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Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review

Coronavirus disease-2019 (COVID-19) is associated with systemic inflammation, endothelial activation, and multiorgan manifestations. Lipid-modulating agents may be useful in treating patients with COVID-19. These agents may inhibit viral entry by lipid raft disruption or ameliorate the inflammatory...

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Autores principales: Talasaz, Azita H., Sadeghipour, Parham, Aghakouchakzadeh, Maryam, Dreyfus, Isaac, Kakavand, Hessam, Ariannejad, Hamid, Gupta, Aakriti, Madhavan, Mahesh V., Van Tassell, Benjamin W., Jimenez, David, Monreal, Manuel, Vaduganathan, Muthiah, Fanikos, John, Dixon, Dave L., Piazza, Gregory, Parikh, Sahil A., Bhatt, Deepak L., Lip, Gregory Y.H., Stone, Gregg W., Krumholz, Harlan M., Libby, Peter, Goldhaber, Samuel Z., Bikdeli, Behnood
Formato: Online Artículo Texto
Lenguaje:English
Publicado: by the American College of Cardiology Foundation. Published by Elsevier. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504484/
https://www.ncbi.nlm.nih.gov/pubmed/34649702
http://dx.doi.org/10.1016/j.jacc.2021.08.021
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author Talasaz, Azita H.
Sadeghipour, Parham
Aghakouchakzadeh, Maryam
Dreyfus, Isaac
Kakavand, Hessam
Ariannejad, Hamid
Gupta, Aakriti
Madhavan, Mahesh V.
Van Tassell, Benjamin W.
Jimenez, David
Monreal, Manuel
Vaduganathan, Muthiah
Fanikos, John
Dixon, Dave L.
Piazza, Gregory
Parikh, Sahil A.
Bhatt, Deepak L.
Lip, Gregory Y.H.
Stone, Gregg W.
Krumholz, Harlan M.
Libby, Peter
Goldhaber, Samuel Z.
Bikdeli, Behnood
author_facet Talasaz, Azita H.
Sadeghipour, Parham
Aghakouchakzadeh, Maryam
Dreyfus, Isaac
Kakavand, Hessam
Ariannejad, Hamid
Gupta, Aakriti
Madhavan, Mahesh V.
Van Tassell, Benjamin W.
Jimenez, David
Monreal, Manuel
Vaduganathan, Muthiah
Fanikos, John
Dixon, Dave L.
Piazza, Gregory
Parikh, Sahil A.
Bhatt, Deepak L.
Lip, Gregory Y.H.
Stone, Gregg W.
Krumholz, Harlan M.
Libby, Peter
Goldhaber, Samuel Z.
Bikdeli, Behnood
author_sort Talasaz, Azita H.
collection PubMed
description Coronavirus disease-2019 (COVID-19) is associated with systemic inflammation, endothelial activation, and multiorgan manifestations. Lipid-modulating agents may be useful in treating patients with COVID-19. These agents may inhibit viral entry by lipid raft disruption or ameliorate the inflammatory response and endothelial activation. In addition, dyslipidemia with lower high-density lipoprotein cholesterol and higher triglyceride levels portend worse outcomes in patients with COVID-19. Upon a systematic search, 40 randomized controlled trials (RCTs) with lipid-modulating agents were identified, including 17 statin trials, 14 omega-3 fatty acids RCTs, 3 fibrate RCTs, 5 niacin RCTs, and 1 dalcetrapib RCT for the management or prevention of COVID-19. From these 40 RCTs, only 2 have reported preliminary results, and most others are ongoing. This paper summarizes the ongoing or completed RCTs of lipid-modulating agents in COVID-19 and the implications of these trials for patient management.
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spelling pubmed-85044842021-10-12 Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review Talasaz, Azita H. Sadeghipour, Parham Aghakouchakzadeh, Maryam Dreyfus, Isaac Kakavand, Hessam Ariannejad, Hamid Gupta, Aakriti Madhavan, Mahesh V. Van Tassell, Benjamin W. Jimenez, David Monreal, Manuel Vaduganathan, Muthiah Fanikos, John Dixon, Dave L. Piazza, Gregory Parikh, Sahil A. Bhatt, Deepak L. Lip, Gregory Y.H. Stone, Gregg W. Krumholz, Harlan M. Libby, Peter Goldhaber, Samuel Z. Bikdeli, Behnood J Am Coll Cardiol The Present and Future Coronavirus disease-2019 (COVID-19) is associated with systemic inflammation, endothelial activation, and multiorgan manifestations. Lipid-modulating agents may be useful in treating patients with COVID-19. These agents may inhibit viral entry by lipid raft disruption or ameliorate the inflammatory response and endothelial activation. In addition, dyslipidemia with lower high-density lipoprotein cholesterol and higher triglyceride levels portend worse outcomes in patients with COVID-19. Upon a systematic search, 40 randomized controlled trials (RCTs) with lipid-modulating agents were identified, including 17 statin trials, 14 omega-3 fatty acids RCTs, 3 fibrate RCTs, 5 niacin RCTs, and 1 dalcetrapib RCT for the management or prevention of COVID-19. From these 40 RCTs, only 2 have reported preliminary results, and most others are ongoing. This paper summarizes the ongoing or completed RCTs of lipid-modulating agents in COVID-19 and the implications of these trials for patient management. by the American College of Cardiology Foundation. Published by Elsevier. 2021-10-19 2021-10-11 /pmc/articles/PMC8504484/ /pubmed/34649702 http://dx.doi.org/10.1016/j.jacc.2021.08.021 Text en © 2021 by the American College of Cardiology Foundation. Published by Elsevier. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle The Present and Future
Talasaz, Azita H.
Sadeghipour, Parham
Aghakouchakzadeh, Maryam
Dreyfus, Isaac
Kakavand, Hessam
Ariannejad, Hamid
Gupta, Aakriti
Madhavan, Mahesh V.
Van Tassell, Benjamin W.
Jimenez, David
Monreal, Manuel
Vaduganathan, Muthiah
Fanikos, John
Dixon, Dave L.
Piazza, Gregory
Parikh, Sahil A.
Bhatt, Deepak L.
Lip, Gregory Y.H.
Stone, Gregg W.
Krumholz, Harlan M.
Libby, Peter
Goldhaber, Samuel Z.
Bikdeli, Behnood
Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review
title Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review
title_full Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review
title_fullStr Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review
title_full_unstemmed Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review
title_short Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review
title_sort investigating lipid-modulating agents for prevention or treatment of covid-19: jacc state-of-the-art review
topic The Present and Future
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504484/
https://www.ncbi.nlm.nih.gov/pubmed/34649702
http://dx.doi.org/10.1016/j.jacc.2021.08.021
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