Table 1.
Summary of plausible pharmacological intervention in COVID-19 patients with obesity.
S. No. | Target | Therapy | Effects | Ref. |
---|---|---|---|---|
1. | TMPRSS | Camostat Mesylate (FOY-305) | Blocks TMPRSS activity, reducing entry of SARS-CoV-2 inside host cells | [84] |
2. | ACE-2 | Umifenovir (Arbidol) | Blocks the fusion of viral envelope with host cell membrane | [82] [83] |
3. | RdRPs | Ribavirin, Remdesivir, and Favipiravir | Blocks the function of RdRPs and thus checks the incorporation of nucleotides in newly synthesized viral RNA | [85] |
4. | Main protease (Mpro) | Withanone and Caffeic Acid-Phenethyl Ester | Demonstrated to prevent the proteolytic processing of the crucial polyproteins involved with viral replication & transcription | [88] |
5. | IL-6 | Tocilizumab and Sarilumab | IL-6 receptor agonist may prevent the IL-6 mediated signaling cascade & proinflammatory response | [90] |
6. | IL-1β | Anakinra | IL-1β agonist may prevent the proinflammatory activity of heightened IL-1β in the organs and tissues during SARS-CoV-2 infection | [93] |
7. | Gasdermin- D | Disulfiram | Inactivate gasdermin- D activity and thus prevent pro-inflammatory cytokine release from the inflammatory dead cells | [95] |
8. | Glyceraldehyde 3-phosphate dehydrogenase | Dimethyl fumarate | Reprograms the metabolism in the pro-inflammatory macrophages and Tells so as to push them towards an anti-inflammatory state | [101] |