Table 1.
Prospects of COVID-19 therapies based on extracellular neutrophil traps (NETs) blocking and anti-inflammatory action.
Treatment | Target | Action | |
---|---|---|---|
Inhibition of NETs formation | NE inhibitors: - Sivelestat - Lonodelestat - Alvelestat - Alafina - CHF6333 |
NE | Antiprotease |
PAD4 inhibitor: - Cl-amidine |
PAD4 | Inhibition of histone citrullination | |
Gasdermin D inhibitor: - Disulfiram |
Gasdermin D | Inhibition of pore generation in the cell membrane | |
Dipyridamole | A2A adenosine receptors | Adenosine uptake inhibitor | |
Aspirin | NF-κB p65 signaling pathway | Decrease in NETs formation | |
NETs dissolution induction | Dornase alfa | DNA | DNA degradation |
Blocking IL-1β activity | IL-1β inhibitors: - Anakinra - Canakinumab - Rilonacept |
IL-1β | Disrupting the feedback loop IL-1β/NETs |
Colchicine | - Neutrophils - IL-1β |
- Inhibition of neutrophil recruitment - Blocking the secretion of IL-1β |
|
Anti-inflammatory effect | Glyburide | ATP-sensitive K+ channels | Blocking the activation of the NLRP3 inflammasome |
Metformin | Alarmin HMGB1 | Suppressing proinflammatory properties |