Table 2 Therapeutic strategies associated with cell death of SARS-CoV-2

From: The role of cell death in SARS-CoV-2 infection

Drug

Host target

Type of cell death

Mechanism

Infliximab

TNF-α

Apoptosis

Acts as a chimeric IgG1 monoclonal antibody that targets TNF-α.64,65

Emricasan

Pan-caspase

Apoptosis

Suppresses caspase-3/7/9.66,67

Q-VD

Pan-caspase

Apoptosis

Suppresses caspase-3.68

Primidone

RIPK1

Necroptosis

Reduces RIPK1-mediated necroptosis.83

Necrostatin-1

RIPK1

Necroptosis

Acts as a RIPK1-targeted inhibitor of necroptosis.84,85

MCC950

NLRP3

Pyroptosis

Inhibits SARS-CoV-2 N-induced cytokine production.97

Dapansutrile

NLRP3

Pyroptosis

Inhibits the production of early cytokines.104

Disulfiram

GSDMD

Pyroptosis

Modifies Cys191/Cys192 in GSDMD to block pore formation, which prevents IL-1β release.105

NETosis

Downregulation of innate immune and complement/coagulation pathways to reduce NET formation.163,164

Telmisartan

Angiotensin receptors

Pyroptosis

Inhibits Ang binding with its receptors, which leads to a reduction in the Ang-ATR signaling.106

Anakinra

IL-1 receptor

Pyroptosis

Blocks NLRP3 inflammasome-dependent pyroptosis.107

Canakinumab

IL-1β

Pyroptosis

A human monoclonal antibody that targets IL-1β.108

Tocilizumab

IL-6 receptor

Pyroptosis

An IL-6 receptor antagonist.110

Iron ion

Ferroptosis

Iron chelation.129

Imatinib

Free iron

Ferroptosis

Binds with free iron to inactivate iron-containing enzymes and inhibits Fenton reactions.127

Selenium

GPX4

Ferroptosis

Preserves GPX4 from irreversible inactivation due to its role in selenocysteine synthesis.130,131,132,133

Ebselen

GPX4

Ferroptosis

Prevents ferroptosis by acting as a GPX mimic.132

M of SARS-CoV-2

Inhibits viral replication by interacting with SARS-CoV-2 M protein.131

N-acetylcysteine

GSH

Ferroptosis

Reinforces the GPX4-GSH-cysteine axis.136,137

Ferrostatin-1

Free iron

Ferroptosis

Captures free radicals and slows down the accumulation of PLOOH in PUFA.138,139

Liproxstatin-1

Free iron

Ferroptosis

Captures free radicals and slows down the accumulation of PLOOH in PUFA.138,139

Sivelestat

NE

NETosis

A selective NE inhibitor.158

Cl-amidine

PAD4

NETosis

Reduces histone citrullination in both SARS-CoV-2-infected neutrophils.149

Apremilast

PDE4

NETosis

A PDE4 selective inhibitor.161

DNase-I

NETs

NETosis

Dissolves thrombogenic NETs.162

Dipyridamole

PDE

NETosis

A PDE inhibitor.171

Alvelestat

NE

NETosis

Inhibits neutrophil elastase.173

  1. TNF-α tumor necrosis factor-alpha, IgG1 immunoglobin G1, RIPK1 receptor interacting serine/threonine kinase 1, NLRP3 PYD domain-containing protein 3, GSDMD gasdermin-D, NET neutrophil extracellular traps, Ang II angiotensin II, ATR serine/threonine kinase, IL‑1 interleukin 1, IL-6 interleukin 6, GPX4 glutathione peroxidase, GSH glutathione, ACSL4 acyl-CoA synthetase long-chain family member 4, PLOOH phospholipid hydroperoxides, PUFA polyunsaturated fatty acids, NE neutrophil elastase, PAD4 protein arginine deiminase 4, PDE4 phosphodiesterase 4, NET extracellular traps