High-Dose Colchicine: Key Factor in the Treatment of Morbidly Obese COVID-19 Patients.
| Autor: | Mondeshki T; Propaedeutics of Internal Diseases, Medical University of Sofia, Hospital Alexandrovska, Sofia, BGR., Mitev V; Chemistry and Biochemistry, Medical University of Sofia, Sofia, BGR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 13; Vol. 16 (4), pp. e58164. Date of Electronic Publication: 2024 Apr 13 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58164 |
| Abstrakt: | Colchicine has long been known to possess anti-inflammatory effects by inhibiting microtubules, activation and migration of neutrophils, and most importantly, the inflammasome complex found in neutrophils and monocytes. Due to these properties, a number of clinical trials have tested the therapeutic effect of colchicine in COVID-19 patients. One common feature of these studies, however, is the low therapeutic dose used, which may explain the conflicting and disappointing results. Colchicine has the unique property of accumulating in leukocytes, which are primarily responsible for the hyperactivation of the NLRP3 inflammasome and the cytokine storm. The low-dose colchicine used to treat COVID-19 is not sufficient to reach the necessary intracellular concentration for NLRP3 inflammasome inhibition. We have reported our experience with high-dose colchicine, within the approved therapeutic range, in both ambulatory and hospitalized patients, and have shown dramatic cure rates. Here, we present our observation of an excellent therapeutic effect of high-dose colchicine in morbidly obese COVID-19 patients who are at the highest morbidity and mortality risk. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Mondeshki et al.) |
| Databáze: | MEDLINE |
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