Table 2 Therapeutic strategies associated with cell death of SARS-CoV-2
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 | |
Q-VD | Pan-caspase | Apoptosis | Suppresses caspase-3.68 |
Primidone | RIPK1 | Necroptosis | Reduces RIPK1-mediated necroptosis.83 |
Necrostatin-1 | RIPK1 | Necroptosis | |
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 | |
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 |