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Complement system as the potential therapeutic target in the management of COVID-19 patients

Pooya Farhangnia
Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.; Immunology Board for Transplantation and Advanced Cellular Therapeutics (ImmunoTACT), Universal Scientific Education and Research Network (USERN), Tehran, Iran.; Network of Immunity in Infection, Malignancy, and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran
Gilda Parsamanesh
Department of Immunology, School of Medicine, Tehran University of Medical Sciences
Milad Karimi
Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Amirhossein Khosrozadeh Ghomi
Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Shiva Dehrouyeh
Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Azin Aghamajidi
Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Received: 05 September 2024
Published: 27 December 2022

Abstract

The emerging COVID-19 caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has been raised as a global health challenge. Despite the breakthrough in the development of the COVID-19 vaccine, it still continues as a serious crisis, worldwide. The aberrant immune responses are strongly associated with the severity of the disease and an increased rate of morbidity and mortality among COVID-19 patients. The complement cascade activation is mediated by classical, lectin, and alternative pathways which could induce an inflammatory state during the COVID-19 infection. The growing body of research suggests that complement system activation plays an important role in the immunopathogenesis of SARS-CoV-2. Therefore, the blockade of complement cascades may be an effective approach to prevent the multi-organ complications of COVID-19. In this review, we will highlight the role of the complement system in the immunopathology of COVID-19, emphasizing the potential therapeutical targets to ameliorate COVID-19 infection.

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