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Case Reports
. 2020 Sep:44:102250.
doi: 10.1016/j.msard.2020.102250. Epub 2020 Jun 3.

Covid-19 in a patient with multiple sclerosis treated with natalizumab: May the blockade of integrins have a protective role?

Affiliations
Case Reports

Covid-19 in a patient with multiple sclerosis treated with natalizumab: May the blockade of integrins have a protective role?

Clara Aguirre et al. Mult Scler Relat Disord. 2020 Sep.

Abstract

The disease caused by the new coronavirus SARS-CoV-2 (COVID-19) is currently spread worldwide . Recent data supports SARS-CoV-2 may use integrins to enter human cells. Therefore, anti-integrins therapies might be an alternative against the infection . Natalizumab, approved for Multiple Sclerosis (MS) treatment, acts blocking α4-integrin. We report a MS patient treated with natalizumab who develops COVID-19, with excellent recovery and repeated negative results in 5 consecutive microbiological studies. We postulate this may be due to the blockade of integrins induced by natalizumab.

Keywords: COVID-19; Integrins; Multiple Sclerosis; Natalizumab; SARS-CoV-2.

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Conflict of interest statement

The Authors declares that there is no conflict of interest. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

References

    1. Zhou P., Yang X.L., Wang X.G., Hu B., Zhang L., Zhang W. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270–273. Mar 12. - PMC - PubMed
    1. Sigrist C.J., Bridge A., Le Mercier P. A potential role for integrins in host cell entry by SARS-CoV-2. Antivir. Res. 2020:177. May 1. - PMC - PubMed
    1. Brownlee W., Bourdette D., Broadley S., Killestein J., Ciccarelli O. Treating multiple sclerosis and neuromyelitis optica spectrum disorder during the COVID-19 pandemic. Neurology. 2020 doi: 10.1212/WNL.0000000000009507. - DOI - PubMed
    1. Borriello G., Ianniello A. COVID-19 occurring during Natalizumab treatment: a case report in a patient with extended interval dosing approach. Mult. Scler. Relat. Disord. 2020 doi: 10.1016/j.msard.2020.102165. - DOI - PMC - PubMed
    1. Tresoldi I., Sangiuolo C.F., Manzari V., Modesti A. SARS-COV-2 and infectivity: possible increase in infectivity associated to integrin motif expression. J. Med. Virol. 2020 John Wiley and Sons Inc. - PMC - PubMed