COVID-19 emerged like a novel disease at the beginning of 2020 and leads to acute respiratory syndrome
COVID-19 emerged like a novel disease at the beginning of 2020 and leads to acute respiratory syndrome. of subjects and compare the results with a control group represented by patients with the same diseases following other immunomodulatory therapies. IVIg produced before the H1N1 influenza pandemic, avoid the lung replication of the virus, and protect against mortality because of a cross-reaction of the antibody to this virus . Hemagglutinin and neutralising antibodies against pandemic influenza have been found in IVIg and they have a protective effect from H1N1 infection. IVIg effectively inhibit the replication of HCoV-NL63, a coronavirus which leads to acute respiratory syndrome in adults and to Kawasaki disease in Mouse monoclonal to FMR1 children, similar to SARS-CoV-2, so that commercially available immunoglobulins may represent a potential therapy for treating acute respiratory illness . Moreover, pre-pandemic IVIg can provide protection by a mechanism of antibodies cross-reaction induced by repeated exposure to seasonal H1N1 or coronaviruses, and hyperimmune post-pandemic IVIg may be more effective in protecting the host, as demonstrated in mice . To address the potential protective effect of IVIg against COVID-19 infection, even if obtained before the pandemic, we conducted, through the CIDP Italian Association, an online anonymous questionnaire among patients affected by immune-mediated neuromuscular diseases, from YS-49 4 to 28 April. In this population, we assessed possible COVID-19 infection and the effects of other immunosuppressive therapies. We chose an online questionnaire due to the impossibility of reaching all the patients because of the lockdown and in order to collect a high number of subjects in a fast way. This method has obviously different limitations, first of all, we could contact only the patients afferent to the association or to outpatients medical center facilities and therefore only individuals with a continuing therapy. Therefore, we’re able to not recruit individuals with previous illnesses and without therapy. Anyhow, considering the restriction from the lockdown the web questionnaire was the only path to carry out a study. 213 individuals participated in the study, but we’d to exclude two imperfect questionnaires. YS-49 Nearly all individuals suffered from persistent inflammatory demyelinating YS-49 polyradiculoneuropathy (CIDP, 73.9%; worth /th /thead IVIg, SCIg (152)92.1% (151)0.6% (1)3.887, 1*0.0487Other therapies (43)85.1% (40)6.4% (3) Open up in another window To conclude, we are able to hypothesise that, as demonstrated already, chronic immunoglobulin therapy might protect or reduce the risk of contracting infections, including COVID-19. More studies based on medical recording and with a stratification of patients based on type of disease and on degree of severity, are needed to confirm our conclusions, which could possibly be conducted when the COVID-19 emergency ends and access to clinical data and visits will be available again. Funding No funding was received for this work. Compliance with ethical standards Conflict of interestWe wish to confirm that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome. Ethics approvalData YS-49 collected were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained by specific questions of the questionnaire from all patients for being included in the study..