2020
DOI: 10.34172/jrcm.2020.044
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Sirolimus to treat SARS-CoV-2 infection: an old drug for a new disease

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Cited by 7 publications
(6 citation statements)
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“…We also obtained selective immunosuppressants such as: baricitinib, sirolimus, tofacitinib and a calcineurin inhibitor, voclosporin. Sirolimus, a drug used to prevent organ rejection in renal transplants and suggested for COVID-19 also in [ 25 ], was identified in both network analyses, due to its inhibitory effect on MTOR, whereas baricitinib and tofacitinib were identified only in the MOI 0.01 network analysis, due to their inhibitory action on JAK2. Both are used in rheumatoid arthritis, and baricitinib has Food and Drug Administration (FDA) approval for use in COVID-19.…”
Section: Resultsmentioning
confidence: 99%
“…We also obtained selective immunosuppressants such as: baricitinib, sirolimus, tofacitinib and a calcineurin inhibitor, voclosporin. Sirolimus, a drug used to prevent organ rejection in renal transplants and suggested for COVID-19 also in [ 25 ], was identified in both network analyses, due to its inhibitory effect on MTOR, whereas baricitinib and tofacitinib were identified only in the MOI 0.01 network analysis, due to their inhibitory action on JAK2. Both are used in rheumatoid arthritis, and baricitinib has Food and Drug Administration (FDA) approval for use in COVID-19.…”
Section: Resultsmentioning
confidence: 99%
“…The 18-kDa cytoplasmic protein procyclin A is an important cellular biomolecule required for RNA virus replication, and recent studies have shown that non-immunosuppressive analogs, such as alisporivir, inhibit the activity of procyclins (Almasi and Mohammadipanah, 2020 ). Saracatinib, sirolimus, and suramin have also been indicated as therapeutic agents for COVID-19 in recent studies (Romanelli and Mascolo, 2020 ; Salgado-Benvindo et al, 2020 ; Tatar et al, 2021 ).…”
Section: Discussionmentioning
confidence: 99%
“…Inhibition of mTOR suppresses the cytokine storm, which maybe the cause of hyperinflammatory phase of COVID-19 [133,151]. Inhibition of PI3K/AKT pathway by blocking mTOR has been claimed to be beneficial in SARS-CoV-2 infection [130,152]. Sirolimus also known as rapamycin, an mTOR inhibitor used as an immunosuppressant against transplant rejection, was found to be advantageous in MERS-CoV.…”
Section: Targeting Pi3k/akt In Sars-cov-2: Mechanismsmentioning
confidence: 99%
“…Terrazzano and coworkers claimed everolimus, a rapamycin derivate, to be a potential antiviral agent against SARS-CoV-2 by blocking mTOR in PI3K/AKT pathway. Everolimus may decrease SARS-CoV-2 replication as it does in some other viral infections [152]. Azithromycin, a macrolide antibiotic has been used for its anti-inflammatory and immunomodulatory effects in some respiratory diseases.…”
Section: Targeting Pi3k/akt In Sars-cov-2: Mechanismsmentioning
confidence: 99%