PMID- 35742820 OWN - NLM STAT- MEDLINE DCOM- 20220627 LR - 20220716 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 12 DP - 2022 Jun 7 TI - How to Restore Oxidative Balance That Was Disrupted by SARS-CoV-2 Infection. LID - 10.3390/ijms23126377 [doi] LID - 6377 AB - Coronavirus 2019 disease (COVID-19) is caused by different variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which emerged in December of 2019. COVID-19 pathogenesis is complex and involves a dysregulated renin angiotensin system. Severe courses of the disease are associated with a dysregulated immunological response known as cytokine storm. Many scientists have demonstrated that SARS-CoV-2 impacts oxidative homeostasis and stimulates the production of reactive oxygen species (ROS). In addition, the virus inhibits glutathione (GSH) and nuclear factor erythroid 2-related factor 2 (NRF2)-a major antioxidant which induces expression of protective proteins and prevents ROS damage. Furthermore, the virus stimulates NOD-, LRR- and pyrin domain-containing protein 3 (NLRP3) inflammasomes which play a significant role in inducing a cytokine storm. A variety of agents with antioxidant properties have shown beneficial effects in experimental and clinical studies of COVID-19. This review aims to present mechanisms of oxidative stress induced by SARS-CoV-2 and to discuss whether antioxidative drugs can counteract detrimental outcomes of a cytokine storm. FAU - Kielbowski, Kajetan AU - Kielbowski K AUID- ORCID: 0000-0001-8227-6753 AD - Department of Physiology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland. FAU - Herian, Mariola AU - Herian M AD - Department of Physiology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland. FAU - Pawlik, Andrzej AU - Pawlik A AUID- ORCID: 0000-0001-6557-1208 AD - Department of Physiology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland. LA - eng PT - Journal Article PT - Review DEP - 20220607 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Antioxidants) RN - 0 (Reactive Oxygen Species) SB - IM MH - Antioxidants/metabolism/therapeutic use MH - *COVID-19 MH - Cytokine Release Syndrome/drug therapy/etiology MH - Humans MH - Oxidative Stress MH - Reactive Oxygen Species MH - SARS-CoV-2 PMC - PMC9223498 OTO - NOTNLM OT - COVID-19 OT - SARS-CoV-2 OT - antioxidants OT - cytokine storm OT - oxidative stress COIS- The authors declare no conflict of interest. EDAT- 2022/06/25 06:00 MHDA- 2022/06/28 06:00 PMCR- 2022/06/07 CRDT- 2022/06/24 01:20 PHST- 2022/05/22 00:00 [received] PHST- 2022/06/04 00:00 [revised] PHST- 2022/06/05 00:00 [accepted] PHST- 2022/06/24 01:20 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/28 06:00 [medline] PHST- 2022/06/07 00:00 [pmc-release] AID - ijms23126377 [pii] AID - ijms-23-06377 [pii] AID - 10.3390/ijms23126377 [doi] PST - epublish SO - Int J Mol Sci. 2022 Jun 7;23(12):6377. doi: 10.3390/ijms23126377.