Skip to main content
. 2021 Nov 12;145:112420. doi: 10.1016/j.biopha.2021.112420

Table 2.

Molecular pathways involved in SARS‑CoV‑2 infection and pathway-based therapeutic targets.

Signaling pathways Molecular targets Therapeutic agents Diseases Reference
Renin-angiotensin system (RAS) pathway ACE2 NAAE (ACE2 inhibitor), rhACE2 (GSK2586881) SARS-CoV, ARDS [1], [2]
TMPRSS2 Exogenous estrogen, Camostat mesylate, Aprotinin, MI-432, MI-1900, Nafamostat SARS-CoV-2 infection [3], [4]
ACE Lisinopril, Enalapril, Vitamin D3 Heart/Kidney, Heart, Kidney, SARS-CoV-2 [5], [6]
AT1R Losartan/Olmesartan, Losartan, Irbesartan, Telmisartan, Olmesartan Heart/Kidney, Aorta, Heart, Kidney, SARS-CoV-2 infection [5], [7]
ADAM17 A1AT, TIMP-3, TAPI-1, siRNA, Apratastat, TMI-1 Chronic obstructive pulmonary disease, SARS-CoV-2 infection [8], [9], [10]
IL-6-JAK/STAT IL-6 Sirukumab, FC-sgp130, Olokizumab, MAb 1339, CNTO328, Clazakizumab, Oroxylin A, ALX-0061, Siltuximab Cardiovascular disease, RA, Multiple myeloma, prostate cancer, Renal cell carcinoma, B-cell Non-Hodgkin lymphoma, Ovarian cancer, Non-small cell lung cancer, SARS-CoV-2 infection [11], [12], [13], [14]
IL-6R Tocilizumab, Sarilumab, ERBF, SANT-7, sgp130FC, NRI Leukaemia, Metastatic breast cancer, Pancreatic cancer, RA, Multiple myeloma, tumor cell line [12], [15], [16], [17], [18]
JAK TG101209, WP1066, CEP 3379, Sorafenib, Tofacitinib, Ruxolitinib, AG490 Lung cancer, Gastric cancer, Colorectal cancer, Glioblastoma, Cardiovascular disease, Pancreatic cancer [11], [19], [20], [21], [22], [23]
gp130 B-P4, Madindoline A, SC144, Raloxifene, Bazedoxifene, LMT-28 Inflammatory hepatocellular adenoma, Non-small cell lung cancer xenograft, Ovarian cancer, Breast cancer, Erythroleukemia [24], [25], [26], [27], [28]
JAK/STAT signaling Trichostatin A, Bufalin, Baricitinib, Ruxolitinib, Tofacitinib Experimental CRC, SARS-CoV-2 infection [29], [30]
STAT3 JSI-124, Stattic, Eriocalyxin B, S3I-201, STA-21, OBP-31121, OBP-51602, AZD9150, C188–9 B-leukemia, Breast and liver cancer, prostate cancer, Cardiovascular disease, Hepatocellular carcinoma, Multiple myeloma, NHL, AML, ALL, CML, Nasopharyngeal carcinoma, Advanced solid tumors, Metastatic HNSCC, Advanced stage lymphomas, Advanced stage pancreatic cancer, NSCLC, CRC [11], [15], [31], [32], [33], [34], [35]
SOCS3 SOCS3 Cardiovascular disease
IL-1B signaling IL-1 Anakinra SARS-CoV-2 infection [30], [36]
TNF signaling TNF-γ Baricitinib SARS-CoV-2 infection [36]
TNF-α Adalimumab, Etanercept, Infliximab SARS-CoV-2 infection [36], [37], [38]
TNF Infliximab, Golimumab, Adalimumab SARS-CoV-2 infection [30]
IL-6 signaling IL-6 Tocilizumab, Sarilumab, Baricitinib SARS-CoV-2 infection [30], [36]
IFN-γ signaling IFN-γ Emapalumab SARS-CoV-2 infection [30]
IL-17 IL-17 Fedratinib, Secukinumab, Netakimab Myelofibrosis, SARS-CoV-2 infection [39], [40]
GM-CSF GM-CSF Mavrilimumab, Lenzilumab, Tocilizumab SARS-CoV-2 infection [41]
NF-κB signaling pathway Inhibit translocation of the RELA CAPE SARS-CoV [42], [43]
Inhibit IKK complex Bay 11–7082, Parthenolide, Gabexate mesilate, resveratrol SARS-CoV, lipopolysaccharide (LPS)-induced tissue injury, allergic asthma [42], [44], [45], [46]
NF-κB cascade Dexamethasone, Hydroxychloroquine, Macrolide antibiotics, N-acetylcysteine SARS-CoV-2 infection [47]
TLR signaling pathway Inhibitor TLR3, TLR4, TLR7 and TLR8 Ulinastatin, M5049, Chloroquine, Hydroxychloroquine, Polyinosinic: polycytidylic acid, INNA-051 SARS-CoV-2 infection [48], [49], [50], [51], [52], [53], [54], [55]
mTOR signaling pathway mTORC1 Sirolimus, Rapamycin, Azithromycin, Niclosamide SARS-CoV-2, H1N1, H3N2 [56], [57], [58], [59]
mTOR Metformin, Buformin, Phenformin Influenza [57]
P38 MAPK signaling pathway P38 Chloroquine, SB203580, Dilmapimod, Losmapimod HCoV-229E, Acute lung injury, Hypercholesterolemic patients [60], [61], [62]
Kallikrein pathway B1R Safotibant reversion acute inflammatory pain induced by carrageenan, and persistent inflammatory pain induced by CFA [63]
B2R Icatibant Hereditary angioedema, SARS-CoV-2 infection [64], [65]
Kallikrein Lanadelumab,
C1 esterase inhibitor
Hereditary angioedema, SARS-CoV-2 infection [65], [66]
HIF-1 signaling pathway HIF prolyl hydroxylase HIF prolyl hydroxylase inhibitors:
FG-4592 (Roxadustat)
SARS-CoV-2 infection [67]
Cell death signaling pathway NLRP3 inflammasome MCC950, oridonin
Ang (1–7) or heme oxygenase 1 activators
Inflammatory diseases
SARS-CoV-2 infection
[68], [69]
Inflammasome activation signaling Anakinra, Tocilizumab and IFN-β SARS-CoV-2 infection [69]
RIPK3 and MLKL Zharp-99, necrosulfonamide, GSK843, GSK872 Inflammatory injury, cancer metastasis [70], [71]