细胞激素风暴
细胞因子
细胞因子释放综合征
免疫学
肺炎
2019年冠状病毒病(COVID-19)
医学
严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)
冠状病毒
重症监护医学
免疫系统
免疫疗法
传染病(医学专业)
疾病
内科学
嵌合抗原受体
作者
Qian‐Fang Meng,Rui Tian,Haiyi Long,Xianjia Wu,Jialin Lai,Olga Zharkova,Jiong‐Wei Wang,Xiaoyuan Chen,Lang Rao
标识
DOI:10.1002/adma.202100012
摘要
Abstract The COVID‐19 pandemic, induced by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), has caused great impact on the global economy and people's daily life. In the clinic, most patients with COVID‐19 show none or mild symptoms, while approximately 20% of them develop severe pneumonia, multiple organ failure, or septic shock due to infection‐induced cytokine release syndrome (the so‐called “cytokine storm”). Neutralizing antibodies targeting inflammatory cytokines may potentially curb immunopathology caused by COVID‐19; however, the complexity of cytokine interactions and the multiplicity of cytokine targets make attenuating the cytokine storm challenging. Nonspecific in vivo biodistribution and dose‐limiting side effects further limit the broad application of those free antibodies. Recent advances in biomaterials and nanotechnology have offered many promising opportunities for infectious and inflammatory diseases. Here, potential mechanisms of COVID‐19 cytokine storm are first discussed, and relevant therapeutic strategies and ongoing clinical trials are then reviewed. Furthermore, recent research involving emerging biomaterials for improving antibody‐based and broad‐spectrum cytokine neutralization is summarized. It is anticipated that this work will provide insights on the development of novel therapeutics toward efficacious management of COVID‐19 cytokine storm and other inflammatory diseases.
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