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. 2021 Feb 20;73(3):769–780. doi: 10.1007/s43440-021-00233-3

Table 2.

Potential role of statins in COVID-19

Potential role of statins Molecular mechanism of action References
Preventing SARS-CoV-2 Entry Modulation of CD-147 expression [45]
Inhibiting SARS-CoV-2 Replication Interaction viral main protease (Mpro) [46]
Attenuating hyperinflammatory response and cytokine storms

Modulation of Toll-like receptor (TLR) and NOD-like receptor activities

Reduction of IL-6 and IL-1β cytokines

[49]

[50]

Modulating hypercoagulability Decreased plasma levels of von Willebrand factor antigen (vWF:Ag) and plasma endothelin-1 concentrations [53, 54]
Mitigating lung injury Increased expression of ACE2* [41, 42]

SARS-CoV-2 Severe Acute Respiratory Syndrome Coronavirus-2, COVID-19 Coronavirus disease-2019, ARDS Acute Respiratory Distress Syndrome, ACE2 angiotensin-converting enzyme 2, IL-6 Interleukin-6, IL-1β Interleukin-1β

*Still controversial