti-inflammatory action |
Interactions with antiviral therapy | [29, 95–104] |
| Thrombolytic agents | Elimination of microclots | Stimulation of endogenous plasmin | [105–107] |
| Complement inhibitors | Reduced pulmonary injury | Diminished cytokine response | [50, 79–81] |
| 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, 108–112] |
| ACE inhibitors, angiotensin II receptor blockers | Reduction of inflammatory cytokines | Reduction of inflammatory and thrombotic processes evoked by angiotensin II hyperactivity | [92–94] |