SARS‐CoV‐2 is a novel human coronavirus responsible for the Coronavirus disease 2019 (COVID‐19) pandemic. Pneumonia and acute respiratory distress syndrome are the major complications of COVID‐19. SARS‐CoV‐2 infection can activate innate and adaptive immune responses and result in massive inflammatory responses later in the disease. These uncontrolled inflammatory responses may lead to local and systemic tissue damage. In patients with severe COVID‐19, eosinopenia and lymphopenia with a severe reduction in the frequency of CD4+ and CD8+ T cells, B cells and natural killer (NK) cells are a common feature. COVID‐19 severity hinges on the development of cytokine storm characterized by elevated serum levels of pro‐inflammatory cytokines. Moreover, IgG‐, IgM‐ and IgA‐specific antibodies against SARS‐CoV‐2 can be detected in most patients, along with the viral RNA, forming the basis for assays that aid in patient diagnosis. Elucidating the immunopathological outcomes due to COVID‐19 could provide potential targets for immunotherapy and are important for choosing the best clinical management by consultants. Currently, along with standard supportive care, therapeutic approaches to COVID‐19 treatment involve the use of antiviral agents that interfere with the SARS‐CoV‐2 lifecycle to prevent further viral replication and utilizing immunomodulators to dampen the immune system in order to prevent cytokine storm and tissue damage. While current therapeutic options vary in efficacy, there are several molecules that were either shown to be effective against other viruses such as HIV or show promise in vitro that could be added to the growing arsenal of agents used to control COVID‐19 severity and spread.
Interleukin-18 (IL-18) is a potent pro-inflammatory cytokine involved in host defense against infections and regulates the innate and acquired immune response. IL-18 is produced by both hematopoietic and non-hematopoietic cells, including monocytes, macrophages, keratinocytes and mesenchymal cell. IL-18 could potentially induce inflammatory and cytotoxic immune cell activities leading to autoimmunity. Its elevated levels have been reported in the blood of patients with some immune-related diseases, including rheumatoid arthritis, systemic lupus erythematosus, type I diabetes mellitus, atopic dermatitis, psoriasis, and inflammatory bowel disease. In the present review, we aimed to summarize the biological properties of IL-18 and its pathological role in different autoimmune diseases. We also reported some monoclonal antibodies and drugs targeting IL-18. Most of these monoclonal antibodies and drugs have only produced partial effectiveness or complete ineffectiveness in vitro, in vivo and human studies. The ineffectiveness of these drugs targeting IL-18 may be largely due to the loophole caused by the involvement of other cytokines and proteins in the signaling pathway of many inflammatory diseases besides the involvement of IL-18. Combination drug therapies, that focus on IL-18 inhibition, in addition to other cytokines, are highly recommended to be considered as an important area of research that needs to be explored.
Groundwater under Basement Complex areas of southern Kebbi has been characterized in order to determine its suitability for drinking and irrigation use. Water samples were drawn from shallow groundwater (hand-dug shallow wells < 5 m) and deep groundwater (boreholes > 40 m). Physical parameters (i.e., temperature, TDS, pH, and EC), were determined in situ, using handheld meters. Discrete water samples were obtained for determination of chemical parameters. Results from severalsample ANOVA (Kruskal-Wallis test) suggested that heterogeneity in water table appeared to exert significant influence on groundwater chemistry which is characterized by a significant difference in pH, EC TH, Na + , Zn 2+ , Mg 2+ , PO 4 3− , Cl − , HCO 3 − , SO 4 2− , and NO 3 − concentrations. Also, ions including Fe 3+ , Zn 2+ , Mg 2+ , Na + , PO 4 3− , and SO 4 2− are above World Health Organization (2011) and National Standard for Drinking Water Quality (2007) reference guidelines. Most of the groundwater sources are moderately hard. Groundwater classification based on chloride, EC, and TDS revealed water of excellent quality for all types of uses. However, groundwater classification based on nitrate pollution revealed water of poor quality. Rock mineral is the major mechanism controlling water chemistry, as revealed by the Gibbs model. Most of the water sources have positive Scholler index, indicative of overall base exchange reactions in the underlying aquifers. Such condition was well explained by Piper trilinear diagram, which revealed two types of faces: Ca-Mg-HCO 3 and Ca-Mg-SO 4-Cl. The HCA categorized wells into three groups according to their hydrogeochemical physiognomies. Despite the significant difference in ions concentration and chemical indices, groundwater composition is more influenced by rock weathering than anthropogenic inputs. Groundwater evaluation for irrigation use indicates a significant difference in SAR level which is related to poor permeability index in shallow groundwater. Higher values of Kelly's index and magnesium adsorption ratio threatened groundwater suitability for irrigation use in the study area.
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