Moderate Fever Cycles as a Potential Mechanism to Protect the Respiratory System in COVID-19 Patients.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_D318FD13ECFC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Moderate Fever Cycles as a Potential Mechanism to Protect the Respiratory System in COVID-19 Patients.
Journal
Frontiers in medicine
Author(s)
Guihur A., Rebeaud M.E., Fauvet B., Tiwari S., Weiss Y.G., Goloubinoff P.
ISSN
2296-858X (Print)
ISSN-L
2296-858X
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Volume
7
Pages
564170
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Mortality in COVID-19 patients predominantly results from an acute respiratory distress syndrome (ARDS), in which lungs alveolar cells undergo programmed cell death. Mortality in a sepsis-induced ARDS rat model is reduced by adenovirus over-expression of the HSP70 chaperone. A natural rise of body temperature during mild fever can naturally accumulate high cellular levels of HSP70 that can arrest apoptosis and protect alveolar lung cells from inflammatory damages. However, beyond 1-2 h of fever, no HSP70 is being further produced and a decreased in body temperature required to the restore cell's ability to produce more HSP70 in a subsequent fever cycle. We suggest that antipyretics may be beneficial in COVID-19 patients subsequent to several hours of mild (<38.8°C) advantageous fever, allowing lung cells to accumulate protective HSP70 against damages from the inflammatory response to the virus SARS-CoV-2. With age, the ability to develop fever and accumulate HSP70 decreases. This could be ameliorated, when advisable to do so, by thermotherapies and/or physical training.
Keywords
COVID-19, Hsp70, SARS-CoV-2, acute respiratory distress syndrome, fever, heat- shock response
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation
Create date
21/09/2020 21:24
Last modification date
15/01/2021 8:12
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