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Montelukast Drug May Improve COVID-19 Prognosis: A Review of Evidence

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TLDR
It is argued that montelukast should be further tested to prevent and treat COVID-19 outcomes, based on gathered theoretical evidence.
Abstract
With the lack of effective therapy, chemoprevention and vaccination, focusing on the immediate repurposing of existing drugs gives hope of curbing the pandemic. Interestingly, montelukast, a drug usually used in asthma, may be proposed as a potential adjuvant therapy in COVID-19. The aim of the present article was to review the properties of montelukast that could be beneficial in COVID-19. Ten experimentally supported properties were retrieved, either related to SARS-CoV-2 (antiviral properties, prevention of endotheliitis and of neurological disorders linked to SARS-CoV-2), and/or related to the host (improvement of atherogenic vascular inflammation, limitation of the ischemia/reperfusion phenomenon, improvement of respiratory symptoms), and/or related to serious COVID-19 outcomes (limitation of the cytokine storm, mitigation of acute respiratory distress syndrome), and/or related to tissue sequelae (antioxidant properties, anti-fibrosis effects). Based on gathered theoretical evidence, we argue that montelukast should be further tested to prevent and treat COVID-19 outcomes.

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Mast cell activation symptoms are prevalent in Long-COVID.

TL;DR: In this paper, the authors determined prevalence/severity of MCA symptoms in Long-COVID (LC) patients and found that increased activation of aberrant mast cells induced by SARS-CoV2 infection by various mechanisms may underlie part of the pathophysiology of LC, possibly suggesting routes to effective therapy.
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Role of leukotriene pathway and montelukast in pulmonary and extrapulmonary manifestations of Covid-19: The enigmatic entity.

TL;DR: In this paper, the potential role of leukotrienes (LTs) in the pathogenesis and clinical presentation of SARS-CoV-2 infection, and reveal the critical role of LT pathway receptor antagonists and inhibitors in Covid-19 management.
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Identification of multipotent drugs for COVID-19 therapeutics with the evaluation of their SARS-CoV2 inhibitory activity.

TL;DR: In this paper, the authors used bioinformatics techniques to screen the FDA approved drugs against nine SARS-CoV2 proteins to identify drugs for repurposing and analyzed if the identified molecules can also affect the human proteins whose expression in lung changed during SARS CoV2 infection.
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In silico validation of anti-viral drugs obtained from marine sources as a potential target against SARS-CoV-2 Mpro

TL;DR: In this article, a total of 14 marine derived antiviral agents were screened from several databases including PubChem and DrugBank and docked against the crystallised 3D structure of SARS-CoV-2 Mpro.
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The Pathophysiology of Long COVID throughout the Renin-Angiotensin System

TL;DR: The impact of long COVID on several organs and tissues is summarized, with a special focus on the significance of the RAS in the disease pathogenesis.
References
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Journal ArticleDOI

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TL;DR: During the epidemic period of COVID-19, clinicians should suspect severe acute respiratory syndrome coronavirus 2 infection as a differential diagnosis to avoid delayed diagnosis or misdiagnosis and lose the chance to treat and prevent further transmission.
Journal ArticleDOI

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Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment

TL;DR: The Berlin definition of acute respiratory distress syndrome addressed limitations of the American-European Consensus Conference definition, but poor reliability of some criteria may contribute to underrecognition by clinicians.
Journal ArticleDOI

Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza.

TL;DR: Almost 1.6% of adults with COVID-19 who visited the emergency department or were hospitalized experienced ischemic stroke, a higher rate of stroke compared with a cohort of patients with influenza, and the association persisted across sensitivity analyses adjusting for vascular risk factors, viral symptomatology, and intensive care unit admission.
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