Table 1 Potential therapeutic strategies for COVID-19

From: COVID-19: immunopathogenesis and Immunotherapeutics

Action

Therapeutic strategy

Agent

Function

Comment

Enhancing lymphocytes

NK cell-based therapy

NK cells

Anti-viral defense, enhances immune response

Kleo Pharmaceuticals Inc. develops NK cell combination therapy

Immunomodulators

IFN alfa-2a, 2b

Stimulates innate antiviral responses

Clinical trial has been initiated (ChiCTR2000029387)

Pseudomonas aeruginosa

NA

Thymosin

NA

Convalescent plasma therapy

Convalescent plasma

Antibodies from convalescent plasma inhibit viremia

Patients treated with convalescent plasma show decreased mortality rate

Inhibiting inflammation

MSC-based therapy

MSCs

Anti-inflammatory effect, repairs pulmonary epithelial cell damage

Clinical trial is ongoing

Treg cell-based therapy

Tregs

Anti-inflammation

Cellenkos Inc. develops a novel allogenic cell therapy (CK0802)

Blood purification

Blood purification

Prevention of cytokine storm

Approved for severe and critical cases by China

Blockade of IL-6 signaling

Tocilizumab

Targets IL-6R signaling to relieve inflammation

ChiCTR2000029765

Sarilumab

Blocks anti-human IL-6R

Phase 2/3 trial evaluating the safety and efficacy of sarilumab for COVID-19 treatment is underway

Anti-inflammatory agents

Baricitinib

Inhibits JAK signaling to decrease cytokine levels

Combined with direct-acting antivirals reduces viral replication and aberrant host inflammatory response

Fedratinib

NA

Ruxolitinib

NA

DHODH inhibitors

Inhibits virus replication, attenuates cytokine storm

Effective in infected animals

  1. COVID-19 Coronavirus disease 2019, NK natural killer, IFN Interferon, NA not applicable, MSC mesenchymal stem cell, Treg regulatory T, IL-6 Interleukin-6, IL-6R Interleukin-6 receptor, JAK Janus kinase, DHODH Dihydroorotate dehydrogenase