Table 2 Summary of existing pharmacological modulators that act directly or indirectly on endothelial activation-mediated leukocytes recruitment

From: Endothelial activation and dysfunction in COVID-19: from basic mechanisms to potential therapeutic approaches

Potential therapeutic

Formula

Targets

Mechanism of action

Refs

Phellopterin

C17H16O5

Akt, PKC

Reduce TNF-α-induced VCAM-1 expression and inhibits the adhesion of monocytes to endothelium

142

K-7174,K-7174 dihydrochloride

C33H48N2O6/C33H50Cl2N2O6

GATA

Inhibit the expression of VCAM-1 induced by either IL-1β or TNF-α

143,144,145

Natalizumab

Monoclonal antibody

α4β1 integrin

A recombinant, humanized monoclonal antibody, binds to α4β1-integrin and blocks its interaction with VCAM-1

146

Gypenoside XLIX

C52H86O21

PPAR-α

A selective peroxisome proliferator-activated receptor (PPAR)-αactivator and inhibits cytokine-induced VCAM-1 overexpression

147

ICAM-1-IN-1

C15H11BrN2O2S

Integrin

A potent and selective inhibitor of ICAM-1

148

A-205804

C15H12N2OS2

ICAM-1, E-selectin

A potent and selective lead inhibitor of ICAM-1 and E-selectin

149

Lifitegrast (SAR 118)

C29H24Cl2N2O7S

LFA-1

Inhibit T cell attachment to ICAM-1

150,151

RWJ 50271

C18H17F3N4O2S

LFA-1/ICAM-1

A selective inhibitor of LFA-1/ICAM-1

152

BMS-688521

C26H19Cl2N5O4

LFA-1/ICAM-1

Inhibitor of the LFA-1/ICAM interaction

153

Bimosiamose (TBC-1269)

C46H54O16

E-selectin/ P-selectin

A nonoligosaccharide pan-selectin antagonist

154

Andrographolide

C20H30O5

NF-κB

Suppress the activation of NF-κB in stimulated endothelial cells

155

Sialyl-Lewis X

C31H52N2O23

E-selectin

A high-affinity ligand for selectins and inhibits E-selectin-mediated neutrophil recruitment

156

PSI-697

C21H18ClNO3

P-selectin

Inhibit the binding of a soluble human P-selectin to PSGL-1

157

Parmodulin 2

C17H17BrN2O2

PAR1

An allosteric inhibitor of protease-activated receptor 1 (PAR1)

158,159