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Coronavirus Disease 2019 (COVID-19) and Its Neuroinvasive Capacity: Is It Time for Melatonin?

Cellular and molecular neurobiology
April 1, 2022
Alejandro Romero et al. (6 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore the potential therapeutic use of high-dose melatonin in modulating immune response and neuroinflammation caused by SARS-CoV-2 in COVID-19 patients.

Results Summary

The study suggests melatonin may favorably modulate immune response and neuroinflammation in COVID-19 patients, but clinical trials are needed to confirm its efficacy in prevention and clinical management.

Population

COVID-19 patients with potential central nervous system involvement.

Effective Dosage

High doses (specific amount not provided).

Duration

Not specified.

Interactions

None mentioned.

Extracted Claims (1)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high doses of melatonin
decrease
immune response and neuroinflammation caused by SARS-CoV-2
COVID-19 patients with underlying diseases
-
may favorably modulate
#1
Abstract

The world faces an exceptional new public health concern caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), subsequently termed the coronavirus disease 2019 (COVID-19) by the World Health Organization (WHO). Although the clinical symptoms mostly have been characterized, the scientific community still doesn´t know how SARS-CoV-2 successfully reaches and spreads throughout the central nervous system (CNS) inducing brain damage. The recent detection of SARS-CoV-2 in the cerebrospinal fluid (CSF) and in frontal lobe sections from postmortem examination has confirmed the presence of the virus in neural tissue. This finding reveals a new direction in the search for a neurotherapeutic strategy in the COVID-19 patients with underlying diseases. Here, we discuss the COVID-19 outbreak in a neuroinvasiveness context and suggest the therapeutic use of high doses of melatonin, which may favorably modulate the immune response and neuroinflammation caused by SARS-CoV-2. However, clinical trials elucidating the efficacy of melatonin in the prevention and clinical management in the COVID-19 patients should be actively encouraged.

Medical Subject Headings (MeSH)
AnimalsBrainCOVID-19Central Nervous SystemCentral Nervous System AgentsCentral Nervous System Viral DiseasesHumansMelatoninNeuroprotective AgentsSARS-CoV-2COVID-19 Drug Treatment
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality60/10
Citation Metrics
Total Citations26
Citations/Year8.7
Relative Citation Ratio3.48
NIH Percentile87.9%
Research Impact Scores
APT Score0.50
Weight Score1.20
Normalized Score0.60
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