A digital health platform for assisting the diagnosis and monitoring of COVID-19 progression: An adjuvant approach for augmenting the antiviral response and mitigating the immune-mediated target organ damage

https://doi.org/10.1016/j.biopha.2021.112228Get rights and content
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Abstract

Coronavirus disease 2019 (COVID-19), which is a respiratory illness associated with high mortality, has been classified as a pandemic. The major obstacles for the clinicians to contain the disease are limited information availability, difficulty in disease diagnosis, predicting disease prognosis, and lack of disease monitoring tools. Additionally, the lack of valid therapies has further contributed to the difficulties in containing the pandemic. Recent studies have reported that the dysregulation of the immune system leads to an ineffective antiviral response and promotes pathological immune response, which manifests as ARDS, myocarditis, and hepatitis. In this study, a novel platform has been described for disseminating information to physicians for the diagnosis and monitoring of patients with COVID-19. An adjuvant approach using compounds that can potentiate antiviral immune response and mitigate COVID-19-induced immune-mediated target organ damage has been presented. A prolonged beneficial effect is achieved by implementing algorithm-based individualized variability measures in the treatment regimen.

Abbreviations

COVID-19
coronavirus disease 2019
CoV
coronavirus
ARDS
acute respiratory distress syndrome
SARS
severe acute respiratory syndrome
MERS
Middle East respiratory syndrome
RT-PCR
reverse transcriptase polymerase chain reaction
IFNβ
interferon-beta
RNA
ribonucleic acid
dsRNA
double-stranded RNA
TLR
toll-like receptors
RIG-I
retinoic acid-inducible gene I
NF-κB
nuclear factor kappa-light-chain
IRF
interferon regulatory factor
IFN
interferon
JAK-STAT
Janus kinase signal transducer and activation of transcription
IFNR
type I IFN receptor
PRM
patterns recognition molecules
IL
interleukin
NK cells
natural killer cells
Th cells
T helper cells
APC
antigen-presenting cells
CTL
cytotoxic T cells
ICU
intensive care unit
IP-10
IFN gamma-induced protein 10
MCP
monocyte chemoattractant protein
TNF
tumor necrosis factor
NLR
neutrophil-lymphocyte ratio
Tregs
regulatory T cells
CD
cluster of differentiation
NKT
NK T cells
HLH
hemophagocytic lymphohistiocytosis
S-1P
sphingosine-1-phosphate
GC
glucosylceramide
HCC
hepatocellular carcinoma
SphK
sphingosine kinase
MT
microtubules
HBC
hyperimmune bovine colostrum
IG
immunoglobulin
HRV
heart rate variability
SK1
sphingokinase 1

Keywords

COVID-19
Coronavirus
Digital health
Antiviral therapy
Antiviral response
ARDS

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