Cytokine release syndrome and the prospects for immunotherapy with COVID-19. Part 2: The role of interleukin 1.

Calabrese, Leonard H; Calabrese, Cassandra · Cleve Clin J Med · 2020

other · Level V

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Abstract

Interleukin 1 (IL-1) is a potential target of therapy in COVID-19 during the severe respiratory-inflammatory phase ("cytokine release syndrome"), when pulmonary macrophages are hyperactivated, releasing IL-1 and other cytokines. Preliminary evidence indicates that anakinra and canakinumab, drugs that block the action of IL-1 and have a good safety profile, improve the outcomes of patients with COVID-19 cytokine release syndrome. Results from large, randomized clinical trials are pending.