1. The early use of inhaled interferons is emerging as a promising strategy to prevent severe #COVID19: lines of support include mechanism, rare genomic variants, a multicenter retrospective report, and a small randomized trial
2. On mechanism, our innate immune response, first line of defense relies, at least in part, on the interferon response.
2 figures from @VirusesImmunity's terrific thread, and the link to it
https://twitter.com/VirusesImmunity/status/1285944893085491204
4. Multicenter report of inhaled interferon-alpha2b (Type1) showed benefit if given early, harm if late (opposite of pattern with dexamethasone)
https://www.cell.com/cell-host-microbe/fulltext/S1931-3128(20)30401-7 @cellhostmicrobe
5. A small randomized trial of inhaled beta interferon in 100 patients, only available via press release so far, but very encouraging
results https://www.synairgen.com/wp-content/uploads/2020/07/200720-Synairgen-announces-positive-results-from-trial-of-SNG001-in-hospitalised-COVID-19-patients.pdf
and important caveats here, by @benjmueller
https://www.nytimes.com/2020/07/20/world/covid-19-treatment-synairgen-interferon-beta.html
2 points to add:
—a @pbleic thread on the biology of TLR7, interferons and another ? contributor for the⬆️ vulnerability in men
https://twitter.com/pbleic/status/1287002569324150785
—thinking about rapid #SARSCoV2 testing and early inhaled interferon to change the natural history of infections is exciting
I forgot to include this important, relevant study https://science.sciencemag.org/content/sci/early/2020/07/10/science.abc6027.full.pdf @ScienceMagazine
by @TerrierBen and colleagues
Deficient Type 1 interferon response correlation with clinical severity
You can follow @EricTopol.
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