4.7 Review

Taming the cytokine storm: repurposing montelukast for the attenuation and prophylaxis of severe COVID-19 symptoms

Journal

DRUG DISCOVERY TODAY
Volume 25, Issue 12, Pages 2076-2079

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.drudis.2020.09.013

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Funding

  1. Research Manitoba 2017 Health Research New Investigator Operating Grant

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As a result of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, a clinical complication can arise that is characterized by a hyperinflammatory cytokine profile, often termed a 'cytokine storm'. A protein complex (nuclear factor kappa-light-chain-enhancer of activated B cells; NF KB) is intricately involved in regulating inflammation and the immune response following viral infections, with a reduction in cytokine production often observed following a decrease in NF -KB activity. An approved asthma drug, montelukast, has been found to modulate the activity of NF -KB, and result in a corresponding decrease in proinflammatory mediators. Herein, we hypothesize that repurposing montelukast to suppress NF -KB activation will result in an attenuation of proinflammatory mediators and a decrease in cytokine production, thereby leading to a reduction in symptom severity and to improved clinical outcomes in patients with Coronavirus 2019 (COVID-19).

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