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Investigating Lipid-Modulating Agents for Prevention or Treatment of Covid-19: Jacc State-Of-The-Art Review Publisher Pubmed



Talasaz AH1, 2, 3 ; Sadeghipour P4 ; Aghakouchakzadeh M1 ; Dreyfus I5 ; Kakavand H1 ; Ariannejad H2 ; Gupta A5, 6, 7 ; Madhavan MV5, 6 ; Van Tassell BW3, 8 ; Jimenez D9 ; Monreal M10 ; Vaduganathan M11 ; Fanikos J12 ; Dixon DL3, 8 Show All Authors
Authors
  1. Talasaz AH1, 2, 3
  2. Sadeghipour P4
  3. Aghakouchakzadeh M1
  4. Dreyfus I5
  5. Kakavand H1
  6. Ariannejad H2
  7. Gupta A5, 6, 7
  8. Madhavan MV5, 6
  9. Van Tassell BW3, 8
  10. Jimenez D9
  11. Monreal M10
  12. Vaduganathan M11
  13. Fanikos J12
  14. Dixon DL3, 8
  15. Piazza G11
  16. Parikh SA5, 6
  17. Bhatt DL11
  18. Lip GYH13, 14
  19. Stone GW6, 15
  20. Krumholz HM7, 16, 17
  21. Libby P11
  22. Goldhaber SZ11
  23. Bikdeli B6, 7, 11

Source: Journal of the American College of Cardiology Published:2021


Abstract

Coronavirus disease-2019 (COVID-19) is associated with systemic inflammation, endothelial activation, and multiorgan manifestations. Lipid-modulating agents may be useful in treating patients with COVID-19. These agents may inhibit viral entry by lipid raft disruption or ameliorate the inflammatory response and endothelial activation. In addition, dyslipidemia with lower high-density lipoprotein cholesterol and higher triglyceride levels portend worse outcomes in patients with COVID-19. Upon a systematic search, 40 randomized controlled trials (RCTs) with lipid-modulating agents were identified, including 17 statin trials, 14 omega-3 fatty acids RCTs, 3 fibrate RCTs, 5 niacin RCTs, and 1 dalcetrapib RCT for the management or prevention of COVID-19. From these 40 RCTs, only 2 have reported preliminary results, and most others are ongoing. This paper summarizes the ongoing or completed RCTs of lipid-modulating agents in COVID-19 and the implications of these trials for patient management. © 2021 American College of Cardiology Foundation
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