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A tale of two diseases: Sarcoidosis, COVID-19 and new therapeutic options with dual RAS inhibition and tetanus-diphtheria vaccine

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dc.creator ÖZBALCI, Demircan
dc.date 2021-07-01T00:00:00Z
dc.date.accessioned 2021-12-03T11:16:01Z
dc.date.available 2021-12-03T11:16:01Z
dc.identifier 1dcedeb4-df7b-44ff-b6d2-83579539883c
dc.identifier 10.1016/j.mehy.2021.110619
dc.identifier https://avesis.sdu.edu.tr/publication/details/1dcedeb4-df7b-44ff-b6d2-83579539883c/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/90301
dc.description Sars Cov-2, the pathogen which belongs to the beta coronavirus family that is responsible for COVID-19, uses Angiotensin Converting Enzyme 2 (ACE2) as a receptor, which is responsible for controlling the actions of reninangiotensin system (RAS). Sars Cov-2 - ACE2 binding leads to a RAS mediated immune response, which targets especially lungs to form ARDS, which in turn, is the most important cause of mortality in COVID-19. CD8+ T cell response dominates over CD4+ T cell response and natural killer cell dysfunction also leads to CD4+ cell dysfunction in COVID-19; this immune dysregulation leads to inappropriate (ARDS) and inadequate (low or quickly waning antibodies) responses to the disease and unfortunately, prepares the patients for re-infections. The peripheral anergy seen in chronic sarcoidosis has much resemblance to COVID-19; CD8+ T cell accumulation is also responsible for inadequate reaction to tuberculin and antigenic stimulus. This article, based on the similarity of COVID-19 and sarcoidosis, discusses a combination of the therapeutic strategy of the tetanusdiphtheria vaccine and dual RAS inhibition, alongside with hydroxychloroquine and antiviral agents, as a solution to overcome the problems described above.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title A tale of two diseases: Sarcoidosis, COVID-19 and new therapeutic options with dual RAS inhibition and tetanus-diphtheria vaccine
dc.type info:eu-repo/semantics/article


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