
| 10.1016/j.ejphar.2020.173615
http://scihub22266oqcxt.onion/10.1016/j.ejphar.2020.173615
 33011243!7527794!33011243
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Eur+J+Pharmacol 2020 ; 889 (�): 173615 Nephropedia Template TP
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New putative insights into neprilysin (NEP)-dependent pharmacotherapeutic role of roflumilast in treating COVID-19 #MMPMID33011243El Tabaa MM; El Tabaa MMEur J Pharmacol 2020[Dec]; 889 (�): 173615 PMID33011243show ga
Nowadays, coronavirus disease 2019 (COVID-19) represents the most serious inflammatory respiratory disease worldwide. Despite many proposed therapies, no effective medication has yet been approved. Neutrophils appear to be the key mediator for COVID-19-associated inflammatory immunopathologic, thromboembolic and fibrotic complications. Thus, for any therapeutic agent to be effective, it should greatly block the neutrophilic component of COVID-19. One of the effective therapeutic approaches investigated to reduce neutrophil-associated inflammatory lung diseases with few adverse effects was roflumilast. Being a highly selective phosphodiesterase-4 inhibitors (PDE4i), roflumilast acts by enhancing the level of cyclic adenosine monophosphate (cAMP), that probably potentiates its anti-inflammatory action via increasing neprilysin (NEP) activity. Because activating NEP was previously reported to mitigate several airway inflammatory ailments; this review thoroughly discusses the proposed NEP-based therapeutic properties of roflumilast, which may be of great importance in curing COVID-19. However, further clinical studies are required to confirm this strategy and to evaluate its in vivo preventive and therapeutic efficacy against COVID-19.|*COVID-19 Drug Treatment[MESH]|Aminopyridines/*pharmacology/*therapeutic use[MESH]|Benzamides/*pharmacology/*therapeutic use[MESH]|Cyclopropanes/pharmacology/therapeutic use[MESH]|Humans[MESH]|Neprilysin/*drug effects[MESH]|Pandemics[MESH]
  
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