Sphingosine 1 phosphate agonists (SPI): A potential agent to prevent acute lung injury in COVID-19

  • Sepideh Zununi Vahed
  • , Shahram Ghiyasvand
  • , Seyed Mahdi Hosseiniyan Khatibi
  • , Bhargav Patel
  • , Mohammadali Mohajel Shoja
  • , Ramin Tolouian
  • , Mohammadreza Ardalan

Research output: Contribution to journalArticlepeer-review

Abstract

SARS-CoV-2 is a worldwide pandemic, that has led to the morbidity and mortality of millions of people. This virus rapidly proliferates and destroys lung epithelial cells directly, which is worsened by a subsequent cytokine storm. This cytokine storm diffusely damages the alveolar barriers and leads to fibrin and fluid exudation, hyaline membrane formation, and infiltration of inflammatory cells into the lung causing acute respiratory distress syndrome (ARDS). To date, there exists no medication to treat SARS-CoV-2 infection and novel new therapeutics are still being explored to prevent or limit the damage to the lung. Sphingosine 1-phosphate (S1P) is an effective bioactive lipid mediator and its related signaling pathways are vital for endothelial cell integrity. Stabilizing the pulmonary endothelial barrier and decreasing the inflammatory infiltrate by S1P analogs such as Fingolimod (FTY720-P) would be a new therapeutic approach for the hindrance of pulmonary exudation and subsequent ARDS.

Original languageEnglish
Article numbere03
JournalImmunopathologia Persa
Volume7
Issue number1
DOIs
StatePublished - Jan 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2021 The Author(s); Published by Nickan Research Institute. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

ASJC Scopus Subject Areas

  • Endocrinology, Diabetes and Metabolism
  • Immunology
  • Hematology
  • Immunology and Microbiology (miscellaneous)

Keywords

  • Acute respiratory distress syndrome
  • COVID-19
  • Cytokine storm
  • FTY720-P
  • Fingolimod
  • SARS-CoV-2

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