PMID- 34018464 OWN - NLM STAT- MEDLINE DCOM- 20210607 LR - 20221207 IS - 1532-2513 (Electronic) IS - 0892-3973 (Print) IS - 0892-3973 (Linking) VI - 43 IP - 3 DP - 2021 Jun TI - Anti-IgE monoclonal antibodies as potential treatment in COVID-19. PG - 259-264 LID - 10.1080/08923973.2021.1925906 [doi] AB - Coronavirus disease 2019 (COVID-19) is associated with irreversible effects on vital organs, especially the respiratory and cardiac systems. While the immune system plays a key role in the survival of patients to viral infections, in COVID-19, there is a hyperinflammatory immune response evoked by all the immune cells, such as neutrophils, monocytes, and includes release of various cytokines, resulting in an exaggerated immune response, named cytokine storm. This severe, dysregulated immune response causes multi-organ damage, which eventually leads to high mortality. One of the most important components of hypersensitivity is immunoglobulin E (IgE), which plays a major role in susceptibility to respiratory infections and can lead to the activation of mast cells. There is also a negative association between IgE and IFN-alpha, which can reduce Toll-like receptor (TLR) nine receptor expression and TLR-7 signaling to disrupt IFN production. Moreover, anti-IgE drugs such as omalizumab reduces the severity and duration of COVID-19. In addition to its anti-IgE effect, omalizumab inhibits inflammatory cells such as neutrophils. Hence, blockade of IgE may have clinical utility as an immunotherapy for COVID-19. FAU - Farmani, Ahmad Reza AU - Farmani AR AUID- ORCID: 0000-0003-1149-3843 AD - Tissue Engineering and Applied Cell Sciences Department, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran. AD - Tissue Engineering Department, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, Iran. AD - Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Mahdavinezhad, Forough AU - Mahdavinezhad F AD - Anatomy Department-School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Moslemi, Rohollah AU - Moslemi R AD - Department of Clinical Pharmacy, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Mehrabi, Zeinab AU - Mehrabi Z AD - Internal Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Noori, Alireza AU - Noori A AD - Tissue Engineering and Applied Cell Sciences Department, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Kouhestani, Mahsa AU - Kouhestani M AD - Tissue Engineering and Applied Cell Sciences Department, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Noroozi, Zahra AU - Noroozi Z AD - Department of Molecular Medicine, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Ai, Jafar AU - Ai J AD - Tissue Engineering and Applied Cell Sciences Department, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Rezaei, Nima AU - Rezaei N AUID- ORCID: 0000-0002-3836-1827 AD - Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. AD - Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. AD - Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran. LA - eng PT - Journal Article PT - Review PT - Video-Audio Media DEP - 20210521 PL - England TA - Immunopharmacol Immunotoxicol JT - Immunopharmacology and immunotoxicology JID - 8800150 RN - 0 (Interferon-alpha) RN - 0 (TLR7 protein, human) RN - 0 (Toll-Like Receptor 7) RN - 2P471X1Z11 (Omalizumab) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - COVID-19/*immunology MH - Humans MH - Immunoglobulin E/immunology MH - Interferon-alpha/immunology MH - Omalizumab/immunology/*therapeutic use MH - Signal Transduction/*drug effects/immunology MH - Toll-Like Receptor 7/immunology MH - *COVID-19 Drug Treatment PMC - PMC8146297 OTO - NOTNLM OT - COVID-19 OT - IgE OT - hyperinflammation OT - hypersensitivity OT - immunity system OT - omalizumab COIS- No potential conflict of interest was reported by the author(s). EDAT- 2021/05/22 06:00 MHDA- 2021/06/08 06:00 PMCR- 2021/05/25 CRDT- 2021/05/21 08:41 PHST- 2021/05/22 06:00 [pubmed] PHST- 2021/06/08 06:00 [medline] PHST- 2021/05/21 08:41 [entrez] PHST- 2021/05/25 00:00 [pmc-release] AID - 1925906 [pii] AID - 10.1080/08923973.2021.1925906 [doi] PST - ppublish SO - Immunopharmacol Immunotoxicol. 2021 Jun;43(3):259-264. doi: 10.1080/08923973.2021.1925906. Epub 2021 May 21.