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Published in: Clinical Rheumatology 8/2020

01-08-2020 | Chloroquin | Perspectives in Rheumatology

Hydroxychloroquine and chloroquine in COVID-19: should they be used as standard therapy?

Authors: Sebastián Ibáñez, Oriela Martínez, Francisca Valenzuela, Francisco Silva, Omar Valenzuela

Published in: Clinical Rheumatology | Issue 8/2020

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Abstract

The pandemic of the new coronavirus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has urged the nations to an unprecedented world-wide reaction, including an accelerated exploration of therapeutic options. In the absence of a vaccine and specifically designed antivirals, the medical community has proposed the use of various previously available medications in order to reduce the number of patients requiring prolonged hospitalizations, oxygen therapy, and mechanical ventilation and to decrease mortality from coronavirus disease 2019 (COVID-19). Hydroxychloroquine and chloroquine are among the proposed drugs and are the most widely used so far, despite the lack of robust evidence on their usefulness. The objective of this article is to review and discuss the possible role of these drugs in the therapy of COVID-19.
Literature
17.
go back to reference Briant L, Robert-Hebmann V, Acquaviva C et al (1998) The protein tyrosine kinase p56 lck is required for triggering NF-κB activation upon interaction of human immunodeficiency virus type 1 envelope glycoprotein gp120 with cell surface CD4. J Virol 72:6207–6214CrossRefPubMedPubMedCentral Briant L, Robert-Hebmann V, Acquaviva C et al (1998) The protein tyrosine kinase p56 lck is required for triggering NF-κB activation upon interaction of human immunodeficiency virus type 1 envelope glycoprotein gp120 with cell surface CD4. J Virol 72:6207–6214CrossRefPubMedPubMedCentral
23.
go back to reference Picot S, Peyron F, Donadille A, Vuillez JP, Barbe G, Ambroise-Thomas P (1993) Chloroquine-induced inhibition of the production of TNF, but not of IL-6, is affected by disruption of iron metabolism. Immunology 80:127–133PubMedPubMedCentral Picot S, Peyron F, Donadille A, Vuillez JP, Barbe G, Ambroise-Thomas P (1993) Chloroquine-induced inhibition of the production of TNF, but not of IL-6, is affected by disruption of iron metabolism. Immunology 80:127–133PubMedPubMedCentral
24.
go back to reference Jeong JY, Jue DM (1997) Chloroquine inhibits processing of tumor necrosis factor in lipopolysaccharide-stimulated RAW 264.7 macrophages. J Immunol 158:4901–4907PubMed Jeong JY, Jue DM (1997) Chloroquine inhibits processing of tumor necrosis factor in lipopolysaccharide-stimulated RAW 264.7 macrophages. J Immunol 158:4901–4907PubMed
25.
go back to reference Zhu X, Ertel W, Ayala A et al (1993) Chloroquine inhibits macrophage tumour necrosis factor-alpha mRNA transcription. Immunology 80:122–126PubMedPubMedCentral Zhu X, Ertel W, Ayala A et al (1993) Chloroquine inhibits macrophage tumour necrosis factor-alpha mRNA transcription. Immunology 80:122–126PubMedPubMedCentral
31.
go back to reference multicenter collaboration group of Department of Science and Technology of Guangdong Province and Health Commission of Guangdong Province for chloroquine in the treatment of novel coronavirus pneumonia (2020) Expert consensus on chloroquine phosphate for the treatment of novel coronavirus pneumonia. Zhonghua Jie He He Hu Xi Za Zhi Zhonghua Jiehe He Huxi Zazhi Chin J Tuberc Respir Dis 43:185–188. https://doi.org/10.3760/cma.j.issn.1001-0939.2020.03.009CrossRef multicenter collaboration group of Department of Science and Technology of Guangdong Province and Health Commission of Guangdong Province for chloroquine in the treatment of novel coronavirus pneumonia (2020) Expert consensus on chloroquine phosphate for the treatment of novel coronavirus pneumonia. Zhonghua Jie He He Hu Xi Za Zhi Zhonghua Jiehe He Huxi Zazhi Chin J Tuberc Respir Dis 43:185–188. https://​doi.​org/​10.​3760/​cma.​j.​issn.​1001-0939.​2020.​03.​009CrossRef
40.
go back to reference Mahevas M, Tran V-T, Roumier M, et al (2020) No evidence of clinical efficacy of hydroxychloroquine in patients hospitalized for COVID-19 infection with oxygen requirement: results of a study using routinely collected data to emulate a target trial. medRxiv 2020.04.10.20060699. https://doi.org/10.1101/2020.04.10.20060699 Mahevas M, Tran V-T, Roumier M, et al (2020) No evidence of clinical efficacy of hydroxychloroquine in patients hospitalized for COVID-19 infection with oxygen requirement: results of a study using routinely collected data to emulate a target trial. medRxiv 2020.04.10.20060699. https://​doi.​org/​10.​1101/​2020.​04.​10.​20060699
43.
go back to reference Borba MGS, Val F de A, Sampaio VS, et al (2020) Chloroquine diphosphate in two different dosages as adjunctive therapy of hospitalized patients with severe respiratory syndrome in the context of coronavirus (SARS-CoV-2) infection: preliminary safety results of a randomized, double-blinded, phase IIb clinical trial (CloroCovid-19 Study). medRxiv 2020.04.07.20056424. https://doi.org/10.1101/2020.04.07.20056424 Borba MGS, Val F de A, Sampaio VS, et al (2020) Chloroquine diphosphate in two different dosages as adjunctive therapy of hospitalized patients with severe respiratory syndrome in the context of coronavirus (SARS-CoV-2) infection: preliminary safety results of a randomized, double-blinded, phase IIb clinical trial (CloroCovid-19 Study). medRxiv 2020.04.07.20056424. https://​doi.​org/​10.​1101/​2020.​04.​07.​20056424
Metadata
Title
Hydroxychloroquine and chloroquine in COVID-19: should they be used as standard therapy?
Authors
Sebastián Ibáñez
Oriela Martínez
Francisca Valenzuela
Francisco Silva
Omar Valenzuela
Publication date
01-08-2020
Publisher
Springer International Publishing
Published in
Clinical Rheumatology / Issue 8/2020
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-020-05202-4

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